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Now, it would be ultra-ideal if everyone knew and confidently believed that the therapist could and would look beyond her own background—that she would suppress any personal offense and would be good at understanding and non-judgmentally discussing the perspectives of everyone involved.

However, I imagine most people wouldn't believe that, and it's probably not true either. Therapists are humans.

Of course, this kind of raises the question: So therapists have their own biases and we're just blinding ourselves to which ones they have? Is that actually an improvement? (Cf. the koan where Sussman says "I am wiring a neural net randomly because I don't want it to have any preconceptions".)

Perhaps the therapist having to pretend she has no background actually kind of helps her disconnect from it. A kind of theatre. (And maybe the brain having a habit of "when in this office talking with patients, don't connect anything to your real life" is useful.) But I would still wonder if it would work better to bring the issue into the open, and say "Well, I do have this background, which might lead me to think x, but I will consciously try to counteract that." Perhaps there are cases where this second strategy is indeed better (if the patient comes in thinking "I expect almost everyone to be prejudiced against me", and the psychiatrist says "Well, you're right, but I have lots of practice in noticing my prejudices and setting them aside, and it is a point of professional pride for me to do that"), but most of the time it's just faster and less distracting to not mention the issue at all.



I guess the idea is that it is hard for the patient to constantly internalise the fact that the therapist is talking to him as a professional and not as a private person. The patient shouldn't have to be constantly considering this distinction.

Therefore, it's easier for the patient not to know the therapist-as-a-person.




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