Abstract

In this article, we draw on our experiences as therapists and supervisors to highlight the errors new clinicians tend to make and how they can be avoided. A critical issue is how to approach the client's narrative. We propose a stance of “respectful skepticism,” in which the factors that shape the client's truth can best be appreciated. This represents a middle way between gullible listener and prosecuting attorney. We also discuss common problems with client motivation, as well as the changing role of feelings in therapy, the importance of the therapeutic contract, the high cost of defensiveness, the concept of conversational domains, and the advantages of avoiding therapeutic platitudes, explanatory fictions, and jargon.

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