Overcoming Resistance in Cognitive Therapy

Introduction. Part 1: Theoretical and Conceptual Foundations. Models of Resistance. Resistance to Procedure. Part 2: Dimensions of Resistance. Validation Resistance. Self-Consistency. Schematic Resistance. Moral Resistance: Compulsive Responsibility. Victim Resistance. Risk Aversion and Depressive Resistance.

This practical guide presents Leahy's multidimensional model of resistance in cognitive therapy. Richly illustrated with case examples and session vignettes, the book addresses a variety of ways that clients may resist basic therapeutic procedures: noncompliance with agenda setting and homework assignments, splitting transference with other therapists, inappropriate behavior, and premature termination. Underlying processes of resistance are explored, from the desire for validation to risk aversion and self-handicapping. Also highlighted are ways that the therapist's own responses may inadvertently impede change. Provided are innovative tools for getting treatment back on track, including targeted interventions, in-session experiments, and questionnaires and graphic models to share with clients.

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Overcoming Resistance in Cognitive Therapy

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