Summary
David Markham's email argues that psychotherapy inherently involves power dynamics, particularly concerning clients' self-determination. He contends that therapists face ethical dilemmas when clients' choices clash with restrictive governmental policies, citing reproductive healthcare and LGBTQ+ rights as examples. Markham suggests that these conflicts create a situation analogous to a totalitarian regime, forcing therapists to operate covertly to uphold their ethical values and support clients' rights. He emphasizes the potential legal risks for therapists who openly advocate for their clients in such circumstances. The email prompts reflection on the political dimensions of psychotherapy and the challenges faced by therapists in upholding ethical principles.
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