Resolving Impasses in Therapeutic Relationships,Used
Resolving Impasses in Therapeutic Relationships,Used

Resolving Impasses in Therapeutic Relationships,Used

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This volume deals with a fundamental issue that all clinicians face at some 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 patienttherapist collusion* Irreconcilable conflicts or power struggles* Breaches in the attachment bond* Untimely terminationsElkind 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 become 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 indepth 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.

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Frequently Asked Questions

  • Q: What is the focus of 'Resolving Impasses in Therapeutic Relationships'? A: The book addresses therapeutic impasses that clinicians encounter, providing a framework for understanding and working through relational issues between therapists and clients.
  • Q: Who is the author of this book? A: The author is Sue Nathanson Elkind, who has extensive experience in clinical and consultation work.
  • Q: What are some common issues discussed in the book? A: Common issues include mismatches between therapist and patient, stalemates, irreconcilable conflicts, breaches in attachment, and untimely terminations.
  • Q: What type of readers would benefit from this book? A: The book is suitable for both experienced and novice clinicians across various disciplines such as psychology, counseling, and social work.
  • Q: Is this book suitable for academic purposes? A: Yes, it serves as an excellent text for graduate and postgraduate courses in mental health fields.
  • Q: What is the condition of the book? A: The book is listed as 'Used Book in Good Condition' and is categorized as 'Acceptable'.
  • Q: What is the binding type of the book? A: The book is bound in hardcover.
  • Q: How many pages does the book contain? A: The book contains 335 pages.
  • Q: When was 'Resolving Impasses in Therapeutic Relationships' published? A: The book was published on September 4, 1992.
  • Q: What are some unique features of this book? A: The book features clinical vignettes that illustrate theoretical concepts, making complex issues more relatable and understandable for readers.