By David E. Engle PhD, Hal Arkowitz PhD
Why is swap usually so not easy to complete, even for those who spend substantial time, cash, and energy within the try out? How can treatment consumers get unstuck and paintings gradually towards wanted pursuits? This e-book offers an integrative version of ambivalence in psychotherapy and provides powerful, useful how you can realize and care for it. Emphasis is given to 2 concepts with major empirical aid: motivational interviewing and the two-chair technique. together with in-depth case examples and transcripts, the e-book demonstrates the right way to use those interventions as stand-alone remedies or combine them with different cures for consumers being affected by addictive behaviors, melancholy, anxiousness, and different usually encountered difficulties.
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Additional info for Ambivalence in Psychotherapy: Facilitating Readiness to Change
When they perceive that the therapist is not providing such validation, resistance may result. • Risk aversion. Leahy suggests that one aspect of resistance seen particularly in depressed persons is that they typically see the risks of change as involving a greater likelihood of negativity and loss than of positivity and gain. Because of this, they are resistant to attempting change. • Self-handicapping. In this category, clients engage in a variety of strategies that involve self-handicapping and negative self-verification for self-protective reasons.
8. , on a crisis basis only). 9. Attempts to prolong therapy unduly. 10. Placing unreasonable demands on the therapist. Note. Adapted from Newman (1994). Copyright 1994 by John Wiley & Sons. Adapted by permission. How Do Cognitive-Behavioral Approaches Work with Resistance in Clinical Practice? From a behavioral point of view, resistant behavior is seen as elicited by certain stimuli and maintained by response consequences. , a spouse who pays excessive attention to the client’s problematic behavior, inadvertently reinforcing such behavior).
Unrealistic therapy goals. • Unstated therapy goals. • Vague and amorphous therapy goals. • Lack of agreement between patient and therapist regarding therapy goals. • Frustration about lack of progress on the part of therapist or patient. • Patients’ perceptions of lowered status or self-esteem attributed to becoming a patient. Note. From Beck, Freeman, and Associates (1990). Copyright 1990 by The Guilford Press. Reprinted by permission. 26 AMBIVALENCE IN PSYCHOTHERAPY reside in long-term memory, and to affect a number of cognitive processes like attention, information processing, encoding, and recall.