MovieChat Forums > In Treatment (2008) Discussion > Unrealistic and painfull to watch...

Unrealistic and painfull to watch...


I've watched the entire serie and I must admit I think (or maybe hope) it was very unrealistic. It's a possibly genuine cliché that people that chose to become therapists are seeking help themselves. This is obviously the case with Paul. I just can't believe that a man of this age and training could possible have so little insight or selv awareness about his own condition. It seems ridiculous and unnecessary in the making of a series about therapy. The series would be just as interesting if not more so, if it had concentrated more on the patients then this sickening, unrealistic, emotional pingpong between the two ...

I found the entire storyline of Paul sickening. I do believe competent therapy can be helpful and constructive. They portray some of the patients moving on, becoming more self aware and gaining insight. Why is it not possible for the Paul, he seems, petty, self absorbed and as dumb as a doornail.

I don't know if Americans are different but the interaction portrayed in this series, between the therapists and the patients is extremely unprofessional and harmful in so many ways. I grew up in Canada but now live in Europe. I have at earlier stages in my life had therapy in one form of another and for one reason or another. It was nothing like this, and I must say extremely helpful.

At a point I began to wonder what this series was actually about. I don't think I could make a worse advertisement for therapy if I tried. Maybe that is the point.....

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I agree with you. I am watching this series for the second time because I love the acting, and I know some of the story lines are good. But during my first viewing of In Treatment, it didn't take me long to decide that Paul is a pretty bad therapist. His lack of self-awareness is laughable. He seems disorganized and doesn't seem to know how to communicate with his patients how therapy can work for them. Granted, most of his patients did not come in for the kind of therapy it appears that they need, or for therapy period. But perhaps especially during the early appointments, a therapist should offer some sort of mature clarity, share intents and, for lack of a better word, ground rules.

I would like to hear what others think of Paul's, and even Gina's, therapeutic methods.

Oh, yes, I'm still re-watching. I do love the acting.

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It was based on a Isreali series made some years ago. I found it but couldn't find an english translation. I'm still pretty sure it is soposed to be about a bad therapist whos own personal problems completely cloud his judgement.... but who knows 😼

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I've watched the entire serie and I must admit I think (or maybe hope) it was very unrealistic. It's a possibly genuine cliché that people that chose to become therapists are seeking help themselves. This is obviously the case with Paul. I just can't believe that a man of this age and training could possible have so little insight or selv awareness about his own condition. It seems ridiculous and unnecessary in the making of a series about therapy. The series would be just as interesting if not more so, if it had concentrated more on the patients then this sickening, unrealistic, emotional pingpong between the two ...



I agree. He is often portrayed as "crazier" than any of his own patients. And he blames HIS therapist more than his patients blame him! A therapist himself who should recognize his own behavior for what it is. I often thought both Gina and Adele were unreal in what they put up with from him, and didn't for a moment believe a real therapist would tolerate that kind of behavior, especially from a patient who should know better.

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I'm watching the 1st season for the second time and I totally agree - came here to say the same. He treats Gina like dirt and blames her for everything; refusing to look at himself. This seems ridiculous for a therapist who should know better, and should be far more self-aware. I have no idea why Gina would continue to see someone so abusive.

As a therapist, he was pretty good - he brought out greater self-awareness and healing in his patients, apart from Laura. That storyline was unbelievable. If he had the slightest bit of professional integrity or self-awareness, he should have terminated that relationship when he realised he was counter-transferring and falling for her. Completely and utterly unprofessional and unethical to then go into a relationship with her.

I simply am not there...

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He definitely has issues like most therapists. Most people are in denial of their own problems and therapists aren't that different. Of course all American therapists aren't terrible like him. You have your good and bad with every profession. One of his worse mistakes was letting Alex fly when he knew that he wasn't ready. And when he brought emotions into his therapy like with Laura. He should have ended it. He was using her as an escape from his shrew of a wife.





Religion is regarded by the common people as true, by the wise as false, and by rulers as useful.

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Have you ever personally known a therapist? I've known four, all from vastly different backgrounds, ethnicity, gender etc. I've also known social workers and nurses and they all have personal flaws that that antithetical to their professional lives. So for the most part I think this series is a pretty accurate portrayal of a therapist. Also a lot of patients become therapists and the mentor relationships they build can last a lifetime.

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I have a psych degree, and I know alot of professional therapists. Though they are human and have problems of their own, NONE of them would continue in a relationship with a patient they were in love with, and all of them have had extensive therapy of their own, and worked on their issues, as it should be. Any good therapist should have some handle on their own issues and know how to deal with them before trying to help others. No therapist should have the extremely low level of self-awareness and anger displayed by this character.

I simply am not there...

