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Ethical laboratories… Or psychotherapy clinics?
January 2, 2024

Every work is pregnant and expresses beliefs and concepts that are somewhat theoretical; Every part of endoscopy and every expression of belief is a moral act.

The tone that the therapist must be impartial and non-judgmental about his patient’s thoughts and actions is one that I have directly or indirectly hinted at. s personal opinions outside the psychotherapy room, In fact, I think the thing that has to come out of the room and out of the therapist’s mind and the whole field is this idea of absolute angelic neutrality. I think the neutral attitude in the therapeutic room is more like a sacred-minded, dictatorial political attitude that brings nausea and does not die of the human attitude that indicates the authenticity of the therapist, Here comes some polemical attitudes like Crenshaw’s question when he says what it means. “Treatment that claims not to judge beneficiaries can lead to the acceptance of unethical behaviour in patients, for example, the unjustified attitude of humanists has significantly affected the tradition of value-neutral psychotherapy.” (1) And even one thesis that I find myself with is the idea that supportive therapists are completely free of the critical judgement trend of the moral compass and are therapists whose input may be harmful (2) and perhaps more than good of it, While agreeing that the human orientation behind these premises of impartiality enhances the patient’s care and acceptance, they face many dilemmas in fear of facing moral concerns.

 

Conversations between therapist and patient are often imbued with ethical reflection, making psychotherapy clinic an ideal ethical laboratory psychotherapy often deals with correct and wrong behavior, making choices and finding happiness and otherwise, which is necessarily framed and penetrated by moral value equations, Because the ethical example must manifest itself and then show logic that the ideal moral model within the therapeutic room goes to the greater power holder, the therapist.

The psychotherapy room is not a humane therapeutic room with scientific foundations that are regionalized, thoughtful and only a room with weaknesses and visible and invisible forces of one party, and also the launch and direction of moral and human judgements towards parties close to the patient or even the release of judgements towards the patient himself, This inevitable difference in power between the two ends of the clinic is very clear in the name of the therapist and his testimony hanging behind him and that he is on his ground and his audience (And here I mean the Clinic Team to the “- to the”), but it also manifests itself in things that are very clear and hidden together, Forces as described in one reference (3) may appear in the way the therapist organizes and furnishes his room and the presence of a tissue in his proximity and writing a note when he sits with his patient as well as his professional or professional dress or being a question-taker, charisma, strength of personality and the crown of invisible health over his head, Even the balance of power goes — and here is the cornerstone of my codification — that it is the therapist who has the control and power to distribute the ethical aspects of finding the wrong and who deserves praise and love and directing the patient — even implicitly without interference — to change and focus on who deserves to be among his relationships and who is healthy or wrong, including the patient himself.

The power imbalance amidst the four walls of our clinics is a fertile space for the therapist to distribute his moral and value provisions, the physics of the therapeutic process within the clinic between someone who has control and another who does not – is the patient – perhaps at its most vulnerable, it requires the presence of one who possesses the moral value power and another who possesses less of it, and the degree of soft power that the therapist can exercise depends on the client’s farewell, weakness, fragility and dependence on others (4).

Let’s imagine together the following context (the following context is a fantasy context and you can measure it):

For example, a patient suffers from a relatively harsh judgement from a parent or is completely incompatible with the idea of marriage or reproduction in his or her own perspective of value. s father or mother, or the therapist replies that the idea of marriage and procreation is innate and the patient’s opinion is not true.

In this context, the therapist’s response may not necessarily be wrong or the patient’s opinion of his or her divorce is correct. I’m not quite critical of the therapist, but here I’m talking and putting my thoughts on the table to think about the power imbalance between the therapist and the patient that gives absolute scientific validity to what the therapist says without scrutiny or in-depth understanding of what the patient is experiencing, not to mention the moral and value bias from which his patient’s direction has occurred that has been returned and I repeat not at all wrong. The mistake is that all these value and ethical biases occur in an unbalanced space of power between two people with the imaginary belief that we do not judge our patients by our judgments, but rather treat them in scientific ways, as well as challenging our patients’ values without transparency with our patients during the therapeutic process about us as therapists talking a lot about our own ethical premises. What I see repeated when some talk to me about their therapeutic experiences with their therapists, I hear stories that can get to the point of harm to patients and possibly to the point of being arbitrarily dangerous to patients in their most vulnerable condition.

I do not criminalize this inevitable physics, for the most part, I am here thinking, and I must criticize the lack of awareness of it. Most importantly, I warn against making it the scientific legitimacy of our therapeutic method based on the moral preference that we do not know about the seriousness of its occurrence. I don’t even exaggerate when I say that science and awareness of this inevitable physics of power imbalance in ethical and value assessment with our patients may have an amazing therapeutic effect if there is wisdom in the extent to which they are used and, of course, awareness of their occurrence in the therapeutic process.

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