Consider the parlance, for starters. The phrase “treatment-resistant depression” has a way of putting the onus—if only linguistically—on patients. It’s not that patients are stubborn or recalcitrant—it’s that the system is failing them with a lack of effective treatment options.
What is resistance in psychotherapy?
Such definitions view resistance as representing the client's efforts to repress anxiety-provoking memories and insights, or efforts to fight the therapist's influence. For example, Bischoff & Tracey define resistance as "any behavior that indicates covert or overt opposition to the therapist, the counseling process, or the therapist's agenda."
Why is my client resistant to therapy?
Apr 10, 2021 · Acceptance and commitment therapy. A form of cognitive behavioral therapy, acceptance and commitment therapy helps you to engage in positive behaviors, even when you have negative thoughts and emotions. It's designed for treatment-resistant conditions. Interpersonal psychotherapy.
Is resistance to therapy good or bad?
Psychological resistance, also known as psychological resistance to change, is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibit paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process.In other words, the concept of psychological resistance is that patients are likely to …
Why do people resist psychoanalytic therapies?
Feb 02, 2022 · What has been called "treatment-resistant depression" is better described as "difficult-to-treat depression." Traditional ideas about depression need revising. It may be that depression should be...
What is the meaning of resistance in psychology?
1. generally, any action in opposition to, defying, or withstanding something or someone. 2. in psychotherapy and analysis, obstruction, through the client's words or behavior, of the therapist's or analyst's methods of eliciting or interpreting psychic material brought forth in therapy.
What is resistance in clinical psychology?
Psychological resistance, also known as psychological resistance to change, is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibit paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process.
What are the four types of client resistance?
The four categories described by Otani are response quantity, response content, response style, and logistic management. Response quantity resistance is viewed as the client's noncompliance with the change process.
What does countertransference mean in psychology?
The American Psychological Association (APA) defines counter-transference as a reaction to the client or client's transference,1 which is when the client projects their own conflicts onto the therapist. Transference is a normal part of psychodynamic therapy.Jul 31, 2021
What is psychological support and resistance?
Support occurs where a downtrend is expected to pause, due to a concentration of demand. Resistance occurs where an uptrend is expected to pause temporarily, due to a concentration of supply. These levels, while they may appear arbitrary at first sight, are based on market sentiment and anchoring.
What causes resistance in therapy?
Clients are sometimes resistant because the counselor is asking them to deal with an undesired agenda, Wubbolding says. “Resistance means we're working on the wrong problem a problem that the client doesn't care to work on. Counselors need to connect with the client in order to find the right problem.Feb 14, 2010
What does transference mean in psychology?
Transference is when someone redirects their feelings about one person onto someone else. During a therapy session, it usually refers to a person transferring their feelings about someone else onto their therapist. Countertransference is when a therapist transfers feelings onto the patient.Jun 27, 2021
How do you identify resistance in therapy?
Broadly defined, realistic resistance refers to clients' conscious, deliberate opposition to therapeutic initiatives that they fail to understand or accept. Realistic resistance refers to clients' conscious, deliberate opposition to therapeutic initiatives that they fail to understand or accept.
How do you deal with psychological resistance?
1. Become aware.Become aware. The problem usually is that we don't think about Resistance. ... Combat this by realizing that you are facing Resistance. Once you become aware of it, you can fight it, and beat it. ... Be very clear, and focus. ... Clear away distractions. ... Have a set time and place. ... Know your motivation. ... Just start.
What is boundary violation?
Boundary violation means crossing verbal, physical, emotional, and social lines that an educator must maintain in order to ensure structure, security, and predictability in an educational environment.
What is the difference between transference and counter transference?
Transference is subconsciously associating a person in the present with a past relationship. For example, you meet a new client who reminds you of a former lover. Countertransference is responding to them with all the thoughts and feelings attached to that past relationship.
What's the difference between transference and projection?
Projection and transference are very similar. They both involve you attributing emotions or feelings to a person who doesn't actually have them. The difference between the two is where the misattributions occur. Projection occurs when you attribute a behavior or feeling you have about a person onto them.May 28, 2019
What type of counseling involves a group of people who struggle with depression working together with a psychotherapist?
Group psychotherapy. This type of counseling involves a group of people who struggle with depression working together with a psychotherapist. Mindfulness. Mindfulness involves paying attention and accepting one's thoughts and feelings without judging them as "right" or "wrong" in a given moment. Behavioral activation.
What type of therapy is used to help with depression?
Interpersonal psychotherapy focuses on resolving relationship issues that may contribute to your depression. Family or marital therapy. This type of therapy involves family members or your spouse or partner in counseling. Working out stress in your relationships can help with depression.
What to ask a psychiatrist about depression?
Consider your response to treatment, including medications, psychotherapy or other treatments you've tried.
What is the best treatment for depression?
Psychological counseling. Psychological counseling (psychotherapy) by a psychiatrist, psychologist or other mental health professional can be very effective. For many people, psychotherapy combined with medication works best. It can help identify underlying concerns that may be adding to your depression.
Can you stop drinking alcohol and drugs?
In the long run, alcohol and drugs worsen depression and make it harder to treat. If you can't stop drinking alcohol or using drugs on your own , talk to your doctor or mental health professional. Depression treatment may be unsuccessful until you address your substance use. Manage stress.
What is psychological resistance?
Psychological resistance is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibit paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process. It impedes the development of authentic, reciprocally nurturing experiences in a clinical setting.
Why do therapists work with resistance?
This is because working against the resistance of a client can result in a counterproductive relationship with the therapist; the more attention is drawn to the resistance , the less productive the therapy. Working with the resistance provides a positive working relationship and gives the therapist information about the unconscious of the client.
