Despite the efforts of therapists and patients, many patients in
cogni tive-behavioral therapy--or any therapy--do not improve. This
unique b ook is designed to help the clinician better understand
and work with patients who seem unable or unwilling to make needed
changes. Integrat ing ideas from a range of psychotherapeutic
approaches, the book prese nts a multidimensional model of
resistance. It enumerates the specific impediments to change that
may arise in the cognitive therapy context and brings each one to
life with realistic clinical illustrations. Cl inicians learn
practical strategies and interventions to deal with a n umber of
types of resistance, from reluctance to comply with basic cog
nitive procedures to risk aversion and self-handicapping. Also
address ed are countertransference issues, including workable ways
that clinic ians can modify their own responses to patients to
overcome impasses i n treatment.
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