By David E. Engle PhD, Hal Arkowitz PhD
Why is swap frequently so difficult to complete, even for those who spend significant time, funds, and energy within the try? How can remedy consumers get unstuck and paintings progressively towards wanted pursuits? This ebook provides an integrative version of ambivalence in psychotherapy and offers powerful, functional how you can realize and take care of it. Emphasis is given to 2 thoughts with major empirical aid: motivational interviewing and the two-chair method. together with in-depth case examples and transcripts, the e-book demonstrates tips on how to use those interventions as stand-alone remedies or combine them with different remedies for consumers being affected by addictive behaviors, melancholy, nervousness, and different usually encountered difficulties.
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Extra resources for Ambivalence in Psychotherapy: Facilitating Readiness to Change
This paradox—the promise that if the patient gives up familiar ways of thinking and protecting him/herself from unpleasant emotions s/he might end up feeling better in the long run—is the source of resistance in dynamic treatments. , Bowlby, 1969, 1973; Fairbairn, 1952; Mitchell, 1988; Stern, 1985). ” While these theories may differ on the nature of the danger, they all agree that resistance is a response to perceived danger and the anxiety that accompanies it. Control–mastery theory is based on the importance of “unconscious pathogenic beliefs” that are acquired early in life and lead to neurotic behavior and distress.
There are 40 AMBIVALENCE IN PSYCHOTHERAPY considerable differences in the ways that these therapies approach resistance. Whether therapists attempt to avoid, overcome, or use resistance to produce change depends on their theoretical orientation. Structural Approaches The structural approach to family therapy (Aponte & Van Deusen, 1981; Minuchin, 1974; Minuchin & Fishman, 1981) is primarily concerned with family structure, which includes boundaries, subsystems, and the relationships among them, as well as the relationship of the family to the broader environment in which it functions.
Resistance is expected and occurs in the transference relationship, in which much of the work of psychoanalytic therapy occurs. , repression, denial, Theories of Resistance and Ambivalence 21 reaction formation) and will enact in the therapy relationship the various repetitive maladaptive interpersonal patterns of behavior that parallel his or her interpersonal problems outside of therapy. The therapist’s main strategy is interpretation of the client’s emotional experience, linking the present enactments in the transference relationship to conflicting earlier experiences.
Ambivalence in Psychotherapy: Facilitating Readiness to Change by David E. Engle PhD, Hal Arkowitz PhD