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Ethical Question about Marriage Counselor Diagnosing My Father with Aspergers

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My father and step-mother were seeing a counselor for marital issues (imago therapy–I’m not sure what that means). After a couple of sessions–a little more than a year ago–the therapist told my father in front of my step-mother that she believes he has Aspergers. I’ve since witnessed my step-mother routinely manipulate and abuse my father with this informal diagnosis. She’s broadcast to friends, acquaintances, even strangers, that her husband has Aspergers. She talks openly about her daily struggles while touting her own strength of character and tolerance for putting up with my father. She tells him he’s incapable of empathizing with people, then scoffs at him for crying–“that’s not empathy. You’re just being sentimental.” (I cry every time I I think about it,) My father’s friends and family have pulled away from him, because my step-mother makes them uncomfortable. At times it feels surreal, like I’m living in a case study from that book by R. Hare (the  psychopathy checklist). My father has an eccentric personality and mild social anxiety (he doesn’t like large gatherings, but he manages). Those are the only Aspergers traits he exhibits. My father’s friends and family are very concerned about him, and I can’t help feeling like his therapist gave my step-mother the weapon she’s using to pummel my father. I don’t know what to do. Are there guidelines about offering diagnoses in a family therapy setting? I feel like I’m watching a train wreck. My father agrees with me that something is wrong, but he won’t walk away, even when my step-mother leaves him for weeks at a time, and tells him she loves someone else. What can I do. Am I making a scapegoat of their therapist? It just feels like she behaved recklessly and at the expense of my father. (age 38, from US)

Ethical Question about Marriage Counselor Diagnosing My Father with Aspergers

Answered by on -

A.

This is a great question and one that I’m sure could get lots of different responses based on the therapist answering. However, my short answer is that it is not the therapist who is in the wrong here as much as your stepmother. In this case it may have been ultimately unhelpful  that the therapist offered a suggested diagnosis in the marital session, but not unethical. If she is a licensed mental health therapist it is within her scope to diagnose and if your father and stepmother are having trouble connecting and communicating, this diagnosis could help explain that. However, it would be best if he underwent a formal assessment in order to clarify the diagnosis and based on what you have shared, may be unnecessary.

However, the real problem is that your stepmother has used this information against your father. It may be that she is trying to justify her own behavior so that others would understand if the marriage doesn’t work. I’m sure it is difficult for you to watch all this transpire, but your father is the one in the marriage and has to be the one to make decisions about it. The best you can hope to do is share your concerns and observations and support whatever decisions he makes. Unconditional love can be difficult to express when we feel a loved one is being mistreated, but it is his marriage, not yours.

Imago Relationship Therapy, by the way, was created by Dr. Harville Hendrix and is based on his book, “Getting the Love You Want.”  It is an emotionally focused form of therapy and often assumes a connection between the frustrations experienced in adult relationships and early childhood experiences.

I wish you and your father all the best,

Dr. Holly Counts

Ethical Question about Marriage Counselor Diagnosing My Father with Aspergers

Holly Counts, Psy.D.

Dr. Holly Counts is a licensed Clinical Psychologist. She utilizes a mind, body and spirit approach to healing. Dr. Counts received her Bachelor’s degree in Psychology from Wright State University and her Masters and Doctoral degrees in Clinical Psychology from Nova Southeastern University. Dr. Counts has worked in a variety of settings and has specialized in trauma and abuse, relationship issues, health psychology, women’s issues, adolescence, GLBT, life transitions and grief counseling. She has specialty training in guided imagery, EMDR, EFT, hypnosis and using intuition to heal. Her current passion involves integrating holistic and alternative approaches to health and healing with psychology.

APA Reference
Counts, H. (2018). Ethical Question about Marriage Counselor Diagnosing My Father with Aspergers. Psych Central. Retrieved on July 15, 2019, from https://psychcentral.com/ask-the-therapist/2016/07/30/ethical-question-about-marriage-counselor-diagnosing-my-father-with-aspergers/
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
Published on Psych Central.com. All rights reserved.