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	<title>Comments on: History Taking in Therapy - What&#8217;s Your approach?</title>
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	<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/</link>
	<description>&#60;&#60;exploring healthy therapy &#38; counseling&#62;&#62;</description>
	<pubDate>Tue, 02 Dec 2008 19:55:16 +0000</pubDate>
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		<title>By: maddie</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7831</link>
		<dc:creator>maddie</dc:creator>
		<pubDate>Mon, 21 Apr 2008 12:55:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7831</guid>
		<description>I disagree. My logic gets the best of me- how can you treat someone without knowing the issues which they have faced and dealt with, or maybe not dealt with in the past?</description>
		<content:encoded><![CDATA[<p>I disagree. My logic gets the best of me- how can you treat someone without knowing the issues which they have faced and dealt with, or maybe not dealt with in the past?</p>
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		<title>By: Carol</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7659</link>
		<dc:creator>Carol</dc:creator>
		<pubDate>Tue, 15 Apr 2008 02:27:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7659</guid>
		<description>As a patient, I'm very turned off at doing a detailed history at the first meeting. I don't even know you and you want me to answer all these highly personal questions? What if I dont want to tell you about things just yet? I think things will come out when theyre ready to come out, and therapists can trust clients to bring things to light when they are ready to be dealt with. Thank you.</description>
		<content:encoded><![CDATA[<p>As a patient, I&#8217;m very turned off at doing a detailed history at the first meeting. I don&#8217;t even know you and you want me to answer all these highly personal questions? What if I dont want to tell you about things just yet? I think things will come out when theyre ready to come out, and therapists can trust clients to bring things to light when they are ready to be dealt with. Thank you.</p>
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		<title>By: admin</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7569</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Thu, 10 Apr 2008 18:47:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7569</guid>
		<description>Hi Daria, I very much appreciate you sharing the narrative approach to therapy and the potential pitfalls of history taking.  I like the idea that it's not the history taking that is the problem, it is how the history is taken that can be a problem.  Thanks!  Noah :)</description>
		<content:encoded><![CDATA[<p>Hi Daria, I very much appreciate you sharing the narrative approach to therapy and the potential pitfalls of history taking.  I like the idea that it&#8217;s not the history taking that is the problem, it is how the history is taken that can be a problem.  Thanks!  Noah :)</p>
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		<title>By: Daria K</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7567</link>
		<dc:creator>Daria K</dc:creator>
		<pubDate>Thu, 10 Apr 2008 18:29:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7567</guid>
		<description>That's an interesting question, thank you for it. I am a narrative therapist, and we are taught to consider and question the taken-for-grante assumptions behind our ideas about "what should be done in therapy" and what is and is not an example of responsible behaviour. I do not believe that it is only personal and family history that is shaping the present. This idea is quite popular in the Western culture, but not in others; it is not an "universal truth". It is the meaning the person makes of the events of the past (more or less consciously). And the hopes and aspirations, connected to what the person gives value to in life. When I meet with a person who consults me, I am interested in learning what are those values, and trace their history and possible future embodiment. I don't think collecting the mere biographical facts is helpful; if it is done when the safe territory of identity is not created, such biographical interrogation might make the person feel as a "specimen" under a microscope, a "subject" in hands of very experienced expert researcher. Such an approach can recreate the power relationship that might have contributed to the appearance of the problem in the first place.</description>
		<content:encoded><![CDATA[<p>That&#8217;s an interesting question, thank you for it. I am a narrative therapist, and we are taught to consider and question the taken-for-grante assumptions behind our ideas about &#8220;what should be done in therapy&#8221; and what is and is not an example of responsible behaviour. I do not believe that it is only personal and family history that is shaping the present. This idea is quite popular in the Western culture, but not in others; it is not an &#8220;universal truth&#8221;. It is the meaning the person makes of the events of the past (more or less consciously). And the hopes and aspirations, connected to what the person gives value to in life. When I meet with a person who consults me, I am interested in learning what are those values, and trace their history and possible future embodiment. I don&#8217;t think collecting the mere biographical facts is helpful; if it is done when the safe territory of identity is not created, such biographical interrogation might make the person feel as a &#8220;specimen&#8221; under a microscope, a &#8220;subject&#8221; in hands of very experienced expert researcher. Such an approach can recreate the power relationship that might have contributed to the appearance of the problem in the first place.</p>
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		<title>By: Steve H</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7565</link>
		<dc:creator>Steve H</dc:creator>
		<pubDate>Wed, 09 Apr 2008 23:22:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7565</guid>
		<description>Because so much of what is going on in the here and now as you say is a direct result of our past. We cannot change the present without recognizing the things that happened to us in the past. Cleraly we have to learn from our past mistakes and those of others in order to not be destined to repeat them.</description>
