Professional Documents
Culture Documents
P E T R U S K A C L A R K S O N , PhB.
L
AURA WAS PROE13UNI3LY INFLUENCED BY A PERSONAL hlEIiTING
with Martin Buber and has said that the true m c e of Gestalt
therapy was the relationship f o m d between therapist and client
(Hycner, 1985). Relationship can be defined as "the state of being reIated;
a condition or character based upon this kinship" (Onions, 1973,p. 1786).
Relationship is the fitst condition of being human. It circuntscrik two
or more individuals and e a t s a bond in the space between them that is
more than the sum of the parts. It is so obvious it is frequentIy taken for
granted and so mysterious that many of She wodd's greatest psychole
gists, novelists, and philosophers have made it a lifetime's preoccupying
passion. Research has shown that statistically you are more likely to be
killed by a relation than by a stranger. Results of studis also consistently
show that the choice of a particular psychotherapeutic method appem
to have much less k m i b l e influence on the effectivenessof psycho-
therapy than the relationship between the therapist and the client
(Noruoss, 1986). Gestaltists such as Polster m d Polster (1973)and the
-
existential psychotherapist May (1969)have also focus& extmsively on
the existential nature of therapeutic relationship.The I-Thou relationship
56 01997The Analytic h s s
VARIATIONS ON I AND THOU 57
For reasons I thought were good, what she [the Gestalt therapisq
did was spend considerable time giving her patient instructions in
communicating with her friends; simple like helping her to
realize when she had not compIetecf a sentence and so on. She was
ma~~dously kindly in t&g her how to talk to these people. Her
conversationaf, instructive mode is what she thought might not be
G ~ t d therapy.
t She thought it wasn't present oriented; she didn't
use the empty chair to have her actually talk to her friends; she
didn't ask mything about the patient's aw-, Her work did
r e p m t a faithfulnessto the contact between her atld her patient, a
very sensitive contact in which she was very giving;,giving exactly
what she believed this particular patient, at this particdm moment,
needed most or was most d e d for by the dynamics of their inter-
a d o n [p. 61.
The therapist was gwing the patient what was needed at that
moment-what was interpreted as "needed" in the context of a repara-
tiw developmental pnocess. Korb, Gumll, and Van De Riet (1989) write:
"Whenworking with clients who are committed to completing the matu-
: rational process, the G t a l t therapist some& works as an educator as
well as a therapist,. ,. [sometimd provides necessary and appropriate
support'' (pp. 114, 18). This dimmsion of the therapeutic relatiomhip
refers to those aspects of relationship that may have b absent or
VAKIATIONS ON I AND THOU 61
traumatic for the client at particular periods of his or her past (aschild or
adult) and that are supplied by the psychotherapist-even to the "safety
provided" (Ciomai, 1995, p. 8). This is usually done on q u e s t by or with
agreement from the patient during the psychotherapy through "teaching
patients how to become more aware, make better contact, achiwe
grounding, undo fixed Gestalts and increase chronically missing sup
port" (Melnick, 1995, personal communication). Often it is the unavoid-
able corrective experimce concomitant with a patient's subjective
experience that for the first time in his or her life, someone values, listens,
confirms, includes, concenhates, pays attention, is fully p m t for him
or her.
Sandor Ferenczi (1926) {one of Freud%early followers) also attempted
to give people what they needed for their growth or development early
in the history of psychoanalysis. H e departed from neutrality and impas-
sivity in favor of giving nursery care, friendly hug? or management of
regression to very sick patients, including one whom he saw anytime,
day or night, and took with him on his holidays. Sechehaye (1951)
worked in a similar fashion holding and feeding her patient and crying
over her. Fmrnm-Reichman (1974)too interacted with her patients in
ways that were direct, interventionist, and active. For example, when a
psychotic patient soiled her clothes with feces, she simpIy wore a white
coat next t i m e t o protect herself while at the same time giving the
patient the Toom for her expressiveness in the redity of the relationship.
Ferenczi held that there needed to be a contrast between the original
trauma in infancy m d the analytic situation so that remembering rather
than retraumatizing the patient cart be facilitated.
Here follows a brief transcript of a moment in Gestalt therapy where
the client asks the therapist to provide permission and affection that was
missing for him as a child, as he relives being that child in the present rela-
tionship with the psychotherapist.
Whower says You does not have something for his ow&. For
wherwer there is something h is also mother something every
It borders on other Its; It is only by virtue of bodering on others.
But where You is said there is no somehqg* You has no borders.
Whoever says You does not haw something;he has nothing- But he
stands in relation [p. 551.
In summary; the working alliance concerns the love of the work; the
unfinished (trafl~fmce/mtertrafl~ference) relationship cancems the
love of the truth (the authentic); the reparative/developmenta1 refa-
tionship concerns love for the mfhkhed issues in the person (more in
line with process rather than structure); the I-Thouiperson-teperson
relationship cancems the love of the o h ; a d the hmpet30nal rela-
tionship concerns the love of God-whatever w e may conceive It to be,
A Gestalt approach to psychotherapy training experience, and super-
vision requires the ability to distinguish between different forms of thec-
apeutic relationship and to assess and evaluate the usefuhess of each at
different stages of therapy or for individuals with different characteristic
ways of relating, so that there is not a slipshod vacillation prompted by
the therapist's own mfinkhed business. It is equaI1y important that
Gestalt therapists do not participate in or collude with abuse by not
confronting it in their clients, themseIws, or their colleagues.
In the past decade Gestalt therapy has been true to its existential
heritage by inueasing amtion to human relations, an increasing
respect for the phenomenology ofthe patient, and beginning to deal
with issus of continuity. This more mature existential attitude has
been the basis for a more sophisticated clinical methodology and a
framework for assimilating new psychoanalytic insights [Yontef,
1987, p. 511.
This maturing of Gestalt theary and practices brings with it: i n d
responsibility as well as h a e a s d range and expanded understadkgs.
F d o m d m not mean that we forgo discipline. Courage in actively
embraring the fullst range of potentials of Gestalt, the self or the hm-
d e n t ,d s to be accompanied by the s w e W form of testing and
forged anew with each client from moment to moment. Of course, this
can never truly be d d b e d , since as soon as the word is uttered or the
thought captused on paper, its most authentic moment of truth has
already scaped.
This paper has briefly demiidl five kinds oftherapeutic relationship
available as potential avenues for constructive use in Gestalt therapy and
indicated some characteristics of each in an effort to clarify, speafy, and
differentiate more acutely in theory and practice the nature and intm-
tiom of the mdtipliaty of therapeutic wlationships available and used
by GestaItists throughout the world. It is a rich tapetry w e weave when
we enter into relationship with another. I also do not believe that any
amount of serious study, comparison with other approaches, question-
ing, or scrutiny of our own experience can wer destroy the spontaneous
liveliness of the encountet and the idiniteIy varied treasures of the
Gestait itself.