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Dr. Bob is Robert Hsiung, MD,
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Posted by caraher on June 27, 2005, at 13:03:58
In reply to Re: Do T's record your sessions? » happyflower, posted by dancinbillie on June 27, 2005, at 12:48:47
Mine says she takes notes but makes a point of destroying them regularly, because she doesn't want anything on hand that might be subpoenaed by some lawyer (say in a divorce/custody case). So she usually just has notes for the last few sessions.
Posted by happyflower on June 27, 2005, at 13:08:59
In reply to Re: Do T's record your sessions?, posted by caraher on June 27, 2005, at 13:03:58
Posted by 10derHeart on June 27, 2005, at 13:33:24
In reply to I mean record with a tape recorder (nm), posted by happyflower on June 27, 2005, at 13:08:59
...I guess I am SUCH a hypocrite, because I've often wished I had the guts to ask if I could do that. Mostly because I can't remember hardly anything from session to session, and it's so frustrating. But it seems weird to ask. Like I'd be critiqueing him or something? Usually I'll bring up anything, but this I can't - with this T. or my ex-T.
But it wouldn't be okay with me if he did it. Weird, 'cause I do trust him A LOT. But this just doesn't sit right with me.
Why do you ask? Did he? Does he? Do you want him to? Or do you want to?
Another interesting topic from happy :-) !
Posted by happyflower on June 27, 2005, at 13:44:34
In reply to Heavens, no. I would object to that, but... » happyflower, posted by 10derHeart on June 27, 2005, at 13:33:24
DR. BOB!
Do T's tape record their session with clients? Do they tell them?
I was just wondering, because I have seen movies like Mr. Jones, where they actually used a video recorder to tape the sessions.( I know it was just a movie) Sometimes I wonder how they remember so much from all their patients. Maybe the T's in training can let us in on this, or Dr. Bob ( is he real, BTW). lol DIdn't mean to freak ya out 10der!
Posted by dancinbillie on June 27, 2005, at 13:45:03
In reply to I mean record with a tape recorder (nm), posted by happyflower on June 27, 2005, at 13:08:59
Posted by Dinah on June 27, 2005, at 13:58:17
In reply to question for DR. Bob » 10derHeart, posted by happyflower on June 27, 2005, at 13:44:34
Dr. Bob doesn't usually answer questions, so don't be offended if he doesn't.
I think that it's not all that common outside of training situations, and they'd definitely need to ask.
My therapist once had a recorder sitting on the floor of his office, and even though it was unplugged and had no tape in it (yes, I had him show me) it still inhibited me all session.
Posted by happyflower on June 27, 2005, at 14:04:19
In reply to Re: question for DR. Bob » happyflower, posted by Dinah on June 27, 2005, at 13:58:17
Thanks for the head up about DR.BOB! lol I won't be offended.
I think if I saw a recorder in my T's office, it would make me uncomfortable too. I just wonder if they do it without us knowing it. I guess I would rather not know, because I wouldn't just sit there and not say a word! lol
How have you been Dinah? You have been very quiet lately, are you okay? Are you and your T doing okay?
Posted by LittleGirlLost on June 27, 2005, at 15:10:47
In reply to Do T's record your sessions?, posted by happyflower on June 27, 2005, at 10:45:22
My T has never recorded a session. Sometimes I think I would like to, but I don't like my voice. :(
lgl
Posted by LittleGirlLost on June 27, 2005, at 15:20:29
In reply to Re: Do T's record your sessions? » happyflower, posted by dancinbillie on June 27, 2005, at 12:48:47
> It's funny, my T didn't take any notes in my presence our first 15 sessions or so - then last week, for the first time, she sat down in her chair with a tablet and pen. I mentioned to her straightaway that it was interesting that she had a pad and pen because she'd never used one before, and I had wondered how she remembered what was going on with me from session to session. She simply said that she remembered quite well . . .
