{"title":"A case illustration of resistance from a cognitive perspective","authors":"Cory F. Newman","doi":"10.1002/(SICI)1520-6572(199621)2:1<11::AID-SESS3>3.0.CO;2-B","DOIUrl":null,"url":null,"abstract":"<p>Brian, a 36-year-old, single, white male, entered cognitive therapy in response to a depressive episode, precipitated by the loss of a job. In addition to his Major Depression, the client met diagnostic criteria for Dysthymia and Personality Disorder Not Otherwise Specified. The first three sessions focused on Brian's unemployment crisis and related dysphoria, as well as his passive-avoidant approach to life. Brian collaborated with the therapist in formulating a treatment plan and quickly found a new job, whereupon he abruptly withdrew from therapy. Shortly thereafter, Brian contacted the therapist in a renewed state of “crisis,” and returned for a fourth session. The therapist attempted to draw a link between Brian's passive-avoidant style and his vulnerability to problems such as those he was currently experiencing. The client had difficulty understanding the therapist's thread of logic, became somewhat defensive and combative, and did not return for further sessions. © 1996 John Wiley & Sons, Inc.</p>","PeriodicalId":100662,"journal":{"name":"In Session: Psychotherapy in Practice","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"In Session: Psychotherapy in Practice","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/%28SICI%291520-6572%28199621%292%3A1%3C11%3A%3AAID-SESS3%3E3.0.CO%3B2-B","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
Abstract
Brian, a 36-year-old, single, white male, entered cognitive therapy in response to a depressive episode, precipitated by the loss of a job. In addition to his Major Depression, the client met diagnostic criteria for Dysthymia and Personality Disorder Not Otherwise Specified. The first three sessions focused on Brian's unemployment crisis and related dysphoria, as well as his passive-avoidant approach to life. Brian collaborated with the therapist in formulating a treatment plan and quickly found a new job, whereupon he abruptly withdrew from therapy. Shortly thereafter, Brian contacted the therapist in a renewed state of “crisis,” and returned for a fourth session. The therapist attempted to draw a link between Brian's passive-avoidant style and his vulnerability to problems such as those he was currently experiencing. The client had difficulty understanding the therapist's thread of logic, became somewhat defensive and combative, and did not return for further sessions. © 1996 John Wiley & Sons, Inc.
一个从认知角度看抵抗的案例
布莱恩,36岁,单身,白人男性,因失业引发的抑郁发作而接受认知治疗。除重度抑郁症外,该病人还符合心境恶劣和未另行说明的人格障碍的诊断标准。前三个疗程集中在布莱恩的失业危机和相关的焦虑,以及他的被动回避的生活方式。布莱恩与治疗师合作制定了一个治疗计划,并很快找到了一份新工作,于是他突然退出了治疗。此后不久,布莱恩以一种新的“危机”状态联系了治疗师,并返回进行了第四次治疗。治疗师试图在布莱恩的被动回避风格和他对问题的脆弱性之间建立联系,比如他目前正在经历的问题。客户很难理解治疗师的逻辑线索,变得有些防御和好斗,并且没有再回来进行进一步的治疗。©1996 John Wiley &儿子,Inc。
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