One of the major implications of this theoretical approach is the imbalance that exists between the client and counsellor. The long term and intensive work would foster closeness and dependency. The focus on the clients early years may not be viewed as helpful with the experience of today's problems. The client may be confused should the counsellor remain a 'blank slate' as this is not the norm, however, a friendship lacking rapport may cut to the issues quicker.
Having an awareness of the effect of clients early years is in line with the person centred approach. The effect of the counsellor interpreting for a client is that the client is not encouraged to work the issue out for themselves. The client remains powerless. Private psychodynamic therapy may be expensive due to the length of time a client remains in therapy. The client is unable to direct the sessions, or use the time as they would like. Although a lack of empathy may not necessarily be experienced, lack of empathy may not be fitting with the client's expectations.
The effect of maintaining total confidentiality may have an adverse effect on the counsellor. Maintaining a position of authority promotes a potentially abusive dynamic, especially in such confined and deeply personal relationship. Counsellors may be removed from their clients emotionally and view them as a diagnosis, rather than unique individuals.
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