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Therapy with Difficult Clients : Using Precursors Model to Awaken Change - Fred J. Hanna

Therapy with Difficult Clients

Using Precursors Model to Awaken Change

Hardcover

Published: 1st October 2001
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An approach to working with clients who simply do not want to change. Therapeutic change, in the view of Fred J. Hanna, hinges on the presence of seven ""precursors"" of change: hope, awareness, a sense of the necessity of change, the willingness to experience anxiety or difficulty, the willingness to confront issues, the exertion of the will or effort, and the presence of social support. The presence of these precursors bodes well for a client no matter what the therapist's theoretical orientation. Their absence creates roadblocks to therapeutic change no matter how skilled the therapist, how potent the theory, or how close the relationship. In this guide, Hanna offers a tool for assessing the readiness for change in clients and in therapists. He offers strategies, examples and insights for therapists who face seemingly insurmountable obstacles in the therapeutic relationship.

Prefacep. vii
Acknowledgmentsp. ix
Introductionp. 3
Understanding Difficult Clients, Therapeutic Change, and Resistancep. 17
What Makes a Client Difficult?p. 19
Toward a Model of Change for Difficult Clientsp. 31
The Precursors Model: Skills and Functions of Changep. 47
Assessing the Potential for Therapeutic Changep. 111
Rating Client Change Potential: Using the Precursors Assessment Formp. 113
Rating Therapist Precursorsp. 129
Clinical Applications: First Stepsp. 143
Orienting the Relationship Around Changep. 145
Reducing Therapist Interference and Increasing Therapeutic Wisdomp. 167
Multicultural and Gender Considerations: A New Adaptation of Cognitive Therapy and a Framework for Empowermentp. 181
Clinical Applications: Implementing and Enhancing the Precursorsp. 193
Instilling a Sense of Necessityp. 195
Establishing the Willingness or Readiness to Experience Anxiety or Difficultyp. 211
Cultivating Awarenessp. 227
Enhancing Confrontingp. 241
Increasing Effort or Will Toward Changep. 255
Building Hope for Changep. 265
Developing Social Support for Changep. 275
Conclusionp. 283
At the Horizon of Changep. 285
Characteristics of Wisdomp. 295
Referencesp. 297
Author Indexp. 315
Subject Indexp. 321
About the Authorp. 329
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9781557987938
ISBN-10: 1557987939
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 328
Published: 1st October 2001
Publisher: American Psychological Association
Country of Publication: US
Dimensions (cm): 23.0 x 17.78  x 2.54
Weight (kg): 0.78