Funny you should say this. :)
My T never takes notes in my presence either. Although once in a blue moon, she'll whip out a pen and pad, and I'm sitting there wondering what it was that I said! lol
Usually she only took it out to jot down my siblings names and ages, that kind of stuff.lgl
Posted by Jazzed on June 27, 2005, at 15:34:06
In reply to Do T's record your sessions?, posted by happyflower on June 27, 2005, at 10:45:22
> Does anyone know if they do this as normal part of their job? Do they have to ask for your permission?
Hi Happy,
I would think it would be illegal for them to do it w/o your consent. Why, does your T record? Or are you worried about being recorded w/o your knowledge? Because of the legality of it, that's why sometimes when you call a place, you get a recording saying that the call might be recorded for training or evaluative purposes. When I was a supv., and we listened to ppl, we had to have everyone sign a release that they would be recorded and listened to.
Now, I guess if you're being investigated by the FBI or CIA, they could do it w/o your knowledge, but I don't think that's what we're talking about here! ; )
Jazzy
Posted by Jazzed on June 27, 2005, at 15:36:24
In reply to Re: Do T's record your sessions? » dancinbillie, posted by LittleGirlLost on June 27, 2005, at 15:20:29
> > It's funny, my T didn't take any notes in my presence our first 15 sessions or so - then last week, for the first time, she sat down in her chair with a tablet and pen. I mentioned to her straightaway that it was interesting that she had a pad and pen because she'd never used one before, and I had wondered how she remembered what was going on with me from session to session. She simply said that she remembered quite well . . .
>
> Funny you should say this. :)
> My T never takes notes in my presence either. Although once in a blue moon, she'll whip out a pen and pad, and I'm sitting there wondering what it was that I said! lol
> Usually she only took it out to jot down my siblings names and ages, that kind of stuff.
>
> lglMine hasn't taken notes either so far. How do they remember anything? Maybe it's better mine forget everything I say! I'll ask him tonight. My p-doc, unfortunately makes notes. He's read some of it back to me, and I felt pretty stupid! Oh well, I'm sure he's heard it all!
Jazzy
>
>
Posted by happyflower on June 27, 2005, at 16:00:01
In reply to Re: Do T's record your sessions? » happyflower, posted by Jazzed on June 27, 2005, at 15:34:06
> > Why, does your T record? Or are you worried about being recorded w/o your knowledge?
Not worried, just wondering if it is commom practice or anything. Now you see why I drove teachers crazy. I always want to know something! lol
How was your session today Jazzy? I am dying to know what happened! lol
Posted by 10derHeart on June 27, 2005, at 16:01:26
In reply to question for DR. Bob » 10derHeart, posted by happyflower on June 27, 2005, at 13:44:34
Did I sound freaked out? I wasn't. :-)
Just know exactly how I feel about it. Now, if you meant without the client's knowledge - THAT I would consider a serious breach of trust....might not be able to ever get over that one. Can't imagine any T. I've worked with - long or short term - ever doing that without consent..."Mr. Jones" ? Not ringing a bell, and I thought I knew a lot of movies....? But Amazon found it (double, double quotes, you know! gotta keep DB happy ;-) and I see it's another Richard Gere movie I haven't seen...guess I'll be renting it...thanks, happy!
Posted by Emily Elizabeth on June 27, 2005, at 16:16:45
In reply to Re: question for DR. Bob » happyflower, posted by 10derHeart on June 27, 2005, at 16:01:26
My current T doesn't but I have had to tape record when I was seeing clients as part of my own training. It was so my supervisor could listen to parts and help me with my work. I would tape over the tape every week or two and would treat them with the same confidentiality as any other therapy material.
Actually come to think of it, when I was in college I had a T-in-training and she videotaped me. I got used to it pretty quickly--and I was very self-conscious about therapy in general.
Best,
EE
Posted by Emily Elizabeth on June 27, 2005, at 16:21:26
In reply to Re: question for DR. Bob » Dinah, posted by happyflower on June 27, 2005, at 14:04:19
Also, it would be EXTREMELY unethical to tape without the client's knowledge. Something that could be reported to a licencing board.
