Source: Michael H. Silber, M.B. ..

Source: Michael H. Silber, M.B., Ch. B. Shronic Insomnia. The New England of Medicine, Vol. 353, p.p. 803 - 810 Translated from English. - N. Cherkashin, Department of Pediatrics FPC SSMU, Arkhangelsk

Psychological counseling

Kurakin Oleg Psychologist-psychotherapist This article highlights the theme of psychological consultation and is intended primarily for those who need psychological help. Here we discuss important issues relating to requests from the client, his motivation and professional response of the analyst, including the definition of the diagnosis, indications and contraindications for psychoanalysis, psychoanalytic treatment prognosis, as well as the optimal size of analytical work. It is assumed that the person referring to a psychologist for counseling, formulates a query (which reflects its main problems and suggestions related to the fact he wanted to achieve in progress). Form and content of applications are varied, but the work of psychotherapy can not with any request. First of all, the complexity of the present results suggesting a magical resolution of internal or external situation. For example, a petition addressed to the psychoanalyst, containing wishes to change someone or something in the external situation of the client or that client will do everything for the therapist, or that the customer will recommend something very fast and efficient: "From my husband is gone: to get it back?! "," haunts me strange thoughts (fantasies of motion): to make so that they were not. "" Zagipnotiziruyte me, I want to wake up another person. " Client, eager for the almighty healer is likely to be disappointed in the therapist. Not "at" also demands that imply a purely pharmacological solution ("I have insomnia, give me some drugs") and requests that, due to their complexity, must be accompanied by a specialized health care (mental health treatment, etc.). Inadequately looks as a request for a virtual contact with the psychoanalyst ("Take me effective work over the Internet or by telephone). Of course, the customer can "bring" any request, but it is important that he was willing to explore it together with a psychologist and to translate into realistic expectations and scenarios of its elaboration, and did not require the therapist's unconditional fulfillment of its primary, and quite possibly, the almighty "desire. The analyst can "hire" as a recruit, for example, a tutor or a personal driver, setting its duties, or by placing "problem" and to remove from personal involvement. Psychotherapeutic work - this is a job where the client and the psychologist together looking for solutions, it is - a common cause, calling for cooperation. Requires the presence of the client - physical and psychological, it must be personally involved in the process and is ready to ensure that the work relating to research and change itself is not easy. From the analyst's need professionalism, and from the client - a certain activity: active part in the events and willingness to be included in developing the psychotherapeutic process.