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.
I - Psychodynamic Approaches.- 1. Dynamic Psychotherapy and Its Frustrations.- 2. Resistance as Process.- 3. Psychoanalytic Perspectives on Resistance.- 4. Levels of Resistance in the Psychotherapeutic Process.- II - Behavioral Approaches.- 5. Resistance and Clinical Behavior Therapy.- 6. Resistance or Rationalization? A Cognitive-Behavioral Perspective.- 7. Resistance from a Cognitive-Behavioral Perspective.- 8. The Behavior-Analytic Approach.- III - Commentaries by the Authors.- 9. Behavioral and Psychodynamic Psychotherapies: Mutually Exclusive or Reinforcing?.- 10. A Critique of the Concepts of Resistance in Behavior Therapy.- 11. A Psychoanalytic Critique of the Behavioral Contributions.- 12. Psychoanalytic Resistance and Behavioral Nonresponsiveness: A Dialectical Impasse.- 13. A Perspective on the Dynamic Contributions.- 14. Thoughts on the Resistance Chapters.- 15. Behaviorists, Cognitive Behaviorists, and Behavior Analytic Writers.- 16. Behavior-Analytic Considerations of Alternative Clinical Approaches.- Author Index.
Number Of Pages: 267
Published: 1st March 1982
Publisher: Springer Science+Business Media
Country of Publication: US
Dimensions (cm): 23.5 x 15.88
Weight (kg): 0.54