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Or someone who went through an intense trauma. Or someone who's done something terrible in a dissociative fugue. Or several different anxiety disorders/phobias.

Or someone who went through an intense trauma. Or someone who's done something terrible in a dissociative fugue. Or several different anxiety disorders/phobias. Or certain personality disorders come to think of it. There's a lot of cases where certain information, if presented in the wrong way or at the wrong time, can be harmful to the patient, the relationship between patient and therapist, or both.

zmgsabst 4y ago
How does keeping secrets help any of those situations? “I’m manipulating you for your own good!” sounds like you’re validating their delusions and fears. I’m just hearing the same excuse the government gives when they, eg, censor facts and promote misinformation for the “public good”. Go ahead; explain to me specifically how it would help any of those cases — because this comes across as prioritizing the therapist’s convenience ahead of honesty with the patient.
- xboxnolifes 4y ago
  > How does keeping secrets help any of those situations? >“I’m manipulating you for your own good!” sounds like you’re validating their delusions and fears. Do you not see the obvious one here? The secret is not telling them exactly what would heighten their delusions.
  - zmgsabst 4y ago
    Do you not see my point that engaging from a place of honesty and partnership rather than patronizing manipulation is superior, and that you’re causing harm with that mindset due to telling a lie that validates their fears, without actual benefit?
    - xboxnolifes 4y ago
      You don't have to lie to keep a secret. Not telling someone something is still keeping a secret, and is necessary in the scenario that you know something will trigger an episode in someone. There's also the factor of time. You may start talking about something previously left unsaid later on therapy, after you've established some trust. It's really not any different than how people engage in normal relationships. How I talk to a stranger is different than how I talk to a colleague is different from how I talk to a friend. You need to first build a rapport before you can talk about certain things.

zmgsabst 4y ago

How does keeping secrets help any of those situations? “I’m manipulating you for your own good!” sounds like you’re validating their delusions and fears. I’m just hearing the same excuse the government gives when they, eg, censor facts and promote misinformation for the “public good”. Go ahead; explain to me specifically how it would help any of those cases — because this comes across as prioritizing the therapist’s convenience ahead of honesty with the patient.

xboxnolifes 4y ago
> How does keeping secrets help any of those situations? >“I’m manipulating you for your own good!” sounds like you’re validating their delusions and fears. Do you not see the obvious one here? The secret is not telling them exactly what would heighten their delusions.
- zmgsabst 4y ago
  Do you not see my point that engaging from a place of honesty and partnership rather than patronizing manipulation is superior, and that you’re causing harm with that mindset due to telling a lie that validates their fears, without actual benefit?
  - xboxnolifes 4y ago
    You don't have to lie to keep a secret. Not telling someone something is still keeping a secret, and is necessary in the scenario that you know something will trigger an episode in someone. There's also the factor of time. You may start talking about something previously left unsaid later on therapy, after you've established some trust. It's really not any different than how people engage in normal relationships. How I talk to a stranger is different than how I talk to a colleague is different from how I talk to a friend. You need to first build a rapport before you can talk about certain things.