A Guide to Psychology and its Practice

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Page Contents: When your psychotherapist does not understand your dreams.                    

 

After about six months of psychotherapy I had a dream in which my psychotherapist was shown to be indifferent and uncaring. My psychotherapist trivialized the dream, as she does with most dreams that I tell her about. Now I have stopped telling her my dreams. Ever since this dream, I seem to be getting nowhere in therapy and feel as though I am wasting my time. I tried to talk to her about all of my feelings as transference, and she got annoyed with me. . . . She made me feel very foolish. . . . When I told her I wanted to terminate with her . . . I asked for my file. She said that . . . she had no file, but rather notes on pads in different places. This stuck me as very odd. I have to wonder where these notes are lying around, and who is reading them. Do you find that odd?

 
It seems clear to me that your dream most likely was the result of your unconscious perception that your therapist lacks the ability to “treat” you properly—and I mean that both humanly and clinically. Her inability to interpret your dream, and her inability to respond clinically to your attempt to discuss transference both point to her being one of those “bad therapists” I mention on this website. It’s to your credit that you perceived this fairly early on in the relationship.

I say the following about clinical records on my page about confidentiality in clinical psychology:

  

In the US, federal laws governing the nature and confidentiality of mental health records may be overridden by more stringent state laws, so psychological practice can vary from state to state. But in general a psychotherapist is required to keep some basic records that consist of the dates of your sessions, and your fees and payments. Clinical notes that describe and justify your treatment may be kept, but for the sake of anonymity such notes may not be kept; you have a right to ask about this.

  

As for choosing a new psychotherapist, I have a page on that subject on this website; I can add here that you might look specifically for someone who practices psychodynamic psychotherapy. In addition, then, you could ask if the psychotherapist has had experience in dream interpretation. You can also ask about the person’s own psychotherapy—someone who has been in psychoanalysis is more likely (but not guaranteed) to be sensitive to dream work and transference issues. And then, use the very first session to determine how that person treats you; that is, does he or she give honest, non-defensive answers to your questions? Does he or she show a balance between listening and taking the lead to guide you? And, the best “test” of all is whether you leave that first session with the experience of having been both challenged and supported, and that you have actually learned something new about yourself. Then pay attention to your dreams!

 


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Raymond Lloyd Richmond, Ph.D.
San Francisco
 
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