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Resolving impasses in therapeutic relationships

Author: Sue Nathanson Elkind
Publisher: New York : Guilford Press, ©1992.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
"This volume deals with a fundamental issue that all clinicians face at same time or other: the therapeutic impasse. What should you do when sessions with a client seem hopelessly mired, or when the client feels that you have done something so egregious that therapy goes awry? How about an abrupt rupture: when you find the angry or hostile feelings directed toward you to be so intolerable that you decide to  Read more...
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Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Sue Nathanson Elkind
ISBN: 089862892X 9780898628920
OCLC Number: 26097728
Description: x, 335 pages ; 24 cm
Contents: Pt. I. Mismatches, Impasses, and Wounding. 1. Mismatches. 2. Impasses. 3. A Complicated Knot: The Case of Lynn and Dr. K. 4. Untangling the Knot. 5. Wounding in Areas of Primary Vulnerability --
Pt. II. Primary Vulnerability, Relational Modes, and Ruptured Attachments. 6. Related Views of Primary Vulnerability. 7. Origins of Primary Vulnerabilities in Infancy. 8. Relational Modes: Mother/Infant and Therapist/Patient. 9. Support from Infant Research. 10. The Centrality of the Attachment Bond. 11. The Mourning Process When Therapeutic Relationships Rupture --
Pt. III. Consultation to Therapeutic Relationships: Toward Clarity and Restitution. 12. Consultations: An Overview. 13. Working with Mismatches and Impasses. 14. Working with Wounding in Areas of Primary Vulnerability. 15. Consultation: When the Therapeutic Relationship Ruptures --
Appendix A: Survey on Therapeutic Impasse and Failure --
Appendix B: Results of 1986 Survey on Therapeutic Impasse and Failure --
Appendix C: Summary of Other Research Studies on Painful Termination.
Responsibility: Sue Nathanson Elkind.
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Abstract:

Psychologist Elkind (Psychotherapy Institute, Berkeley) presents a theoretical framework for understanding and working with the relational knots that occur between therapists and their patients.  Read more...

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"Elkind has written a powerful, innovative book on therapeutic impasses, a subject that is so central, so pervasive, and so inevitable in the kind of work therapists do." --Irene P. Stiver, Ph.D. Read more...

 
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   schema:reviewBody ""This volume deals with a fundamental issue that all clinicians face at same time or other: the therapeutic impasse. What should you do when sessions with a client seem hopelessly mired, or when the client feels that you have done something so egregious that therapy goes awry? How about an abrupt rupture: when you find the angry or hostile feelings directed toward you to be so intolerable that you decide to terminate?" "Based on years of clinical and consultation work, Sue Nathanson Elkind presents a theoretical framework for understanding and working with the relational knots that occur between therapists' and their patients. Asserting that such episodes are unavoidable pivotal events in therapeutic relationships, she provides a map of the wide range of predicaments that can arise, including mismatches between therapist and patient, stalemates resulting from patient-therapist collusion, irreconcilable conflicts or power struggles, breaches in the attachment band, and untimely terminations." "Elkind demonstrates how patients and therapists function as relational partners. Without blame and with compassion for inevitable difficulties, she describes how impasses arise when these partnerships became rigid, operate outside of conscious awareness, or when the vulnerabilities and defenses of the patient and the therapist intersect in problematic ways. Her concepts of primary vulnerabilities and relational modes benefit both parties: Rather than automatically pathologizing the patient, they empower the patient and humanize the therapist by recognizing normal human limitations." "The final section of the book presents an in-depth discussion of a form of consultation for therapeutic impasses that may include both the patient and the therapist. Demonstrating how both may suffer when the therapeutic dyads function in isolation, Elkind advocates setting up a relational network through the presence of a consultant. Vignettes of actual consultations of this type for a wide range of problems illustrate how such consultations work, what functions they can serve, and what their limitations are." "Featuring stories that often are not told because of the feelings of shame and failure that arise for therapists and patients caught in therapeutic impasses, this book is compelling reading. It fills a gap in the literature by comprehensively addressing a common, but rarely discussed, aspect of the profession. As such, it is an important volume for both experienced and novice clinicians regardless of theoretical persuasion. Bringing theoretical issues to life through its clinical vignettes, it also serves as an excellent text for graduate and postgraduate courses in psychology, counseling, psychiatry, and psychiatric social work."--BOOK JACKET." ;
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