Many therapists still work that way, and we occasionally hear complaints about that. Approaches that have gained prominence more recently involve increased therapist activity, and often more openness. This more active style may help set a more collaborative tone and permit a therapeutic relationship that is recognized for what it is - a relationship. It should always be clear, however, who is the client and who is the therapist. Some therapists also purposefully use their reactions in the session as a tool to help clients understand their impact on others.
Clinicians differ as to what kinds of disclosure are appropriate.
Since the situation is so complicated, it is also often worthwhile to get a second opinion, or consultation. Generally, the consultant will talk with and give feedback to both therapist and client. At LCL, we sometimes provide this kind of consultation and in other instances make referrals to other professionals for that purpose. In some cases, a change of therapist may be indicated. In others, the process of working through the impasse may itself become the most beneficial part of the therapy.