Season 2 Ep 8: Paradox, Love, and the Therapeutic Journey

Inspired by my conversation in the last episode with Dr. Andrea Celenza, today I want to talk about tolerating paradoxes and about love in the context of therapy.

In our conversation and in her book, Sexual Boundary Violations, Dr. Celenza discusses the concept of the “multiple irreducible levels of reality in the therapeutic relationship.” 

None of those multiple realities is more or less real than the others and it’s essential that we, as clinicians, maintain our awareness of them. Yes, it’s hard. These multiple realities evoke a whole range of relationships and power structures that often contradict each other. Of course it’s hard. 

But when we try to collapse these realities, that’s where we get into trouble. I want to unpack what that means for us in our therapist-client relationships, and how it requires us to hold and tolerate those multiple realities.

Listen to the full episode to hear:

  • Three essential layers in the therapeutic relationship

  • How the relationship dynamics that arise out of transference and countertransference are both real and useful, even when they contradict each other

  • The paradoxical axes of power in the therapist-client relationship 

  • How multiplicity and power bump up against each other and why we have to tolerate the tension

  • How collapsing the paradox of multiple realities in the dyad creates problems with intimacy–being either exploitative or superficial

  • Why too little intimacy in the therapist-client relationship is a significant problem

  • How love and grief show up in therapeutic relationships

Learn more about Riva Stoudt:

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About Riva

Riva Stoudt is a therapist based in Portland, Oregon. When she's not working with patients, she likes to talk about all the things a therapist isn't "supposed" to talk about.

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Season 2 Ep 9: Immediacy in Therapy: Breaking the Fourth Wall with Dr. K Hixson

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Season 2 Ep 7: Let's Talk About Sex: A Humane Approach to Sexual Boundary Violations with Dr. Andrea Celenza