In 'Shrinking,' Jason Segel plays a therapist who begins telling his clients exactly what he thinks. Actual therapists say the approach demands caution.
The newfocuses on Jimmy , a recently widowed therapist who has been stuck in the throes of grief for over a year. On the first day we follow Jimmy into work, he’s hungover and frazzled. He meets with a parade of clients presenting with a variety of mundane problems; we get the sense that he has heard these same complaints on a loop from these people for a long time. And he can’t take it anymore.
Before engaging in brutal honesty, a responsible therapist needs to gauge several factors, says Dr. Chandler Chang, clinical psychologist and chief executive of Therapy Lab: “I think you have to consider the person’s motivation for change as well as the rapport between the therapist and the client. We can’t work together unless there’s trust and rapport. If you’re going to come at the client too directly too soon, then you rupture that trust and impair the rapport, and you’re done.
Schleier and Chang both believe that eliciting change takes a bit more than just blurting out directives. “It’s not so much about when to be honest with a client,” Schleier says. “It’s more about being skillful in helping them get it.”
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