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Outline

Do I Have to Tell My Patients I’m Blind?

2016, Psychoanalytic Perspectives

https://doi.org/10.1080/1551806X.2016.1156435

Abstract

Self-disclosure has been discussed from many different perspectives. In this article, I explore yet another dimension of this expanding area of our literature: the disclosure of a therapist's disability. I describe my own conflicts over how to talk about my visual impairment with patients-the result of a degenerative eye disease-in a way that respects the patient's right not to know something about me. Using a clinical vignette, I describe how my ambivalence over this disclosure became enacted in my work with a college student, and how the eventual disclosure of my vision led to a greater establishment of intimacy in the therapy, and a generative experience that continues to ripple through my current work.

FAQs

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What challenges arise during the disclosure of blindness in clinical settings?add

The study reveals that situational factors, such as patient turnover and visibility of the cane, create gaps in patient recognition of the therapist's blindness, requiring constant reminders.

How does disability impact the therapeutic relationship according to this research?add

Findings indicate that fluctuating vision influences the therapeutic relationship, causing moments of vulnerability for the therapist that can enhance or hinder intimacy.

What role does countertransference play in the context of visual impairment?add

The paper highlights that the therapist's blindness can evoke complex countertransference issues, affecting both patient perceptions and the therapeutic dynamic.

How do mutual vulnerabilities between therapist and patient affect therapy progression?add

The research underscores that sharing vulnerabilities facilitates deeper connections, leading to a productive negotiation of identities within the therapeutic relationship.

What constructive changes occurred in the therapist's self-awareness through the therapeutic process?add

The author describes a transition from concealing to openly acknowledging blindness, enhancing relational dynamics and fostering authentic connections with patients.

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