		<content:encoded><![CDATA[<p>Because so much of what is going on in the here and now as you say is a direct result of our past. We cannot change the present without recognizing the things that happened to us in the past. Cleraly we have to learn from our past mistakes and those of others in order to not be destined to repeat them.</p>
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		<title>By: Jillian</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7563</link>
		<dc:creator>Jillian</dc:creator>
		<pubDate>Wed, 09 Apr 2008 23:20:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7563</guid>
		<description>Why not just address the here and now and force the patient to take responsibility for the past, but to move on and deal with today's issues?</description>
		<content:encoded><![CDATA[<p>Why not just address the here and now and force the patient to take responsibility for the past, but to move on and deal with today&#8217;s issues?</p>
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		<title>By: runninfast</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7501</link>
		<dc:creator>runninfast</dc:creator>
		<pubDate>Thu, 03 Apr 2008 12:01:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7501</guid>
		<description>Irresponsible is the only word that comes to mind when I imagine an involved therapy process without delving into the past. What happened in the past makes us who and what we are today. How could you not address that in therapy?</description>
		<content:encoded><![CDATA[<p>Irresponsible is the only word that comes to mind when I imagine an involved therapy process without delving into the past. What happened in the past makes us who and what we are today. How could you not address that in therapy?</p>
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		<title>By: Jeanette</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7499</link>
		<dc:creator>Jeanette</dc:creator>
		<pubDate>Thu, 03 Apr 2008 12:00:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7499</guid>
		<description>There are definitely two schools of thought on this one. I can see the rationale behind both approaches. On one hand you could see how the past can seriously affect a patient in an adverse way; however sometimes it is better to deal with what is going on in the past and help patients get beyond those issues in the past which seem to be holding them back from reaching their full potential.</description>
		<content:encoded><![CDATA[<p>There are definitely two schools of thought on this one. I can see the rationale behind both approaches. On one hand you could see how the past can seriously affect a patient in an adverse way; however sometimes it is better to deal with what is going on in the past and help patients get beyond those issues in the past which seem to be holding them back from reaching their full potential.</p>
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		<title>By: Stefanie Luna, LMFT</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7465</link>
		<dc:creator>Stefanie Luna, LMFT</dc:creator>
		<pubDate>Wed, 02 Apr 2008 17:47:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7465</guid>
		<description>Hi Brit.  Hi Noah. Brit, thanks for raising this question.  I agree this is a gray area within the counseling field.  I have been both an agency therapist and a private practitioner and I have found over the years that every agency has it's own process for conducting an initial intake.  As Noah indicated, some are very involved and can take multiple sessions to gather the historical information and others have a "one-pager" that just takes down the basics.  

In my private practice I adjust the intake process depending on the primary reason for seeking counseling.  I often work with people going through infertility treatment so I want to get a fairly detailed family history and medical history.  With some of my other clients I do a much more basic intake.  And even at that I often find that key issues my intake doesn't capture eventually surface within the course of our meetings, and perhaps in a more organic and therapeutic way.

So back to your question, Brit- I certainly wouldn't form an opinion about the quality of the therapy based on this alone.  I would be more interested in knowing if your friend feels a connection with the therapist.  I would encourage your friend to share any information he/she thinks is important for the therapist to know so it can be incorporated into their work together.</description>
		<content:encoded><![CDATA[<p>Hi Brit.  Hi Noah. Brit, thanks for raising this question.  I agree this is a gray area within the counseling field.  I have been both an agency therapist and a private practitioner and I have found over the years that every agency has it&#8217;s own process for conducting an initial intake.  As Noah indicated, some are very involved and can take multiple sessions to gather the historical information and others have a &#8220;one-pager&#8221; that just takes down the basics.  </p>
<p>In my private practice I adjust the intake process depending on the primary reason for seeking counseling.  I often work with people going through infertility treatment so I want to get a fairly detailed family history and medical history.  With some of my other clients I do a much more basic intake.  And even at that I often find that key issues my intake doesn&#8217;t capture eventually surface within the course of our meetings, and perhaps in a more organic and therapeutic way.</p>
<p>So back to your question, Brit- I certainly wouldn&#8217;t form an opinion about the quality of the therapy based on this alone.  I would be more interested in knowing if your friend feels a connection with the therapist.  I would encourage your friend to share any information he/she thinks is important for the therapist to know so it can be incorporated into their work together.</p>
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		<title>By: maddie</title>
		<link>http://www.goodtherapy.org/custom/blog/2008/04/01/history-taking-in-therapy-whats-your-approach/#comment-7459</link>
		<dc:creator>maddie</dc:creator>
		<pubDate>Wed, 02 Apr 2008 13:24:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.goodtherapy.org/custom/blog/?p=429#comment-7459</guid>
		<description>I am not a licensed therapist but I would think it would be very negligent to ignore the history of as client and family history!</description>
		<content:encoded><![CDATA[<p>I am not a licensed therapist but I would think it would be very negligent to ignore the history of as client and family history!</p>
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