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Boundarying in Relational Therapy

The document discusses the concepts of holding, containing, and boundarying in relational integrative psychotherapy, emphasizing the importance of creating a safe space for clients to express difficult emotions. It highlights the therapist's role in managing these emotions while maintaining empathy and setting appropriate boundaries to ensure a healthy therapeutic relationship. Additionally, it reflects on a therapy session with a client named Marina, focusing on her anxiety related to the pandemic and the validation of her feelings by the therapist.

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0% found this document useful (0 votes)
20 views3 pages

Boundarying in Relational Therapy

The document discusses the concepts of holding, containing, and boundarying in relational integrative psychotherapy, emphasizing the importance of creating a safe space for clients to express difficult emotions. It highlights the therapist's role in managing these emotions while maintaining empathy and setting appropriate boundaries to ensure a healthy therapeutic relationship. Additionally, it reflects on a therapy session with a client named Marina, focusing on her anxiety related to the pandemic and the validation of her feelings by the therapist.

Uploaded by

montanez.aa
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Week 3 Module

Relational Integrative psychotherapy


Holding, Containing, and Boundarying
Finlay, L. (2015). Holding, Containing and Boundarying. Relational
Integrative Psychotherapy, 59-75. doi:10.1002/9781119141518.ch5

- The aim of holding, containing, and boundarying is to allow a client to express and
explore feelings that may feel too shameful or painful to be shared with others; through
this process, the client learns to cope with those damaging, overwhelming, or
potentially explosive emotions
- Holding deals more so with emotionally holding a client’s anxiety, alarm, confusion,
distress, and pain and managing it safely
- Containing has to do with safely containing the mixture of both the clients and
practitioners’ thoughts and feelings
o We all fall victim to losing our capacity to cope
- Holding the emotions should then link to empathy – here we find the capacity to
tolerate complete attunement with the client’s feelings while still remaining grounded
and a functioning therapist
- Boundaries set limits
o Prevent unhealthy levels of acting out and in what is often a charged, intimate
encounter they keep both client and therapist safe
o Also acknowledge the power imbalance that is unavoidably part of the
therapeutic relationship and set limits for the therapist’s expression of power
- It is not uncommon to spot clients with boundary struggles and help them discover and
maintain their own healthy boundaries
- With boundaries, if the answer is not yes when asking “is this in the client’s best
interest” then it may be suspect

In Treatment Video, 1
- Very talkative initially, but seems uncomfortable discussing herself
- Body language closed off and fidgety
- Opens up and immediately retreats
- Critical, but scared of offending others
-

In Treatment Video, 2

- Explosive
- Offended when help is offered
-
Discussion 2
Theme of the Session
Throughout this session, the overarching theme seemed to be the anxiety
and frustration stemming from Marina around the pandemic and heading
back to work. This session focused on Marina expressing her concerns about
how the pandemic may affect her – she is stressed about having to come
back to work, be in close contact with people, and what the consequences
may be financially if she does get sick. She is also struggling with shame as
she feels she cannot express her frustration in case she comes across as
ungrateful. Fran, in the therapist role, focused on validating those feelings
and bringing Marina to the point where she understood that her feelings are
acceptable, regardless of the struggle’s others may be facing that are better
or worse than hers.
Validation
When Marina talked about how these new symptoms of not being able to
sleep cause her to worry and question whether she needs to be medicated or
if things are worse, Fran then validated her by asking what her intuition was
telling her about the situation and following up by pointing out the outside
world plays a big part in allowing her symptoms to become more severe.
Additionally, she validated her feelings at the end of the session by
identifying that it can be intense to open up and lay her feelings out.
Vulnerable Population
I feel like asking the details about why she is considered vulnerable is not
something that I would necessarily want to know. In the grand scheme of the
conversation that was occurring, that detail is something that does not seem
relevant to the feelings that Marina is trying to convey. However, I could see
myself falling into the trap of asking nonessential questions like that as a
way to fill time when I am uncertain of what else I should be saying.
Self-Disclosure
I have really felt like I’ve been in a violent cycle during this pandemic as well
– I’m working 40 hours a week at a domestic violence shelter that has had
COVID outbreaks, I do 14 hours a week at an internship with kids who have
been arrested, I recently lost my grandfather and have been dealing with my
grief in addition to helping my grandmother navigate her grief, and on top of
all of that I have homework and assignments to complete on my days off.
Her feelings of constant escalation are ones I completely get as I have been
experiencing them as well. Her expressing how she feels like things are
constantly worsening might have been a moment where I felt compelled to
self-disclose my own escalating situation.
Overall Impressions
Overall, the session felt very productive. It seemed like Marina was able to
get a lot of things off her chest that she didn’t necessarily feel comfortable
expressing to anyone else. It also seems like she was able to get to a place
where she understood the validity of her frustrations. I’d like to get to know if
Marina has ever faced a time in her life where she has felt similar emotions
and what she has done in the past to deal with them.

