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The must-have guide to honestly and sensitively answering your clients' questions Written to help therapists view their clients' questions as collaborative elements of clinical work, What Do I Say? explores the questions some direct, others unspoken that all therapists, at one time or another, will encounter from clients. Authors and practicing therapists Linda Edelstein and Charles Waehler take a thought-provoking look at how answers to clients' questions shape a therapeutic climate of expression that encourages personal discovery and growth. Strategically arranged in a question-and-answer format for ease of use, this hands-on guide is conversational in tone and filled with personal example...
Although the impact that clients can have on therapists is well-known, most work on the subject consists of dire warnings: mental health professionals are taught early on to be on their guard for burnout, compassion fatigue, and countertransference. However, while these professional hazards are very real, the scholarly focus on the negative potential of the client-counselor relationship often implies that no good can come of allowing oneself to get too close to a client's issues. This sentiment obscures what every therapist knows to be true: that the client-counselor relationship can also effect powerful positive transformations in a therapist's own life. The Client Who Changed Me is Jeffrey...
Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
In Between Therapist and Client, Michael Kahn explores what is perhaps the most important aspect of therapy -- the therapist-client relationship. As he traces the history of the clinical relationship from Freud to the present, Kahn shows how the enmity between the humanists and the psychoanalysts limited their therapeutic effectiveness -- and how their recent reconciliation has opened up exciting new possibilities for the way therapists relate to clients, pointing to a promising new period in the history of psychotherapy. Book jacket.
[In this book] "difficult clients" is meant as "difficulties with clients..". I like to be challenged in my thinking and there was much about this book that I found thought-provoking and challenging, and which made me re-examine my basic philosophy and approach to counselling... For the newly trained counsellor this book offers organizational, practical and theoretical advice... it gives a good academic overview of understanding how client-counsellor interactions can become difficult, together with some preventative techniques and case-work examples' -"Counselling, The Journal of The British Association for Counselling " Counsellors and other mental health professionals will inevitably encou...
This report is based on a rethinking of the concept of motivation, which is redefined here as purposeful, intentional, & positive -- directed toward the person's best interests. This report shows how substance abuse treat. staff can influence change by developing a therapeutic relationship that respects & builds on the client's autonomy & makes the treat. clinician a partner in the change process. Describes motivational interventions that can be used at all stages of the change process, from pre-contemplation & preparation to action & maintenance, & informs readers of the research, results, tools, & assessment instruments related to enhancing motivation.
Resistant. Oppositional. Borderline. Mental health professionals commonly use such terms to describe patients who, despite expressing a strong desire to reduce their emotional distress, repeatedly reject or ignore their therapist's interpretations andadvice. When this continues session after session, both patient and therapist end up feeling stuck and frustrated.This book offers an alternative interpretation of patients' apparent resistance, termed pathological ambivalence, which is rooted in early experience, biological functioning, and psychological narrative. The concept of pathological ambivalence draws from several established theoretical perspectives in explaining why some people seem to sabotage their progress in psychotherapy and how some therapists become unintentional enablers.
THE GIFT OF THERAPY is the culmination of master psychiatrist Dr Irvin Yalom's thirty-five years' work as a therapist, illustrating through real case studies how patients and therapists alike can get the most out of therapy. Presented as eighty-five 'tips' for 'beginner therapists', Yalom shares his own fresh approach and the insights he has gained while treating his patients. Personal, and sometimes provocative, Yalom makes some unorthodox suggestions, including: Let the patient matter to you; Acknowledge your errors; Create a new therapy for each patient; Make home visits; (Almost) never make decisions for a patient; and Freud was not always wrong. This is an entertaining, informative and insightful read for both beginners and more experienced therapists, patients, students and everyone with an interest in the subject.
Helping therapists navigate the complexities of emotional interactions with clients, this book provides practical clinical guidelines. Master clinician Karen J. Maroda adds an important dimension to the psychodynamic literature by exploring the role of both clients' and therapists' emotional experiences in the process of therapy. The book discusses how to become more attuned to one's own experience of a client; offer direct feedback and self-disclosure in the service of treatment goals; and manage intense feelings and conflict in the relationship. Specific techniques are illustrated with vivid case examples. Maroda clearly distinguishes between therapeutic and nontherapeutic ways to work with emotion in this candid and instructive guide.
An examination of projective identification and its clinical uses from a Kleinian perspective. The author puts forward the hypothesis that identification is the patient's way of mastering significant trauma.