Choosing a theoretical model in psychotherapy
November 9, 2003
Why do you want to start a therapy? There may be several reasons. You
have personal problems, you feel bad about yourself, you are frightened
by this or that, you feel anxious, depressed or stressed; or you want
to live differently, even though your life is not utterly difficult; or
you want to know yourself better, develop your potentialities, enhance
your life, and start a personal improvement process.
All these reasons are valuable and legitimate. Most of the time you
think you can solve these problems alone, that time will arrange
everything. But you cannot always find in yourself or in your family or
friends the necessary resources to face the situation. In addition, the
change you want to make often represents a huge effort which implies a
steady support.
This is why you turn to a therapist who will help you pinpoint the
problems, face them and solve them. The therapist you choose must
dispense a therapy well suited for you. And in addition, well suited
for him or her. Each therapist – consciously or unconsciously – chooses
his theoretical model to fit his or her personality. It seems
impossible for a therapist to choose a methodology opposite to his or
her personality, style, interests and beliefs and be successful in
helping his/her patients, although it is certainly preferable to be
aware of several therapies, if only to be able to refer a patient to
another therapist more versed in such or such other therapy.
I think a good method for choosing a therapy as a therapist is to
wonder which theory would be best suited for oneself as a patient. Let
me first introduce myself: I am a 53 years old French woman. I was born
in a middle class family. My father was a consulting engineer and my
mother a housewife. My parents divorced when I was twelve and I never
saw my father again and I lived with my mother and my maternal
grand-mother. After studying English and American literature at the
University, I wanted to study political science and become a diplomat.
Instead, I started working as a freelance technical translator and
never stopped until now. I married a first time, had a son, then
divorced. Ten years after, I married again, moved to the USA, started
studying again (French literature). My second husband passed away four
years later. I was catholic but would rather describe myself now as
someone searching for God. I am interested in the power of words, and
in mythologies and religions. I work a lot, by obligation although I
like my job; I have little if no free time and I am not free of
psychological problems myself.
For this essay, I chose to briefly review the psychotherapies we have
been studying for the past two months and note down if I would chose
them for myself and why, although I have a feeling that my knowledge is
still very superficial and that each of these theories would deserve
months of study which we do not have right now.
My idea is that if I feel at ease as a patient with a therapy, I should
feel at comfortable with it as a therapist. From this very brief survey
of above theories, I would eliminate Psychoanalysis, REBT, Behavior
therapy, Existential therapy from my choice. Then I would build my own
multimodal theory, borrowing from Adlerian, Person-centered and Gestalt
therapies in order to make it positive, holistic, warm, supportive,
cooperative, focused on growth. The treatment methods would imply the
patient's active participation and would range from book-therapy and
role-playing to desensitization, relaxation and meditation.