I can't sleep at night with discharging this lady: The personal impact of ending therapy on speech-language pathologists

Authors

Deborah Hersh, Edith Cowan University

Document Type

Journal Article

Publisher

Informa, UK

Faculty

Faculty of Computing, Health and Science

School

School of Psychology and Social Science

RAS ID

10345

Comments

Hersh, D. J. (2010). I can't sleep at night with discharging this lady: The personal impact of ending therapy on speech-language pathologists. International Journal of Speech-Language Pathology, 12(4), 283-291. Available here

Abstract

The ending of therapy is a crucial time for speech-language pathologists and can impact on their sense of achievement and satisfaction. Drawing on literature from psychotherapy, social work and rehabilitation as well as from the area of aphasia therapy, this paper explores how speech-language pathologists juggle the tensions of coping with real versus ideal endings, of managing the building of close therapeutic relationships which then have to be broken, and of balancing a respect for client autonomy while retaining control over caseloads and fair allocation of resources. I suggest that the way in which therapy finishes reflects a merger of how clinicians manage these tensions. Clinicians may benefit from a greater recognition of what they do and feel at discharge, not only to further reflective practice, but also to encourage more sensitive involvement with both clients and students.

DOI

10.3109/17549501003721072

Access Rights

subscription content