When the client presents with pervasive and extreme self-hatred, it presents a terrible conundrum for the psychotherapist.
To try and undermine self-hatred is often experienced by the client as undermining their experience of themselves and creates a schism within the relationship. On theother hand, to collude with the self-hatred is even worse, perpetuating damageto the client and usually experienced as unbearable by the therapist.
This paper will explore the underpinnings and possible causation of client self-hatred and explore the links between self-hatred and shame. This will (hopefully) lead to some tentative offerings about how to manage and treat these difficult clients.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent