Evaluation Of Anxiety Based On The Triangle Of Conflict

1286 Words6 Pages
Evaluation of Anxiety. Based on the Triangle of Conflict, we know that by focusing and pressing the client to discuss their core emotions, it will trigger anxiety (Della Selva, 1996; Malan & Della Selva, 2012). Therefore, the second step in the procedure is to evaluate the level of anxiety and determine if the client is appropriate for ISTDP. The therapist will need to pay attention to how the anxiety is channeled, identifying whether it is through the striated muscle, the smooth muscle, or as a cognitive-perceptual disruption. Guided questions in this step would focus on client’s anxiety and how they are being channeled. Work on Defense: The Patient’s Responses. Again, based on the Triangle of Conflict, we can anticipate that as the anxiety level increases in the second step, the client will begin to implement their defenses (. Therefore, noting how the client response to the anxiety and the type of defenses that emerged will inform the therapist whether the client is ready to engage in emotional work by facing their true feeling (Malan & Della Selva, 2012). Focusing on defenses will intensified the client’s conflicts about whether to reveal or conceal their true feelings, thus creating an internal conflicted feeling (Malan & Della Selva, 2012). The part about wanting to revel their true feeling to the therapist is considered the “the unconscious therapeutic alliance” by Davanloo and as such can act as an internal healing force (Malan & Della Selva, 2012). Davanloo
Open Document