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 Therapeutic Strategy

Impasse and the therapeutic strategy

Naturally, therapists like to believe that therapeutic knowledge and technique are the most important determining features of the progress of therapy. However, the research literature suggests that the greatest contribution to the success of therapy is provided by the characteristics of the client (Garfield, 1994). This means that it is essential to consider what the client brings to the development of an impasse, although it remains the therapist's responsibility to create the circumstances which are most likely to be helpful for any individual – not just facilitating the process of the therapeutic interaction but also selecting an appropriate format for the work overall. This chapter is concerned with this responsibility and the choices of therapeutic strategy ...

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