Abstract

Clients sometimes work in opposition to their therapists, a phenomenon known as “resistance”. Such behavior is not simply an impediment to treatment, but also a potentially rich source of information about each client. This information can be assessed and utilized to strengthen the therapeutic relationship, help the therapist better understand the ideographic obstacles to change, and devise interventions that may motivate the client toward therapeutic activity and growth. Clinical vignettes of three resistant clients are presented, illustrating both the commonalties and unique factors that lead to resistance across cases. Eight important assessment questions and 10 suggested interventions are listed and discussed in detail. The practical applications of these methods in each of the three case studies shed light on how therapists can enhance their resistant clients' motivation for therapeutic change.

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