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 safeguard mechanisms within the therapy state of affairs. Use of the note to a psychoanalytically unsophisticated sufferer could evoke undesired outcomes simply because to a sufferer, it implies planned purpose and therefore, blame. From the patient's subconscious, or at time awake, standpoint, those defenses safeguard the person from quite a few intrapsychic or interpersonal risks. so long as those defenses are in play, the method of exploration and discovery involves a halt. they have to be understood and thoroughly analyzed for they're on the center of the remedy impasse.
This publication is written for the pro psychotherapist who should be questioned why paintings with a selected sufferer or patron goes nowhere. It brings to the therapist's cognizance a wide selection of those defenses, those resistances, in order to be addressed and resolved.

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Extra info for Dealing with Resistance in Psychotherapy

Sample text

Bowlby (1973) noted a predictable sequence of reactions to separation in children between the ages of six months and three to four years. Children who had not yet consolidated the attachment bond prior to the age of six months did not show these typical reactions. The children observed had been placed in an institutional setting because of a family emergency of one kind or another. This sequence of reaction was first protest, secondly despair, and finally, detachment. The protesting child screams, cries, and cannot be comforted.

If it cannot be relied on, character resistances may come into play as a defense against the fear of object loss. To the degree that the significant attributes of the object belong to the object rather than the self, the individual will remain dependent on the significant other for the provision of these attributes and what they contribute to that person’s security and self-esteem. Clinically, these patients will present with a picture of exaggerated dependency and depression in the context of a relatively well-differentiated and structured ego, although under circumstances of regression, ego functions may be compromised.

There may be a situation of chronic breakdown when defensive detachment fails. We can at least hypothesize that development in the most critical years was at best seriously deficient if not disastrously compromised. Of course, we will also want to look for and understand the individual’s strengths, compensatory and/or defensive structures, mechanisms, or strategies that enable the person to function at a higher level than the far less optimal beginning might suggest. The child caught in a chaotic milieu may learn to detach and go into his or her own mind: that is, develop a schizoid defense against the inner turmoil.

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