Resistance In Therapy Essay

Therapists can help clients feel their feelings more fully by creating an environment where the client feels safe. Helping client’s feel their feelings rather than talk about them intellectually opens an opportunity for the client to enter their own experience more fully. Using open-ended questions to explore the client’s feelings can be effective. Therapists should clarify what the affective word the client uses means; not just assume they understand. Angry can mean many different things to many different people. Getting clarification not only helps the therapist understand more but protects them from overidentifying or misperceiving the client’s experience as being the same as they have experienced. It allows the therapist to enter the client’s subjective world. Entering the client’s subjective world, having the client feel respected and understood, increases the trust in the relationship. It gives the client the opportunity to learn more about themselves and possibly have a corrective emotional experience because they are met with empathy and validation from the therapist rather than the judgement, disdain, and invalidation they may have experienced with others in their lives. Another way a therapist can help a client experience their feelings is by speaking to the incongruence they perceive between what the client is sharing and the accompanying affect. This intervention starts

My family has always been one that talks about how problems and emotions openly. My dad taught me that no problem is too big or too small for your family to fix. While I believed him and usually went to my parents and sister with my problems, sometimes it felt too difficult to ask them for help. It was around the same time I realized my family couldn’t fix everything that a few of my friends began to talk to me about their own experience with therapy. The idea was then implanted in my mind that there was some sort of mystical woman sitting in a pant suit in a comfortable office that would be able to cure me of my woes and solve every issue I was facing. My mom, however, had a pretty negative experience with psychologists and psychology in general, and was quite apprehensive about letting me go and talk to a professional. My dad urged her to take me to an appointment, and it has been from that very first appointment that I have been greatly interested in the psychoanalytics and therapy.

Even though, it may be nice for a counselor to share his or her personal stories about a similar experience. It is also not ethical to do so. When clients have counseling session it is supposed to be about the client needs not the therapists. Counseling sessions with clients are not places for therapists to showcase their own life problems or get support for their choices in life. There is a lot a client can learn from a counselor experience but it is not the place or the time for them to do so. Therapists should be able to find a place outside their sessions that help support what they have been through, just like everyone else. In the movie, Judith let the client talk for a little while and interrupted her by telling her a similar experience

Monica is 32 year old African American female seeking mental health treatment and therapeutic supportive counseling. Monica is divorced and currently lives with her two teenage sons in Virginia. Monica struggles with being a single parent, maintaining stability, and has been homeless a few times. Monica is of low socioeconomic status in which she is currently unemployed and receives disability for income. Monica has a history of oral cancer in which she was diagnosed in her early 20s. Due to the severity of the cancer, Monica had to have her upper right jaw bone removed along with several teeth. She now wears a prosthetic which causes her to have a speech impediment. After years of chemotherapy and countless surgeries, Monica’s cancer is currently in remission.

I agree with you, the patients we treat should be just as responsible in their healthcare plans as we are in rendering treatment plans; however, providing care to non-adherent patients can place everyone at certain risk if not handled appropriately. The best way to protect the clinic and your staff when dealing with non-adherent patients is to not only document non-adherence issues identified, but also be specific as to which strategies were implemented to help the high risk patient in becoming compliant with proposed medical guidelines ( CMPA, 2013). The CMPA recommends that having open communication with patients is important and providers need to assess potential obstacles ( socio-economic, education levels, language barriers, and attitudes) early on; therefore, begin to provide available resources to assist the patient in hopes to mitigate foreseeable complications. Foreseeability entails "guarding against that which is probable and likely to happen, not against that which is only remotely possible" ( Pozar, 2016, p.

In order to evaluate whether modern behavioural therapies can help a client accept the uncertainty of their future, I am going to look in detail at two Modern Behavioural therapies, REBT – Rational Emotive Behavioural Therapy and CBT – Cognitive Behaviour Therapy to ascertain their use in therapy with a client.

