Overcoming Obstacles in CBT comes to the rescue of anyone struggling with the challenges of practicing CBT, whether you are a trainee working under supervision or a qualified practitioner. It examines key obstacles, issues and difficulties encountered over the course of the therapy, illustrated with extensive case examples. Learning objectives, practice exercises and further reading lists help you engage with and relate the issues to your own practice.
Chapter 8: Shame and Guilt
Shame and Guilt
Therapists can never predict entirely what underlies the client's presenting problem. This chapter describes the various ways shame and guilt can create obstacles in therapy and explores management strategies.
Clients present in different ways to therapy. Some are reticent and struggle to disclose the details of their problem; others may be hostile and defensive. Shame-based experiences from past events can present in a covert way. The experience of shame can evoke strong feelings, which can impact on therapeutic ...