By David E. Engle PhD, Hal Arkowitz PhD
Why is switch usually so challenging to complete, even for those that spend huge time, cash, and energy within the test? How can treatment consumers get unstuck and paintings progressively towards wanted objectives? This e-book offers an integrative version of ambivalence in psychotherapy and provides powerful, useful how one can realize and care for it. Emphasis is given to 2 concepts with major empirical aid: motivational interviewing and the two-chair process. together with in-depth case examples and transcripts, the ebook demonstrates the best way to use those interventions as stand-alone remedies or combine them with different cures for consumers being affected by addictive behaviors, melancholy, nervousness, and different usually encountered difficulties.
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Extra info for Ambivalence in Psychotherapy: Facilitating Readiness to Change
Attempts to alleviate the distress by challenging this very basic moral belief will be resisted. • Victim resistance. This is resistance caused by the client’s view that his or her misfortunes are the fault of others. Such persons require validation and acknowledgment of their own innocence and others’ guilt. 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.
1979; J. S. Beck, 1995; Dobson & Shaw, 1995) work with resistance or noncompliance in exactly the same way that they work with other problems: by Theories of Resistance and Ambivalence 33 helping clients to correct their dysfunctional thoughts and beliefs and to modify the schemas underlying their resistance and other related problem behaviors. Cognitive therapists help clients to identify the thoughts and beliefs associated with resistance, examine the evidence for and against these thoughts, and construct new balanced thoughts that better fit the evidence of their lives.
1. Anxiety reduction through avoidance of anxiety-generating insight into or awareness of one’s unconscious drives and impulses. 2. “Diablos conocidos” (familiar devils): The security and predictability of the familiar. 3. Protection of a sense of stable identity by not changing. 4. Fear of change. 5. Unconscious pathogenic beliefs that maintain symptomatic behaviors. 6. Vicious cycles in which the person’s internal object representations from early in life are confirmed by the way the person perceives and structures his or her world in the present.