You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
This paper explores how a therapeutic encounter may be experienced as abusive by the patient. Avoiding explanations of either patient inadequacy or therapist incompetency, it argues that political and institutional dynamics, based on power broking and competition between theoretical and institutional ‘views of the world’, may become enacted out within an analysis, to the detriment of the patient.