I can offer some general possibilities for why a psychiatrist might make such a request:
Professional Boundaries: Psychiatrists, like other healthcare professionals, are expected to maintain professional boundaries with their patients. Allowing patients to sit on the floor during sessions could be seen as crossing these boundaries, as it may be perceived as overly informal or inappropriate in the therapeutic setting.
Safety Concerns: There might be safety concerns related to sitting on the floor. For example, if the floor is slippery or not suitable for sitting, it could pose a risk to the patient's well-being.
Therapeutic Environment: Psychiatrists often create a specific therapeutic environment to facilitate effective therapy. The use of a couch or specific seating arrangement can be part of that environment, helping patients feel more comfortable and secure during the session.
Cultural Norms: Cultural norms and expectations can influence how professionals conduct their sessions. In some cultures, sitting on the floor might be viewed differently than in others.
Treatment Approach: Some therapeutic approaches or techniques might be better facilitated with a particular seating arrangement. The psychiatrist may have a specific reason for requesting a change based on the therapeutic approach being used.
Previous Incidents: There could have been an incident or concern related to sitting on the floor in the past, which led the psychiatrist to establish a new rule for the sessions.
The best way to understand the reason behind the psychiatrist's request is to discuss it openly during a session. Communication is essential in a therapeutic relationship, and it's crucial to express any concerns or questions you may have. If you feel uncomfortable with the new seating arrangement or have any reservations, discussing this with your psychiatrist can help both of you understand each other's perspectives and find a suitable resolution.