1) Why is a therapist qualifying a narrative as misleading, or not? Is this productive therapy?
2) Why would a therapist confront a patient like this? Is the point of good therapy to say, "Ahah! You contradicted yourself. My diagnosis that you are eBPD is correct!"
3) Seems like the patient being qualified as an abuser and confronted by a person who's role is to help them, in this manner, would naturally retreat to a defensive posture.
So no, I don't see the point in trying to provide counterfactuals. Doesn't feel like productive therapy.
A good therapist is there to listen, without judgement.
Just my 2 cents tho. Obviously, feel free to disagree.
> Why would a therapist confront a patient like this?
Well one reason would be that self-contradiction is part of the behavior the patient is seeking to change, and making the patient aware of their behavior can help them recognize it.
"Confront" in a therapeutic context doesn't mean "gotcha!" It just means asking the patient to recognize something.
I see a misunderstanding here. The therapist is not qualifying the narrative as misleading or not and the therapist is not confronting the person. From my example it's either Joe, or the person they told this two who felt like they were lied to.
2) Why would a therapist confront a patient like this? Is the point of good therapy to say, "Ahah! You contradicted yourself. My diagnosis that you are eBPD is correct!"
3) Seems like the patient being qualified as an abuser and confronted by a person who's role is to help them, in this manner, would naturally retreat to a defensive posture.
So no, I don't see the point in trying to provide counterfactuals. Doesn't feel like productive therapy.
A good therapist is there to listen, without judgement.
Just my 2 cents tho. Obviously, feel free to disagree.