Abstract
Regarding therapists and saving lives:
I agree with you. Therapists can't save lives. When at university I had a friend who, for some mysterious reason, spent a short time behaving like a crazy child. He went to the university's psychology services and got a young and inexperienced intern who ... had a lot to learn.
One day, he acted the drama queen, threatened suicide in front of the intern, stormed out, came to my house, flapped and ranted a lot. I suggested we go out for a beer (he was far too conscious of his good looks to take his behaviour public), so we went to a gay bar and eventually had a good time. When I dropped him off at his res, there was a note - hysterical with concern - from the intern on his desk! I've seen this type of thing, where people, through intractable negativity, or suicide gestures, or helplessness, or .... play their therapists like puppets.
BUT. I can honestly tell you that I had a psychologist who saved my life:
While at university, I started seeing a psychologist. She soon changed the fixed time slot to completely flexible: whenever I wanted to see her, I could phone and her receptionist gave me the first cancellation - usually within a day or two, if not on the same day. I could request a session as often as I wanted. I could phone her at home whenever I wanted (this was before internet :) ) ANY TIME OF THE DAY OR NIGHT. We spent time in sessions just yakking away. There was no plan, no .... nothing.
When her son died in a car accident she gave up her practice. I phoned periodically, and she invited me to her house. I still phone her around milestone events in my life, and each time, towards the end of the call she says, 'Will I see you?', and invite me to her house or we go out for a meal.
After she gave up her practice, I said to her that her 'style' was rather unconventional. She actually laughed, and gave me a long and full explanation. According to her, I was 'semi-disturbed' (her exact words) when I started seeing her. She decided against a fixed time slot as my background was one of rigidity and iron control. She didn't want to limit me to once a week, as my background had been limiting and frustrating enough. (Interestingly, I hardly ever asked for more than one session a week). She concluded with: 'Therapy was out of the question with you, all I could do was give you a place of normality".
And in the mean time I had started wondering if this woman was a fully trained psychologist :D
I've been saying for many years that A saved my life, and at the time I never had a clue of what she was doing, and giving me. Looking back it is clear that she provided one main thing, and that was a safe attachment - and it took many years to develop. It wasn't all moonshine and roses; there were difficult times as well - but I always found my way back to her.
I still have attachment issues, I still have other difficulties, but I think I would have been an irredeemable mess had it not been for her.
And so, while I absolutely agree with you that therapists can't save clients' lives, I have to tell you that one in fact did save mine :D. But I do think that when an individual goes into therapy with the explicit or implicit demand to be saved, it is another story.