Mental Illness

Download Dealing with Resistance in Psychotherapy by Althea J. Horner PhD PDF

By Althea J. Horner PhD

Resistance is an unlucky time period for the manifestation of safety mechanisms within the therapy state of affairs. Use of the observe to a psychoanalytically unsophisticated sufferer could evoke undesired results simply because to a sufferer, it implies planned motive and therefore, blame. From the patient's subconscious, or at time wakeful, standpoint, those defenses shield the person from a number of intrapsychic or interpersonal hazards. so long as those defenses are in play, the method of exploration and discovery involves a halt. they need to be understood and punctiliously analyzed for they're on the center of the therapy impasse.
This booklet is written for the pro psychotherapist who will be questioned why paintings with a specific sufferer or buyer goes nowhere. It brings to the therapist's awareness a wide selection of those defenses, those resistances, so one can be addressed and resolved.

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Dealing with Resistance in Psychotherapy

Resistance is an unlucky time period for the manifestation of safety mechanisms within the remedy scenario. Use of the note to a psychoanalytically unsophisticated sufferer might evoke undesired results simply because to a sufferer, it implies planned purpose and therefore, blame. From the patient's subconscious, or at time awake, perspective, those defenses shield the person from numerous intrapsychic or interpersonal hazards.

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The patient who brings a history of precocious independence and self-reliance will defend mightily against a dependent transference. ” These feelings play a major role in the patient’s resistance to any manifestation of dependency, and he or she will defend against reexperiencing the cut-off, needy, and dependent child-self. The therapist must explore this dilemma, at the same time being careful not to shame the patient. In contrast, the patient who was required to stay a dependent child will resist the therapist’s loss of neutrality when the therapist actively “supports” or advocates for healthy steps forward.

Patient can talk about negative and positive affects. Patient can recover readily from a regressive reaction and talk about it. 2. Flexibility Flexibility of defenses allows for their examination in the interview. 3. Maturity Major defenses used are the more advanced ones of intellectualization, sublimation, repression, rationalization, or displacement without significant recourse to more primitive modes of projection, externalization, somatization, denial, splitting, or introjection. Autonomous Functions 1.

She tries to make brilliant interpretations. Too often these interpretations miss the patient. ” He adds that “a patient’s creativity can be stolen by a therapist who knows too much” (57). To therapists who worry about having “the right answer,” I will say, “The answer is always in the patient. ” The critical patient who questions the value of therapy or the therapist’s competence may once again stir up this pressure to perform. When this happens, the therapist may worry more about the astuteness of her interventions than their appropriateness or helpfulness.

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