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Resistance - Psychodynamic and Behavioral Approaches (Hardcover, 1982 ed.)
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Resistance - Psychodynamic and Behavioral Approaches (Hardcover, 1982 ed.)
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RESISTANCE AND THE PROCESS OF THERAPEUTIC CHANGE Paul L. Wachtel
Psychotherapy, whether practiced from a psychodynamic or a
behavioral point of view,! is rarely as straightforward as
textbooks and case reports usually seem to imply. More often the
work proceeds in fits and starts (and often does not seem to be
proceeding at all, but rather unraveling or moving backward). The
"typical" case is in fact quite atypical. Almost all cases present
substantial difficulties for which the therapist feels, at least
some of the time, quite unprepared. Practicing psychotherapy is a
difficult-if also rewarding-way to earn a living. It is no
profession for the individual who likes certainty, predictability,
or a fairly constant sense that one knows what one is doing. There
are few professions in which feeling stupid or stymied is as likely
to be a part of one's ordinary professional day, even for those at
the pinnacle of the field. Indeed, I would be loath to refer a
patient to any therapist who declared that he almost always felt
effective and clear about what was going on. Such a feeling can be
maintained, I believe, only by an inordinate amount of bravado and
lack of critical self-reflection. But the therapist trying to get
some ideas about how to work with 1 These are, of course, not the
only two points of view in psychotherapy; nor do I believe they are
the only two of value.
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