Honoring the Client’s Resistance When a therapist honors resistance, it allows the client to have an opportunity to not have to struggle with the feeling of having to do the work alone or of being engulfed with the pain. Sack Lentz (2016) states “as in all successful work with resistance, we can hope to see in our patient’s greater freedom and flexibility” (p. 9). Sophie entered treatment with the belief that therapy did not work and that she did not need it. The therapist allowed her to have this belief, and just encouraged her to keep coming for her evaluation and slowly gained her trust. Once Sophie chooses to stay in therapy, the hard work begins. The therapist begins to use Sophie’s resistance as an indictor that there is a deep wound
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.
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.
The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and
Through my academic and clinical training, I have developed an integrative theoretical orientation. Foundational to my therapeutic approach is establishing an empathic, caring, genuine, and authentic relationship with my client. My perspective on therapy utilizes a strength-based, trauma informed, and developmental lens. With this foundation and perspective, I explore the unique interaction within and between my client’s intrapersonal dimensions and their context.
If this is the first and only mistake the client has made, and depending on the totality of the circumstances, I do not believe violating the client is necessary. I would ensure the client is documented for their actions and perhaps even have the client write an essay on the dangers of drug use and consequences while on probation or parole. This way, if the behavior continues, I would have a written and signed history of the offense also showing that the client was well aware of the misconduct and the actions that could be taken for any future incidents. Another action I would take, besides regular drug screens, would be to conduct some random tests without any announcement to verify that the client is in fact maintaining his or her court
The client has had a strong support system in the past and is open to creating another one. This is strength because it demonstrates that the client is open reaching out to others in times of need and is a resiliency factor.
As stated throughout the paper Ms. Lira uses both cognitive behavioral therapy along with the strength-based approach to empower her clients and assist in providing
Alternatively, the individual has to acknowledge that the trauma is real, undeserved, and important. Through therapy sessions, the patient is made to acknowledge that the nature of the disorder may have led to the additional and undeserved trauma in addition to admitting that the process of recovery is not at all trivial and requires a substantial amount of time and effort to go through. Moreover, the therapist works to separate the residual problems into bits that are resolvable, for instance, personal improvement goals and those that are irresolvable, such as the behavior of another disordered member of the
This is implemented by the therapist engaging the client in a conversation about the things that the client has tried to make better and the strategies the client has used. Then the client and therapist examine whether or not the current tactics have been successful. This will lead the client to realize that, from his previous experiences, what he has been doing does not work and is likely to not work in the future. Furthermore, the client is likely to not know what to do next and may anticipate new possibilities. Therefore, the he is in the creative hopelessness phase. During this time, there is room for new strategies to be developed without previous thoughts interfering. This will ultimately allow the client to begin trusting his own experiences and engaging in new behaviors instead of believing his thoughts and blaming himself for not being able to ease the situation (Hayes et al.,
1. There are times when clients are referred for services and are mandated by court services. It is the responsibility of the counselor to inform the client of the limitations of disclosing information. It is the responsibility of the client to be aware of the consequences when he/she refuses services. (ACA, 2014, p.4)
We mentioned early that the resistances are stacked against me. By preventing the resistance, my approach will take certain key aspects into consideration. I'll be client-oriented, by understand and studying his past and culture. Customize the treatment, it is obvious that he has had the upper
Yalom, Y.D. (2009). The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients: Harper Perennial
MI therapists prize the client when they are with the client. As in Person-Centered therapy, the client is regarded as the expert of his life. Within the client lies the will to change if it can be adequately identified and then encouraged to come out. Once encouraged and heard, the will to change can then be involved in planning a change. Carl Rogers developed a therapy method that trusted the client. His person-centered approach began with the client receiving and benefiting from a special status conferred upon him by the therapist. This theoretical approach pivots around the idea that clients have the ability to
Yes, I apologize if this wasn’t discussed directly with you but all of the Client Relations team members received 6 evals for the month. I thought maybe I shared the information with you directly or it would have been passed down through the leadership.
Frequently, a therapist is faced with the challenge of how to restrain the client from terminating the therapeutic relationship prematurely until real progress has been made in the