Prompting a client to elicit a raw emotion can be much more difficult in some clients than in others, depending on how deeply their defense mechanisms lie and how strongly built up they are. To combat these defense mechanisms, it is often helpful to put a high degree of pressure on the client to keep them from blocking my attempts to get to their core emotions. The true success of ISTDP as an intervention comes from the therapist having a thorough understanding of defense mechanisms, so that they can be ready and able to counteract them

I would not conduct the child custody evaluation for him because this would be a dual role or multiple relationship. Since I have already been counseling this client, and already have a relationship and opinion (that he is a good person who loves his kids) with him, this may make it hard to remain objective if I were to conduct the child custody evaluation. Also, there are two sides to every story, thus even though the client seems nice and loving while in therapy, that may not be the case outside of therapy. Also, entering into a multiple relationship is against the American Psychological Association (APA) (2010) Ethical Principles. Ethical code 3.05 states that therapists should avoid multiple relationships because being in one can impair their competence, effectiveness, objectivity and can put the client at risk for harm or exploitation. The APA ethical principle of avoiding harm also applies to this scenario (APA, 2010). If I was to do the custody evaluation for my client, and find that he should not have custody, this would ruin our therapeutic alliance and greatly harm the client. Although some therapists may belief that they would be competent and objective enough to conduct the child custody evaluation for their current client, they should stay on the side of caution, not take the risk and refer the client to a different professional who is competent in these evaluations.

Creating an effective therapy group requires a therapist/coordinator to consider ten key elements before creating a group and to consider how this group will evolve into become productive for both clients and therapist. Creating an effective group means considering what type of group this will be for example will it be a an addiction group (self-help) (Brook,, 2003). A support group for military veterans an educational group to learn new skills like parenting, a Psychoeducational group they deals with partners or relatives, a therapy group for behavior change or a tasks group to meet certain solutions (Brook,, 2003). The next part of creating a cohesive group is to decide the purpose of the group for example do you hope your group will learn

In other words, it is necessary for therapists to master the tendency to participate in unconscious countertransference by developing healthy boundaries and remaining mindful of the threat posed by countertransference, both to the therapeutic relationship and a therapist’s work with people seeking treatment.

Through looking through internet catalogs for therapists in my area, I learned that there are quite a few therapists all doing essentially different things; also I learned that there are a lot of residential treatment centers here.

While responding to the same statements as used in exercise 6.2, our group tried other types of responses. We each took turns being the therapist, client, and observer. We focused on reframing, siding with the negative, and shifting focus as these were a bit more difficult than agreement with a twist and personal choice. This exercise was a little easier because of the previous exercise 6.2. We worked on the statements independently and then read our responses out loud. We had to help each other at times come up with certain responses but it flowed better than the previous exercise. We learned that even though the client was making the same statement, our responses varied but were all relevant.

During the video, Group Work: Leading in the Here and Now (Association for Specialists in Group Work, 2008), Dr. Peg Carroll led a group through the initial stage of group counseling. As Yalom and Leszcz (2005) stated, “in the beginning, the group needs direction and structure,” (p. 313). Dr. Carroll demonstrated an active approach with the clients in the group, often redirecting their comments internally towards one another. For example, at 11:20 in the video (Association for Specialists in Group Work, 2008), Dr. Carroll directed one of the clients, Art, to direct his comments to a specific individual. This occurred multiple times during the course of the session, and demonstrated Dr. Carroll’s ability to actively facilitate group communication towards one another.

From an emotive perspective, REBT is a multimodal approach to change. This approach is includes unconditional acceptance which is modeled by the group leader for members during group sessions. Furthermore, the approach uses humor as in laughing at self-defeating beliefs and role playing. Group leaders will utilize shame-attacking exercises. These exercises to teach members to accept themselves in spite of reactions from other

According to Palmer, Dunford, and Akin (2009) there are six different approaches to managing resistance to change which are, situational, let nature take its course, thought self-leadership, creative counters, tinkering, kludging, and pacing approach, and finally the power of resistance approach. While all of these different methods or approaches for dealing with change have positives and negatives, some are better than others. For example, Kotter and Schlesinger’s situational method is great in that it recognizes some situations need to be treated differently than others. However, they suggest that manipulation could be used and while they explain the dangers of this approach, its application is very limited and the rewards don’t outweigh the risks.