Money and psychotherapy
What are the principles forming the price for a consultation with a psychologist or psychotherapist, why and how much they have to pay?
What does money mean in psychotherapy, if possible discounts, what's the difference between free and paid psychological help - to these and other questions about money meets Daniel Nesterovich Hlomov, director of the Moscow Gestalt Institute.
What is the meaning of money in psychotherapy?
Money here means the ratio. Let me explain. For every type of human activity, for each specialty filled with money in some sense. And this meaning - different for the financier and builder, for example. For practicing psychologist money - it's a relationship. And, accordingly, these relationships can be, for example, for one person, for example, too large for the other - too alienated and so on. But without this financial boundaries between me as a psychologist and a person with whom I work, there is no relationship psychotherapy.
Is the psychologist can not give the other party any recommendations in ordinary conversation?
D. H .:
Maybe, but it is not psychotherapy. If I do not understand why in a normal conversation, for no apparent reason begin mentalizing, then to me that something was wrong, maybe I do not lack a sense of self-importance, or something else - in this case, I've got to tackle some their own problems.
D. H .:
The money that the customer pays the therapist work - this is some initial frame, confirmation that within the stipulated time, I'm with this person, not in order to meet their needs and to help him. That is, until people communicate without payment, each of them to meet their own needs, and when one pays, the other does not comply with their own, and their needs?
D. H .:
Exactly. In any case, it should be in a fair dialogue. Sometimes this balance is disturbed, but how and why it should be dealt with in each case. Psychotherapy has been including this - cases of disturbed balance in communication.
What else besides paying different customer relationship and therapist from normal relations?
D. H .:
The therapeutic relationship is much simpler than other personal relationships. Typically, the relationship between people is very difficult, they are constantly changing, even if it is a stable relationship and their participants know each other for a long time. But here one must speak, and the other is busy at this time. Or one to know something about the other, and has not yet decided whether to tell him, or to remain silent, and this knowledge becomes a pitfall in their relationship. In personal relationships, not all is said aloud, have to guess a lot. When something happens in these relationships, it is often unclear what is the reason: if one participant, with both or some other circumstance.
What are the relations in therapy?
D. H .:
The relationship between client and therapist is much easier. The participants enter into a contract, they agree on all conditions, discuss them aloud. We meet at a certain time, and both of us it is clear that, after the time comes to an end, we are not going to be friends, but simply disagree. I'm staying on its territory, even if the client wants to talk to, even if I have feelings, and he is willing to pay. But we have an agreement, and we act in accordance with it. Which is good, because in this case all that is going on between us, it does not apply to our relationship, and either one person or another. We remove all of our relationship to the outstanding factors. We express our feelings in words, and not by some other means, as is the case in other respects. For example, people build houses there, but behind it is their personal liking to each other, which is expressed in this way - through joint activities. Or, conversely, someone who does not like it, and people do not cooperate and competitive bids, thus expressing their antipathy. How is the price of psychotherapist services?
D. H .:
There, the average price is the same as in the rest of the world, she is known.
What about those for whom the price is too high?
D. H .:
Then the good news is that the work of the psychologist is not required for life. This is - a service that can afford to buy, as well as other services. If it is not available to you, and the need for psychological knowledge is, you can find information in psychological books, films - among them there are very good - and to work independently.
But there is a difference between trying to solve their problems and work with the therapist?
D. H .:
There is a difference. But this does not mean that it is possible only one thing. Satisfy the same need for a variety of ways. Let me explain with an example - you can buy a piece of bread, cheese and beer in the shop, go to a public garden, and there on the bench all drink and eat. Or you can go to a restaurant. You shall be filled and have fun in the first and in the second case. The question that you have a pleasant at the moment. Moreover, one does not cancel.
When a person has the feeling that he did not have enough money?
D. H .:
It depends not only on objective reality, as the ratio of revenues and expenses. Some people with high income are sometimes too big expense, and the money they do not have enough, despite the fact that they seem to get enough of them. In general, if you have little money, which means that some of your needs are not being met, and then you have to deal with it and give himself up. Are there any special nuances in the work of those whose incomes are high?
D. H .:
Difficult to work with those whose income and expenses are much greater than average. Firstly, on the money such a person can buy any headache. Secondly, if a customer pays the money that felt for him, it may be too much money for a specialist. And then the expert can not work because of its own balance sheet is broken. But there are ways to address these issues.
D. H .:
For example, I had a client who is in a position to pay off the total used, substituting real relationships with money. For him, it was the usual mode of operation. And it was important not to give him such an opportunity to provide a more realistic background relations. Therefore, we have agreed that payment for the psychological work will be postponed to achieve certain results. That he felt the debtor for some time in order to experience it as a kind of duty, affection, which he avoided in his life. And it worked. Money - a tool of psychotherapy. Many practitioners psychologists use the increase and decrease of payment as a tool to help the customer to solve his problems.
Still, there may be discounts for low-income clients?
D. H .:
They should be very justified from a psychological point of view. If we consider the exchange of money as a relationship, the payment decrease means a deterioration of relations. And experience shows that after lowering the attitude is really getting worse, people become less attentive to each other, so that the discount - it is not always unambiguously good. Again, I cite an analogy. Some people prefer to buy things in a more luxurious, expensive store, but the quality of goods there is not much higher than in the clothing market. But they are willing to pay for the convenience and the opportunity to quietly, without noise and bustle to choose what suits them - that is, they pay for the treatment. And during the normal discounts and shop turns into a giveaway. It is therefore important to pay - and psychotherapy, and other services - not less than its capacity. If I pay for and buy cheaper than I could afford it at the same time to do with me myself as less meaningful than I am in reality. What distinguishes the work of psychologists in free crisis centers on the work of the private therapist?
D. H .:
Free psychotherapy means that there is a specialist will be keen to remove your symptom. If you have, say, insomnia, his task is to make sure that you just fell asleep. And perhaps it is best to use the pill. He should not be out of obligation with you to find out the circumstances of your life in which you want to find out. And if you hire a private practice psychologist, you deal with it in a variety of circumstances of your life. And there is another factor. Cooperation with private psychologist - a long-term project. It is difficult to learn a lot of important details about the man for fifteen minutes and even hours. This knowledge occurs gradually, due to the cumulative effect. Money metaphorically give the same effect as they accumulate. This means that deposits grow on both sides, our relationship becomes more expensive with each meeting, and it means that we can talk about more complex things.