Chapter 35:

Transference


"recognize and limit the impact of transference and counter-transference between the client and the certificant."

--NCBTMB Standard of Practice V ( c )


"use appropriate draping to protect the client's physical and emotional privacy"

--NCBTMB Standard of Practice I (k)


The NCBTMB defines transference as "a client's unresolved feelings and issues which are unconsciously transferred to the therapist" and counter-transference as "a therapist's unresolved feelings and issues which are unconsciously transferred to the client."


The two terms come from psychology where, originally regarded as impediments in the first part of the last century, they have become seen as essential parts of the psychological healing process. Massage and bodywork are not essentially psychology, however, and the NCBTMB does not want these dynamics in the massage room.


One way to avoid the issue is to establish rigorous boundaries and to monitor one's thoughts and behavior for incidents coming close to the established limits. The therapist/client relationship is a professional commercial transaction and is not the appropriate forum to handle latent psychological issues.


The therapist can review the therapist's own feelings and issues to make sure they are kept outside of the session. But the Standard also requires the therapist "to limit the impact" of the client's counter-transference. The therapist can move towards this goal by not becoming too familiar with the client. Time boundaries established by the therapist will emphasize the professional, non-personal nature of the session. One article recommends saying "I will be working on you for about fifteen minutes" and "I have about five minutes left. Is there any particular area you would like me to focus on for that time?" This reinforces the professional, commercial nature of the session and diminishes the intimacy which may contribute to counter-transference.


Physical boundaries between the therapist and client will also inhibit transference. The therapist should be outside the room when the client disrobes or dresses and should utilize proper draping.


While appropriate draping is taught in the schools, there may be additional requirement by the licensing jurisdiction or affiliates.


If the client's energy seems off, it is usually the amount of pressure or else concern about their bodies. Women tend to do a lot of chatting when they are uncomfortable with their bodies.


It is always a good idea to ask if the drape style you're planning is okay with the client. It would not be wise to suggest they are self-critical, rather it is better say something like "I will always protect your modesty, so keep me informed." Chances are that is enough get them to put their guard down and relax.


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