Being a therapist and counselor puts me in a field with some amazing people and with some people who know how to get through school and take tests. I have known people who will do anything for their patients/clients and have known people who have no idea what they're doing. I seem to have a never ending "a therapist did that!?" list.
One of those moments came a few days ago. I saw video of Dr. Drew talking about Charlie Sheen. Dr. Drew said that he had not spoken to Charlie Sheen. Dr. Drew made it a point to mention his 20 years of experience, he has seen this many times so he is able to talk about the symptoms and his diagnosis of Mr. Sheen.
Although I've been in this field for a short time, I find it offensive that Dr. Drew is being his usual entitled and intrusive way. Dr. Drew not only felt it necessary to give an opinion about someone who he has not talked to but felt that he needed to justify it with his expertise.
As a part of my education, I had to take an ethics class. This usually meant having more questions than answers. There were some absolute guidelines. Most of those were surrounding the client/patient. However, we discussed at length about boundaries. There are lots of boundaries in this world. And one of them is to not to make assessments or diagnoses on people who has not met with a particular therapist. Another is that even if you have an opinion about someone, keep it to yourself.
One thing that stood out to me is being aware of myopia. When a therapist becomes myopic, they only see what they know. I had a supervisor who only worked with people diagnosed with schizophrenia or schizoaffective disorder. Eventually, she only saw art work in terms of psychosis. She once had a patient who drew a fountain the day before he tried to commit suicide. So, every colorful fountain seem to be a symbol, in her mind, of suicidal thoughts. While I respect any therapists' years of experiences, it may mean that they might only see what they want to see and are used to seeing.
In my experience, people are different when they are a celebrity, in the public eye all the time, and expect cameras to be around than when they have privacy and are in their own home. Everyone has a public persona have a private persona-- i.e. differences between being at home, at a doctor's office, and being at work. To judge only what one person does in public is not getting the full picture of the person.
I saw another doctor on Access Hollywood on a clip from the show "The Soup" (seen here ). The Soup's host said that the doctor was not dressed like a doctor and sarcastically said "Access Hollywood did the responsible thing and had a doctor diagnose Charlie in a completely unprofessional setting off a poorly made video, edited together with scary music." I think even Joel McHale can sense the unethical nature of these doctors who are willing to go on TV to diagnose a celebrity or someone who they have not met.
There's two issues I want to talk about briefly here:
One is that often the TV media outlets have a list of professions in various fields. For example, one of my professors had been on a TV show talking about robbery. When Winona Ryder was caught shoplifting, someone from the media contacted my professor, who had to explain she could not give her opinion about shoplifting since her expertise was in robbery (and the difference between the two). Anytime a TV show needs a professional, they go to this list. I have seen some crazy things on shows that use these lists.
The second item I want to bring up, which I have written about before, is when a person asked an art therapist to judge someone's artwork without watching the artwork being made. A woman approached me and asked me to do this regarding colors. I don't think that one color means the same thing to everyone so I didn't say anything about color. I did talk briefly about the patient's focus and what she said about the artwork that was made. In The Secret World of Drawings, author Gregg Furth does just this. He goes through various children's pictures as well as some pictures by famous artists. He writes a "how to look at pictures and analyze them" type of book. While there are some insights he makes about artwork, there are others that are very much up to interpretation. Basically, I wouldn't feel comfortable using his insights in practice. I would want to talk to the person, observe them making the artwork and if I couldn't do that, I'd at least want the person to tell me about the artwork.
Bottom line here is that these TV doctors have to keep up with boundaries and understand that diagnosing someone without talking to them is unethical. It seems that there are many doctors and therapists who have boundary issues and who feel entitled to diagnose or make assumptions based on whatever they find important or intriguing. I hope that these are just a few bad examples and that most people can see that this is all wrong.
