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 in the Interaction

Impasse in the interaction

An impasse is always mediated by the therapeutic relationship: whatever the main source of the block it will be expressed and experienced through the interaction between therapist and client. The client hopes for, but in some measure dreads, change; the therapist works for change by maintaining the alliance while trying to stay productively focused on her awareness of the forces of resistance. An impasse threatens when the flexible equilibrium within the interaction between alliance and resistance is lost more than momentarily. Not only is the client unwilling or unable to move forward in the face of an experience which is too intense or alien to be accommodated, the therapist too has lost her balance. The therapist in a ...

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