In Session: Psychotherapy in Practice最新文献

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A gestalt-experiential perspective on resistance 对阻力的完形经验观点

In Session: Psychotherapy in Practice

Pub Date : 1996-01-01 DOI: 10.1002/(SICI)1520-6572(199621)2:1<45::AID-SESS7>3.0.CO;2-7

Marjorie Holiman, David Engle

In this article, we present background on the gestalt- experiential understanding of resistance, conceptualized to be either resistance to awareness or resistance to taking steps to have one's needs met. We discuss why we do not use the term “resistance” and describe the phenomenon as a client's self-protective attempt to avoid the anxiety necessitated by change. Such “resistant” behaviors occur outside a client's awareness and often result in an ambivalence or conflict about change. We also describe using in-session experiments as a way to engage with the client in exploring such a state of ambivalence or conflict. Finally, we respond to the case studies presented elsewhere in this issue and propose intervention strategies consistent with the gestalt-experiential perspective. © 1996 John Wiley & Sons, Inc.

在这篇文章中，我们介绍了格式塔的背景-对抵抗的经验理解，概念化为对意识的抵抗或对采取措施以满足个人需求的抵抗。我们讨论了为什么我们不使用“抗拒”这个术语，并将这种现象描述为客户的自我保护尝试，以避免改变所必需的焦虑。这种“抗拒”行为发生在客户意识之外，往往导致对改变的矛盾心理或冲突。我们还描述了使用会话实验作为一种与客户接触的方式，以探索这种矛盾或冲突的状态。最后，我们回应了本问题中其他地方提出的案例研究，并提出了与格式塔经验观点一致的干预策略。©1996 John Wiley &儿子,Inc。

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A case illustration of resistance from a psychodynamic perspective 从心理动力学的角度阐述抵抗的一个案例

In Session: Psychotherapy in Practice

Pub Date : 1996-01-01 DOI: 10.1002/(SICI)1520-6572(199621)2:1<5::AID-SESS2>3.0.CO;2-Q

Wayne Satten

This clinical vignette illustrates a case of resistance during the course of a psychodynamic psychotherapy. The client is a chronically depressed woman struggling to expand beyond her familiar and in many ways gratifying role as a “good little girl” who seeks and often obtains reassurance and appreciation from paternalistic figures. She has also become increasingly aware of the cost of rigidly maintaining this role, which inhibits her experience of herself as a competent, assertive, and sexually mature woman. The client is at an advanced stage of her therapy, and in the vignette one sees her working through this conflict by addressing her experience both in her family of origin and in the therapeutic relationship. Her efforts to resolve this core issue, and her concurrent resistances, are exhibited in this presentation. © 1996 John Wiley & Sons, Inc.

这个临床小插曲说明了在心理动力学心理治疗过程中的抵抗情况。客户是一个长期抑郁的女人，努力超越她熟悉的、在许多方面令人满意的“好小女孩”角色，她寻求并经常从家长式的人物那里获得安慰和赞赏。她也越来越意识到严格维持这个角色的代价，这阻碍了她作为一个有能力、自信和性成熟的女性的体验。来访者处于治疗的高级阶段，在小插图中，人们看到她通过讲述她在原生家庭和治疗关系中的经历来解决这种冲突。她为解决这一核心问题所做的努力，以及她同时存在的阻力，都在这次演讲中得到了展示。©1996 John Wiley &儿子,Inc。

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