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I agree with SoylentGreenScreenPodcast 100%.
Therapists are only human, but some of his patients put him on a pedestal, the same way kids do with their teachers.

It's entertainment, so yeah it has to be peppered here and there,

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I've always had an interest in psychology. Never pursued it, but I've had people coming to me with problems since I can remember. So, when I saw the title of the series while scrolling through Amazon Prime offerings, I stopped to try it. I've seen maybe over 2 dozen so far, but don't know if I'll finish the series because as much as the theme intrigues me, the characters wear me out - every sentence from a patient was dramatic, constantly ladened with a kind of menace waiting to erupt in Paul's direction.

When I saw that the opening episode was a case of erotic transference, I knew it was just to hook viewers from the get-go, so, it felt cheap. Although I watched most of the Laura episodes, and that I thought Melissa George was right for the part, I found her character unendurable. She was just plain creepy. I almost felt trapped in the room with her, but maybe the producers were after that kind of claustrophobic feeling.

I couldn't watch Sophie more than a few episodes - she was too bratty, too precocious. Oliver lost me at the first one. Alex's volatility was unsettling.

My favorite patient was April. I began to skip over others to watch hers. I watched most of Mia's and Walter's. But, my favorite character was Kate, Paul's wife. I felt her acting was the best of all of them, for example, her handling of Sophie was among the best small scenes of season 1. I was disappointed she didn't have a larger role. Although I like Dianne Weist, her character was hard to take, so I began to skip her episodes. However I enjoyed the one with the "Imago" session (S1/ep.35) she facilitated between Paul and Kate.

As for Paul, I thought Mr Byrne did a good job. I found his pronunciation of words with "er" or "ur" odd. I also didn't like that he usually looked at patients from a 3/4 view instead of full face - something, oddly, no patient complained of. I don't know how real therapists operate, but I suspect there was a large dose of caricature written into his part for drama's sake.

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I watched most of season one, and yeah, the Laura storyline and the sessions with Diane Wiest really ground on my nerves. Paul does nothing but whine and point fingers in his own therapy. I lost interest a little over halfway through.

I'm rewatching the Sophie episodes, though, to see how that story wraps up. When I first watched them they made me a lifelong Mia Wasikowska fan. I think her character is very well-written. She obviously has a lot of hostility, and the way she directs it at Paul so often can be very bratty and obnoxious. But she has just enough charm to keep me rooting for her healing. She reminds me of a lot of girls I have known.

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I am a therapist (Masters level, not commanding the big bucks like Paul) and I assure you this is unrealistic in some ways, especially all of the ethical boundaries he crosses and yes, his own screwed-up life and head. Sure none of us are perfect, but we have standards we must uphold or lose our licenses, and we need to already be done with our own counseling, not still need it while working with patients.
The style of psychotherapy Paul engages in, based on the Freudian model, does encourage a patient to become dependent on the therapist, to even transfer their anger/pain/other emotions onto him. So in that sense, it is realistic, and the reason why many of us do NOT follow that model. I watch this show and see hour after hour of patients verbally and emotionally abusing Paul, and his stone-faced, patient and tolerant reaction, and know that I could never be that kind of therapist.
At any rate, it's a TV show and therefore the temptations and titillations are mandatory. But at the same time, I am inclined to believe that part of the premise of this show is that Paul is more f-ed up than those he seeks to assist.

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I've had many therapists over the years and I have to say that with most of them the thought "they hand out these degrees way too easily" came to mind. Almost all of them were 'textbook' therapists and had not the essential intuition and interaction skills it takes to bond with the patient (me).
I was always two steps ahead in their thinking pattern, to the point where I almost got angry because they were so slow and gave the 'answers'I already knew they would spell out.

And yes, from my experiences I can tell you that the cliché is true. Too much people want to become a therapist to work out their own issues...It's pathetic and self-absorbed and possibly dangerous for the patients.
Only my last therapist- a woman who basically steered my speech pattern to let it all flow out, so to speak- was credible.

I have no idea whether you're in that category or not.

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I became a therapist not to work out my own stuff but because I have worked out my stuff ... at least the core issues, with the help of therapists who were awesome. I noticed the ones that I responded to the most, when I was involved as a patient, were those who had "been there, done that." Having "been there, done that," myself (substance abuse, trauma, co-dependency, DV, CPS, etc.) back in the day, I thought that is what I should do ... until I retire, lol!

I agree that many of my colleagues are not that effective, but I can't speak to that ... can only say when it comes to therapy, don't give up trying until you find a professional you can work with.

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I've never had therapy but I need it. I'm highly sceptical that it helps though. And this show's portrayal is awful. If that pathetic excuse of a therapist was mine, I would be out of the door in five minutes. He has no skills whatsoever.

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