What is maladaptive behavior?
The client shows a pattern of off-task behaviors that makes the therapist experience some level of negative emotion and cognition against the client. Therefore the maladaptive pattern of interpersonal behavior and the therapist's response interfere with the task or process of therapy.
What is interpersonal resistance?
Resistance is based on instinctively autonomous ways of reacting in which clients both reveal and keep hidden aspects of themselves from the therapist or another person. These behaviors occur mostly during therapy, in interaction with the therapist.
What are the behavioral models of resistance?
Behavior analytic and social learning models of resistance focus on the setting events, antecedents, and consequences for resistant behavior to understand the function of the behavior. At least five behavioral models of resistance exist. These models share many common features. The most explored research model, with more than ten years of support, is the model created by Gerald Patterson for resistance in parent training. With supporting research, this model has even been extended to consultation.
What is the theory of resistance?
The discovery of resistance ( German: Widerstand) was central to Sigmund Freud 's theory of psychoanalysis: for Freud, the theory of repression is the cornerstone on which the whole structure of psychoanalysis rests, and all his accounts of its discovery "are alike in emphasizing the fact that the concept of repression was inevitably suggested by the clinical phenomenon of resistance".
Is cognitive behavioral therapy a directive therapy?
In these studies cognitive behavioral therapy has been used as a prototype for directive therapy and psychodynamic, self-directed, or other relation oriented therapy have been used as a prototype for non-directive treatment.
What is resistance psychology?
Resistance Psychology. Resistance is both a trait that some people possess in higher degrees and an emotional state that can be observed during therapy. Resistance in psychology refers to any opposition to the therapeutic process.
What does it mean when someone resists talking to you?
If they begin talking about a difficult subject, they may stop when they get to the hardest part, saying that they can't remember what happened next. These are not signs of dishonesty, but subconscious avoidance of unwanted information.
What did Freud believe about resistance?
Freud theorized that resistance was a sign of some past trauma hidden in the subconscious that needed to be revealed and dealt with in the present. In Freud's view, this catharsis would allow the person to experience emotional healing and find greater control over their behavior.
What is the theory of resistance?
They dismissed any topic that came too close to memories or emotions that were too uncomfortable. Freud theorized that resistance was a sign of some past trauma hidden in the subconscious that needed to be revealed and dealt with in the present. In Freud's view, this catharsis would allow the person to experience emotional healing and find greater control over their behavior.
What happens when a therapist gets too close to a client?
Sometimes, when the therapist gets too close to any subjects the client doesn't want to talk about, the client becomes angry. Their anger sidetracks the conversation. After that, it can be very hard to get back to that crucial point in the therapeutic process.
How to overcome counterproductive resistance?
Consider Online Therapy. Even if you recognize that you're resistant to taking steps that would improve your life, you still may need help overcoming that resistance. Talking to a counselor is a good first step to combating counterproductive resistance and helping you deal with your problems more directly.
What is resistance and transference?
Transference. Resistance and transference in psychology often go together. Transference means that you transfer uncomfortable feelings from one person to another. In therapy, clients often transfer their feelings about a person who hurt them in the past to their therapist.
What is it called when a patient falls in love with a therapist?
A patient’s experience of sexual or romantic feelings about the therapist has been called sexualized transference . The concept dates back to Freud, who posited that some patients fall in love with their therapist because of the context of psychoanalysis, not because of the actual characteristics of the therapist.
What is the repetition of emotional responses to one individual (such as a parent) in the context of a different
The repetition of emotional responses to one individual (such as a parent) in the context of a different relationship is theorized to take place without conscious awareness. However, a person can become consciously aware of this pattern.
What is transference in therapy?
Transference is a phenomenon in which one seems to direct feelings or desires related to an important figure in one’s life—such as a parent—toward someone who is not that person. In the context of psychoanalysis and related forms of therapy, a patient is thought to demonstrate transference when expressing feelings toward the therapist ...
What is the purpose of transference in psychology?
Psychoanalysis aims to uncover those unconscious conflicts—which may be responsible for current patterns of emotion and behavior. Transference is one method through which those conflicts may be recognized and, hopefully, resolved.
What does it mean when a therapist uses observations?
A therapist may also use observations of their feelings about a patient to make inferences about how other people might feel about the patient.
What is a blank screen in psychotherapy?
The idea of the therapist as a “blank screen” or “mirror” is traditionally considered important in psychoanalytic therapy: In short, the therapist seeks to remain somewhat anonymous to the patient .
What happens if a patient's mother is judgmental?
If a patient’s mother was extremely judgmental to her as a child, and the therapist makes an observation that the patient perceives as judgmental, the patient might express that and even lash out at the therapist. This response could be interpreted as her applying to her therapist the same feelings that she felt toward her mother.
What is psychological resistance?
Sigmund Freud originally described psychological resistance as a phenomenon wherein patients unconsciously “cling to their disease” through “tenacious” and “critical objections” in order to repress distressing thoughts, emotions and experiences as they are raised by the therapist (Freud, 1904; 1920; 1940).
What is resistance in therapy?
Resistance to the therapist’s general approach to therapy (e.g., involving discrepancies in general expectancies and/or objectives for treatment) Resistance to specific in-session techniques (e.g., session structure, particular interventions, etc.) Resistance to words or phrases used by the therapist. Although a strong working alliance tends ...
What is realistic resistance?
Broadly defined, realistic resistance refers to clients’ conscious, deliberate opposition to therapeutic initiatives that they fail to understand or accept.
Should therapists avoid alliance ruptures?
In fact, rather than allow for a client’s resistance (whether communicated directly or indirectly to the therapist) to dictate the course of therapy, therapists should not avoid potential alliance ruptures and instead work with and address resistance as it arises.