And I think Ts get better and better at remembering what is going on with their clients. It is like a unique skill that can be developed. I can remember several of my former client's birthdays, but not if I paid my credit card bill yet!
EE
Posted by happyflower on June 27, 2005, at 16:23:54
In reply to Re: question for DR. Bob » happyflower, posted by 10derHeart on June 27, 2005, at 16:01:26
> >
> "Mr. Jones" ? Not ringing a bell, and I thought I knew a lot of movies....? But Amazon found it (double, double quotes, you know! gotta keep DB happy ;-) and I see it's another Richard Gere movie I haven't seen...guess I'll be renting it...thanks, happy!
>
> It is a very good movie (but of any movie with Richard G. is good to me, Oh I want to be his pretty women! lol) Just be careful because the movie could be triggery for some. I don't know what your triggers are or if you get triggered easily,I don't unless it is a horror movie, but their are some intense moments in it. If you have Dish Network, they have been playing it all month. BUT it is a movie where the T falls in love with their client(Richard Gere). :) :)
>
Posted by happyflower on June 27, 2005, at 16:38:41
In reply to tape recorder, posted by Emily Elizabeth on June 27, 2005, at 16:16:45
> My current T doesn't but I have had to tape record when I was seeing clients as part of my own training. It was so my supervisor could listen to parts and help me with my work.
Another question for you EE! When an established T needs a supervisior for a client that maybe he is having countertransference issues with, do they record those session with the client. Or do they just talk to the supervisor about how the session went? I am glad to hear that they won't record unless they have our permission. Thanks!
Posted by happyflower on June 27, 2005, at 16:39:38
In reply to Re: question for DR. Bob, posted by happyflower on June 27, 2005, at 16:23:54
Posted by Dinah on June 27, 2005, at 18:13:16
In reply to Re: question for DR. Bob » Dinah, posted by happyflower on June 27, 2005, at 14:04:19
Have I been quiet?
I dunno. I'm ok I guess. Lamictal (possibly, or possibly something else) pretty much knocked me out for a couple of days. I'm up again, taking leave of Lamictal for a few days, but am feeling unaccountably tearful.
A couple of my old dogs were sick last week. But they're both doing better.
Posted by Emily Elizabeth on June 27, 2005, at 18:41:01
In reply to Re: tape recorder » Emily Elizabeth, posted by happyflower on June 27, 2005, at 16:38:41
> Another question for you EE! When an established T needs a supervisior for a client that maybe he is having countertransference issues with, do they record those session with the client. Or do they just talk to the supervisor about how the session went?Typically, I think, they would just talk about it. When you are first starting out as a T, it is much harder to recognize what you need help with and so many supervisors and supervisees like the supervisor to listen to everything. As you get more experienced, you are more likely to know what you need to ask a supervisor about.
Best,
EE
Posted by gardenergirl on June 27, 2005, at 18:51:49
In reply to Re: tape recorder » happyflower, posted by Emily Elizabeth on June 27, 2005, at 18:41:01
Hi, I just wanted to second what Emily Elizabeth said about recording sessions. It does happen in training, but the client has to sign an informed consent that includes consent for recording. When I did this last year, we used videotapes, and like EE, I recorded over sessions frequently. These tapes were stored in the same place as the clinical records and were subject to the same security procedures as charts.
I tape-recorded a couple of clients this year. One as a requirement of my training, and one because I wanted feedback on the session. Both times I had the client sign a specific consent.
It would not be ethical to tape someone without consent or knowledge, and as EE said, it likely would be actionable with a licensing board.
I try not to have a tape recorder out so as not to worry any of my clients.
