تبدیل واکنش‌های منفی به مشتریان: از ناامیدی به همدلی

__Transforming Negative Reactions to Clients__ will help therapists established and novice understand and constructively use the wide range of interfering feelings they experience in their working alliance with challenging patients. Contributors to this edited volume explore therapists negative reactions across major therapeutic approaches and across various disorders, including borderline personality disorder; the concluding chapter contains practice and training recommendations.Geared toward practicing psychotherapists and supervisors of apprentice therapists, the book draws on integrative and relational psychotherapy, research on the therapeutic alliance, and social psychology research on the reattribution of motive. "The goal of this book is to help psychotherapists better understand, manage, and transform the wide range of emotions they experience while conducting psychotherapy and to help them use these experiences to facilitate an understanding of their clients and a strengthening of the therapeutic alliance. Affective modes of communication are central to everyday discourse, yet psychotherapists have tended to marginalize their personal reactions to clients as idiosyncratic and subjective--or, worse, devalue them as intrusive, counterproductive, and unprofessional. This book is based on the premise that the affective states therapists experience when treating clients are frequently a consequence of interacting with clients who experience intense emotions and have problematic interpersonal behaviors. In addition to tracking their clients' affective states, therapists need to monitor and regulate their own affective reactions. If therapists fail to recognize such emotional reactions, or perceive them only as noise in the therapeutic process, they risk missing an important source of data that may directly or indirectly affect the therapeutic alliance and negatively influence treatment outcomes. By increasing their awareness of how clients throw them off balance, therapists are more likely to develop a more compassionate stance toward both their clients and themselves. With the exception of psychoanalytic work on countertransference, little has been written on the therapist's affective experience while conducting psychotherapy. This book adopts an integrative perspective, arguing that all therapists, regardless of orientation, are vulnerable to a wide range of problematic emotions, and all practitioners will increase their understanding of the process of psychotherapy by acknowledging how their reactions are an important source of clinical data"--Preface. (PsycINFO Database Record (c) 2012 APA, all rights reserved) CoNTENTs 8 CONTRIBUTORS 12 PREFACE 14 inTrOduCTiOn 20 I Negative ReactioNs acRoss theRapeutic appRoaches 36 iNtRoDuctioN: Negative ReactioNs acRoss theRapeutic appRoaches 38 1poWeR plaYs, NegotiatioN, aND Mutual RecogNitioN iN the theRapeutic alliaNce: “i NeveR Met a clieNt i DiDN’t like . . . eveNtuallY” 40 2 COGnItIvE BEhAvIOR thERAPy: A RICh But IMPlICIt RElAtIOnAl FRAMEWORk WIthIn WhICh tO DEAl WIth thERAPIst FRustRAtIOns 62 3THERAPIST NEGATIvE REACTIONS: A PERSON-CENTERED AND ExPERIENTIAl PSyCHOTHERAPy PERSPECTIvE 86 4DIffICultIEs WIth ClIEnts In GOttMAn MEthOD COuPlEs thERAPy 108 5MAnAGInG neGAtIve ReACtIOns tO ClIents In COnJOInt theRAPy: It’s nOt All In the FAMIly 130 6COMPAssIOn AMIDst OPPREssIOn: InCREAsInG CultuRAl COMPEtEnCE fOR MAnAGInG DIffICult DIAlOGuEs In PsyChOthERAPy 156 iiBorderline Personality disorder 176 introduCtion: Borderline Personality disorder 178 7theraPist CoMPassion: a dialeCtiCal Behavior theraPy PersPeCtive 180 8MAnAGInG nEGAtIvE REACtIOns tO ClIEnts WIth BORDERlInE PERsOnAlIty DIsORDER In tRAnsfEREnCE-fOCusED PsyChOthERAPy 192 iiiManaging negative Reactions acRoss otheR DisoRDeRs 206 intRoDuction: Managing negative Reactions acRoss otheR DisoRDeRs 208 9tiMe-LiMiteD DynaMic PsychotheRaPy: WoRking With Reactions to chRonicaLLy DePResseD cLients 210 10PAttERn RECOGnItIOn In thE tREAtMEnt Of nARCIssIstIC DIsORDERs: COuntERtRAnsfEREnCE fROM A unIfIED PERsPECtIvE 238 11NEGAtIvE REACtIONs tO substANCE-usING ClIENts: WhERE thE REACtIONs COME FROM, WhAt thEy ARE, AND WhAt tO DO AbOut thEM 262 COnClusIOn AnD ClInICAl GuIDElInEs 286 INDEX 300 About the editors 314 Transforming Negative Reactions to Clients will help therapists established and novice understand and constructively use the wide range of interfering feelings they experience in their working alliance with challenging patients. Contributors to this edited volume explore therapists negative reactions across major therapeutic approaches and across various disorders, including borderline personality disorder; the concluding chapter contains practice and training recommendations. Geared toward practicing psychotherapists and supervisors of apprentice therapists, the book draws on integrative and relational psychotherapy, research on the therapeutic alliance, and social psychology research on the reattribution of motive.