“These unwanted performance pressures are generated when new therapists frame what they don’t know or can’t do yet as a “deficit” or as evidence of their inadequacy, rather than more realistically framing it as merely their own inexperience.”

“In closing, new therapists are encouraged to be themselves with clients rather than trying to fulfill the role of a therapist. Perhaps Kahn says it best: When all is said and done, nothing in our work may be more important than our willingness to bring as much of ourselves as possible to the therapeutic session.... One of the great satisfactions of this work comes at the moment students realize that when they enter the consulting room, they don’t need to don a therapist mask, a therapist voice, a therapist posture, and a therapist vocabulary. They can discard those accouterments because they have much, much more than that to give their clients.”

“Although providing a corrective emotional experience may sound easy, it can be challenging to do—especially when all of this is so new to therapists-in-training. To help, Hill (2009) encourages therapists to be asking themselves the same process-oriented question throughout each session: Right now, am I co-creating a new and reparative relationship, or am I being drawn into a familiar but problematic interaction sequence that is reenacting for this client?”

“When clients relinquish symptoms, succeed in achieving a personal goal, or make healthier choices for themselves, subsequently many will feel anxious, guilty, or depressed. That is, when clients make progress in treatment and get better, new therapists understandably are excited. But sometimes they will also be dismayed as they watch the client sabotage her success by gaining back unwanted weight or missing the next session after an important breakthrough and deep sharing with the therapist. Thus, loyalty and allegiance to symptoms—maladaptive behaviors originally developed to manage the “bad” or painfully frustrating aspects of parents—are not maladaptive to insecurely attached children. Such loyalty preserves “object ties,” or the connection to the “good” or loving aspects of the parent. Attachment fears of being left alone, helpless, or unwanted can be activated if clients disengage from the symptoms that represent these internalized “bad” objects (for example, if the client resolves an eating disorder or terminates a problematic relationship with a controlling/jealous partner). The goal of the interpersonal process approach is to help clients modify these early maladaptive schemas or internal working models by providing them with experiential or in vivo re-learning (that is, a “corrective emotional experience”). Through this real-life experience with the therapist, clients learn that, at least sometimes, some relationships can be different and do not have to follow the same familiar but problematic lines they have come to expect.”

“Therapists will have much more impact when they are able to conceptualize or discern more precisely what this client’s core problem really is, how it came about developmentally, and how it is being played out and causing symptoms and problems in his current life.”

“My biggest anxiety about becoming a therapist is feeling that I am inadequate. My instructors reassure me that this is a normal feeling, that many therapists experience this in their first year or two of training, and that we’re not expected to be perfect. But it doesn’t make any difference—it remains my biggest anxiety. I believe it’s because I was always second best in my family of origin. No matter what I did, my sister was always smarter...more creative. I learned to feel really uncomfortable whenever I wasn’t in complete command and didn’t know just exactly what I was supposed to do. So, even though some part of me knows that I’m really not inadequate, it still churns my stomach when I am not good at something right away.”

“There are, in fact, no more important communications between one human being and another than those expressed emotionally, and no information more vital for constructing and reconstructing working models of the self and other than information about how each feels towards the other...it is the emotional communication between a patient and his therapist that play the crucial part. John Bowlby”