Counsellors and psychotherapists often encounter difficult situations with clients for which they feel ill prepared. At any stage in the process a client may experience a crisis or set back in their progress or simply be unable to move beyond a certain point. Working through Setbacks in Psychotherapy is therefore intended to help therapists respond to such events which form major obstacles to the successful development and maintenance of the therapeutic relationship. The authors present a framework for understanding the problems that arise and offers effective guidance for working through difficult situations which test the skills of even the most experienced practitioners. Until now little has been written about the

Impasse and the Alliance

Impasse and the alliance

The conclusion of a therapy is often inherent in its beginnings. Getting things off to a good start – which does not necessarily mean an easy one – can be the best guarantee of ensuring a positive outcome. By the same token, an impasse often stems from how things are set up at the very beginning. Either therapy never really gets off the ground, perhaps resulting in early dropout, or else trouble is stored up, waiting like a time-bomb to explode at some critical point in the future. Foundations have not been laid which are capable of withstanding the pressures that the therapeutic work places upon them. Two closely related issues – the collaborative element of the therapeutic ...

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