Sunday, April 25, 2010

Boundaries on the Internet

And here I am posting a public blog about it.

http://www.washingtonpost.com/wp-dyn/content/article/2010/03/29/AR2010032902942.html

Here's what I posted when I first read this:

It is interesting. I think I fall into the younger therapist category that thinks it's less harmful than people are making it out to be. On the other hand, I don't work or intend to work with people who I would worry about seeing my FB profile (with that said, my profile is very private).

The last quote about patients seeing the therapist as only existing in the context of therapy and the internet ruining that is totally counterintuitive to how I approach therapy. If the adolescents I work with don't see me as a real person with a life, there's no way for me to get through to them. As it is, I use a lot of disclosure and I'm very transparent with them. I find that this allows teens to trust me, while recognizing my fallibility, allowing for quicker and easier repairs of ruptures.

I also Facebook my adolescent clients (but not my adults), both to see if they are lying to me (which 14 year olds tend to do), and also out of curiosity, which this article is making me question. I feel like it always informs treatment, though, even if it's just finding common interests, so I can get a kid's buy-in to my credibility (in the sense that they believe I can understand their lives). I also discuss the internet with my adolescents a LOT, because so much of their drama comes from the internet. I allow them to pull up their profiles and those of their friends, as well as email conversations or text messages. I agree with one of the quotes that if the work can be done IN SESSION, it's even better. Or at least, it doesn't feel sneaky or unethical.

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