Therapists' Dilemmas

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SAGE, Jun 3, 1997 - Psychotherapy - 208 pages
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This book is really about how therapists resolve discomforting conflicts and what such conflicts reveal about the nature of therapy. Windy Dryden approaches this task by way of a series of interviews with experienced therapists from a range of therapeutic backgrounds... the interviews are both readable and engaging... and often give us as much insight into the therapists themselves as to the dilemmas.... This book would clearly serve as a useful source of discussion for students of therapy or counselling. It is also a thoughtful and interesting read for any practitioner' -"Clinical Psychology Forum


This collection of interviews examines crucial issues of uncertainty which leading British and American therapists have encountered during the course of their work. This revised edition includes a new chapter by Tim Bond.

Using a conversational model, the therapists are questioned about their own dilemmas, past and present, as practitioners. Focusing on the similarities in the therapists' experiences of working with clients, six main dilemma' themes emerged from these interviews: compromise dilemmas, boundary dilemmas, dilemmas of allegiance, role dilemmas, dilemmas of responsibility and impasse dilemmas. Discussion issues are put forward at the end of each interview to encourage readers to explore further particular problems that surfaced during the course of the dialogue.


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Dilemmas in giving warmth or love to clients
Education or healing?
To share or not to share? Notes on myself
The price of keeping faith
Where are the boundaries?
Invivo intervention or transference?
On leaving the fold
Splitting and integration in marital therapy
Confrontation or collusion? The dilemma of a lonely burdened
Whose decision?
The nonimproving patient
Missing links and lacunae
The psychotic disguise
Therapists dilemmas as stimuli to new understanding and practice

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Page 10 - There are some people who are suicidal and others who are very vulnerable who, if you say anything harsh to them or if you try to push them to do uncomfortable things, just don't seem to be able to take it. So at the beginning of therapy with some people, I lean over backwards to be kinder than I might normally be. I still show them the ABCs of RET and encourage them to do active disputing.

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