Despite the efforts of therapists and patients, many patients in cognitive-behavioral therapy--or any therapy--do not improve. This unique book is designed to help the clinician better understand and work with patients who seem unable or unwilling to make needed changes. Integrating ideas from a range of psychotherapeutic approaches, the book presents a multidimensional model of resistance. It enumerates the specific impediments to change that may arise in the cognitive therapy context and brings each one to life with realistic clinical illustrations. Clinicians learn practical strategies and interventions to deal with a number of types of resistance, from reluctance to comply with basic cognitive procedures to risk-aversion and self-handicapping. Also addressed are countertransference issues, including workable ways that clinicians can modify their own responses to patients to overcome impasses in treatment.
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Robert L. Leahy, PhD, is Director of the American Institute for Cognitive Therapy in New York City and Clinical Professor of Psychology in the Department of Psychiatry at Weill Cornell Medical College. Dr. Leahy is Associate Editor of the International Journal of Cognitive Therapy and is past president of the Association for Behavioral and Cognitive Therapies (ABCT), the International Association for Cognitive Psychotherapy, and the Academy of Cognitive and Behavioral Therapies (A-CBT). He is a recipient of the Outstanding Clinician Award from ABCT and the Aaron T. Beck Award from A-CBT. Dr. Leahy is author or editor of 29 books for mental health professionals and the general public, including If Only and The Worry Cure. His books have been translated into 21 languages
Contents
1. Introduction
I. Theoretical and Conceptual Foundations
2. Models of Resistance
3. Resistance to Procedure
II. Dimensions of Resistance
4. Validation Resistance
5. Self-Consistency
6. Schematic Resistance
7. Moral Resistance: Compulsive Responsibility
8. Victim Resistance
9. Risk Aversion and Depressive Resistance
10. Self-Handicapping
III. Cognitive Therapy and Countertransference
11. Evaluating the Countertransference
12. Using the Countertransference
13. Conclusions
References
Index
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