CHALLENGES IN PSYCHOTHERAPY

SURVEY RESULTS 6-Clients that don’t think they need to.

change/don’t want to be there/don’t want to talk.

5-Clients w/beliefs different from own. Racist/You don’t like/Cultural differences.

2-Severe mental illness. 2-Lying clients. 1-Don’t want to complete assignments. 1-In abusive relationships. 1-CBT w/ children. 1-Boring clients. 1-Financial transactions & billing.

RESISTANCE Pipes & Davenport chapter =

“An intrapsychic process marked by ambivalence about exploring and claiming little known feelings and motivations within oneself.”

Indications of: Disarming behaviors.

Innocuous behaviors.

Provocative behaviors.

RESISTANCE CONT…

Bugental’s (1978) three step process:1. Draw client’s attention to the behavioral

manifestations.

2. Put the behavior in a specific context.

3. Invite the client to explore the process.a. Therapist’s issue.b. An intra-psychic issue.

CLIENT ANGER (BURN CHP. 27) Listening Techniques

1. The disarming technique.

2. Thought and feeling empathy.

3. Inquiry.

Self-Expression Skills1. “I feel” statements.

2. Changing the focus.

3. Stroking.

UNLIKEABLE OR IN OPPOSITION TO YOUR DEEPLY HELD BELIEFS