Written by Anne Power
Published by Routledge 2016
This book was written to support counsellors or therapists who need to impose an ending on their clients. I hope it will also be useful to supervisors working with a supervisee who needs to stop practising. It is based on my interviews with therapists who closed their practice to retire, to move house or for maternity or sabbatical leave.
The book uses the lens of attachment theory to explore how clients respond to being left and how the practitioner manages this disruption to the frame. Interviewees speak of their ambivalence about retirement and about the clinical challenges of imposing an ending. Finally they reflect on leaving a profession which has been not just a career but a developmental pathway.
I wrote this book when I realised that very little had been published about the therapist’s retirement or other circumstances which might cause a therapist to impose an unwelcome ending on a client. I interviewed around twenty therapists who had either retired or moved home, taken a maternity leave or time off for a sabbatical.
The book is based on the stories of these experienced therapists and explores the ambivalence they felt about letting go of a professional role which had sustained them. I explore the process of closing a private practice, from the initial ethical dilemma, through to the last day when the door of the therapy room closes.
A forced ending is an intrusion of the clinician’s own needs into the therapeutic space. I consider how this might compromise the work but could also be an opportunity for deeper engagement. I explore the role of supervision in supporting good practice and also reflect on the supervisor’s own retirement. The book closes with a checklist of questions that a practitioner might want to consider if they are deliberating a possible closure of their practice.
I hope the book will help to open up an area which has been considered taboo in the profession so that future cohorts can benefit from the reflections and insights of this earlier generation. If it can support clinicians making this transition then it may result in fewer clients having to face a sudden ending of treatment.