And regarding the client requesting that sessions be taped...I think that is a very good idea if the client wants a record and has trouble remembering sessions. CBT therapists are more likely to use this, but I think it's fair game for any client to ask.
gg
Posted by fallsfall on June 28, 2005, at 9:22:48
In reply to Do T's record your sessions?, posted by happyflower on June 27, 2005, at 10:45:22
I asked to record a session and my (CBT) therapist agreed. I wanted to be able to go back to things that were confusing later (at least this was my story - I think I just wanted to hear her voice on the tape). But the machine didn't work well - we were too far away from the machine, I guess. It wasn't important enough for me to spend enough money to get a machine that would work.
She talked about my case in supervision a couple of times, but never recorded our sessions.
Posted by alexandra_k on June 29, 2005, at 21:45:18
In reply to Re: Do T's record your sessions? » happyflower, posted by fallsfall on June 28, 2005, at 9:22:48
Yeah, I agree that it would be unethical to tape without the clients consent.
Most of the t's I have been to have a tape recorder on hand. Thats not just for recording, though, it is also for playing tapes (e.g., relaxation exercises). Also making them. If the t does a relaxation exercise then they might ask to record it while they do it so if the client finds it helpful they can take the tape away with them.
I used to get tapes of the sessions. The only tape of the sessions. I liked that because I could better process what had happened in the session. I also liked to listen to her voice when I was distressed. I think I actually got a little obsessed about listening to them... I took the same tape back so the new session could be recorded over the top - I didn't want to be building up a library.
I had to sign a contract with that t saying that I agreed to be voice recorded and filmed as well for supervision / training purposes. I agreed because I had to to get to work with her. Later, when it came up as an issue we discussed it and she agreed that she would find a way around it in my case. Because she was doing the clinical program at my uni and because I knew people involved in the program. I didn't want them to know I was having DBT. Same with my filenotes. Her supervisor was the only one to see them and she gave me an alternative name and so on when she had to discuss me in clinical supervision. It was kind of hard because I was her only DBT client and it was the first year DBT was being offered and she was the only clinical student who got the opportunity to train as a DBT therapist. She was supposed to write stuff on that etc. But she ended up not doing so much on it because of my situation. I was lucky there. I trusted her.
With respect to file notes...
I really do think that therapists should keep them. Just in case something happens... And a client says they were taken advantage of or attempts to sue for incompetence or whatever. To have clear notes of what was done in session is some kind of record. I really do think it is important for them to do that. And IMO it isn't a matter of trusting the client - it is a matter of professionalism. We wouldn't be happy if a lawyer didn't make notes to keep a case straight in their mind and I don't see how therapists are any different in that respect.
Posted by gardenergirl on June 30, 2005, at 6:14:47
In reply to Re: Do T's record your sessions?, posted by alexandra_k on June 29, 2005, at 21:45:18
Hi alex,
Sounds like your T was very sensitive. I'm glad she was able to make accomdations to protect your privacy.Regarding keeping notes...most state laws require it, and require them to be kept for several years after the termiation. It's also an APA standard, so pscyhologists who do not keep any records are being unethical, according to professional standards. I'm really surprised to hear that some do not keep records.
gg
Posted by alexandra_k on June 30, 2005, at 17:58:40
In reply to Re: Do T's record your sessions? » alexandra_k, posted by gardenergirl on June 30, 2005, at 6:14:47
> Hi alex,
Hello :-)
> Sounds like your T was very sensitive. I'm glad she was able to make accomdations to protect your privacy.
Yeah. Me too. She did seem a little confused when I threw a wobbly in the first session about her being in the clinical program. But over time she understood. I was lucky that she was sensitive to that. And I trusted that she was smart enough to be careful as well. In the end she said I was a student - but not in which school. The only person who knew who I was was the head of the program SHUDDER. But he moved on at the end of the year thank god.
> Regarding keeping notes...most state laws require it, and require them to be kept for several years after the termiation. It's also an APA standard, so pscyhologists who do not keep any records are being unethical, according to professional standards. I'm really surprised to hear that some do not keep records.Yeah.
I think those who don't may be part of a different professional organisation?????
This is the end of the thread.
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