Common questions

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Validation of a client's feelings during therapy impacts their psychological state by reinforcing the acceptability of their emotions, even if others are facing better or worse struggles. This acknowledgment helps reduce feelings of shame and allows the client to feel understood and supported. It leads to greater self-acceptance and aids in navigating the emotions more effectively, promoting emotional well-being and resilience .

Therapists may face challenges with explosive clients who might react negatively to help and may exhibit strong emotional outbursts. To manage such scenarios effectively, therapists can use techniques such as maintaining calm, setting clear and consistent boundaries, and using reflective listening to validate the client's feelings. An empathetic yet firm approach can help de-escalate situations while guiding clients towards understanding and managing their emotions better .

Fran, as the therapist, addresses Marina's pandemic concerns by validating her feelings of anxiety and frustration. She acknowledges the legitimate worries about being in close contact with people and the financial consequences of potentially getting sick. By encouraging Marina to express these concerns and validating her experience, Fran helps Marina realize that her feelings are acceptable and significant, regardless of others' situations .

A therapist might avoid asking about a client's vulnerabilities because such details may not be directly relevant to the client's current feelings or therapeutic goals. Probing into these areas might fill time rather than contribute to productive discussion, possibly leading to discomfort or resistance. Instead, focusing on the emotions the client is trying to convey and working to validate those feelings can be more beneficial for the client's self-exploration and therapeutic progress .

'Containing' in relational integrative psychotherapy involves the therapist safely managing and containing both their own and the client's thoughts and feelings. This process differs from 'holding,' which is more focused on managing the direct emotional output of the client—such as their distress and pain. While 'holding' emphasizes empathetic support, 'containing' adds a layer of managing complex emotional dynamics within the therapeutic environment to maintain safety and order .

Boundaries in therapy set limits that prevent unhealthy levels of acting out and protect both the client and the therapist in a charged, intimate encounter. They acknowledge the inherent power imbalance in the therapeutic relationship and provide a framework within which the therapist can express their power responsibly. Boundaries help clients with boundary issues discover and establish their own healthy boundaries. This structure is essential for ensuring that every therapeutic action taken is in the client's best interest .

Empathetic attunement is crucial in the holding process as it enables the therapist to fully understand and resonate with the client's emotional state while maintaining their own emotional stability. This attunement fosters a sense of safety and support for the client, encouraging them to explore difficult emotions. It helps build a trustful therapeutic relationship where clients can confront and work through their emotions effectively .

Therapist self-disclosure can influence the therapeutic process by either reinforcing empathy and understanding or potentially shifting focus away from the client if not used judiciously. Appropriate self-disclosure can enhance rapport and normalize the client's emotions, making them feel less isolated in their experiences. However, excessive or poorly timed disclosures may detract from the client's experiences and hinder therapeutic progress .

In relational integrative psychotherapy, 'holding' refers to the therapist's role in emotionally supporting the client by managing their anxiety, alarm, confusion, distress, and pain safely. It involves maintaining empathy and attunement with the client's feelings, allowing them to express and explore painful emotions they might not feel comfortable sharing otherwise. This function is crucial as it helps clients cope with overwhelming emotions, fostering a safe therapeutic space where they can become more resilient .

Signs of boundary issues can include clients who are overly dependent or clingy, those who react negatively to the enforcement of boundaries, or those who show difficulty in expressing or accepting limits in their interactions. Clients might also demonstrate an inability to respect personal space or request inappropriate levels of personal disclosure from the therapist. Recognizing these patterns allows therapists to help clients develop healthier boundaries .

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