Abstract

Therapists bring their own initiative, interest, and wonder—their “professional curiosity”—into treatment sessions. Some children and adolescents pull away in reaction to this curiosity, bristling or withdrawing, if only for a moment. This can happen abruptly, even in response to the first “hello,” but most often it occurs subtly, over the course of treatment. These children and adolescents may be replaying the ruptures in relationships they experienced when they have expressed their own initiative and curiosity to important others in their lives. Therapists need to utilize opportunities to understand the dynamics, explore where the original ruptures may have occurred, and bring the experience into therapeutic focus. Case vignettes illustrate these dynamics.

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