The Integrity Model of Existential Psychotherapy in Working with the 'Difficult Patient'

by NEDRA LANDER; Department of Ps

• ISBN13: 9781583912201
• ISBN10: 1583912207
• Format: Nonspecific Binding
• Copyright: 2005-08-08
• Publisher: Routledge

Summary

Dealing with the therapeutic impasse is one of the most challenging tasks faced by therapists.Therapeutic Impasses and Encountersdescribes how the Integrity Model of psychotherapy provides an original solution to dealing with difficult issues such as resistance, acting out, counter-transference, guilt, value clashes and cultural diversity. The integrity model is based on an existential approach to living and views psychological difficulties as stemming from a lack of fidelity to one's values. In this book, the authors explore how this approach to psychotherapy can enhance other therapeutic models or stand on its own to offer a valuable alternative perspective on the causes of mental illness. Therapeutic Impasses and Encountersprovides a provocative and insightful presentation of the subject of impasses in psychotherapy, as well as dealing with associated issues including the role of values in psychotherapy, therapist responsibility, community and spirituality. It will be ofgreat interest to counselors and psychotherapists.

Table of Contents

Acknowledgements	x
Preface	xii
Introduction	1	(3)
Integrity Therapy and the Integrity model: The beginning	4	(19)
History and evolution of Mowrer's Integrity (Therapy) groups	6	(13)
Evolution of Lander and Nahon's Integrity model	19	(4)
Lander and Nahon's Integrity model: Theoretical formulations	23	(35)
Existentialism and existential psychotherapy	25	(3)
Stress as a clash of values	28	(2)
Molly Mowrer's and Martin Buber's influence upon us	30	(2)
Addressing difficulties with daily living	32	(1)
The three pillars of the Integrity model	32	(8)
Symptoms: A clash of values and/or an Integrity crisis	40	(1)
Feelings are only responses, not stimuli	41	(2)
The genesis of Integrity in childhood and adolescence	43	(2)
Unlabelling and working from the half-full side of the glass	45	(1)
Understanding guilt	46	(1)
Understanding self-esteem	47	(1)
Challenging the view of self as victim	48	(1)
Daring to face the narcissistic injury	49	(1)
Choosing between good and evil	50	(2)
Decisive moments and change	52	(2)
Anger as a creative force	54	(1)
Shyness	55	(1)
A challenge to the concept of empowerment	55	(1)
Spirituality and religion in psychotherapy and daily life	55	(3)
The Integrity model in practice	58	(24)
What is different about the Integrity model?	59	(2)
How can the Integrity model enhance other therapeutic approaches?	61	(1)
How does one introduce the Integrity model?	62	(4)
Looking at values	66	(2)
How does the Integrity model deal with difficult or painful emotions?	68	(2)
What about therapist self-disclosure?	70	(7)
What does integrity sound like?	77	(1)
How and how much do I challenge?	78	(2)
How do I deal with acting out?	80	(2)
Transference and countertransference: Therapeutic dilemmas	82	(12)
Transference: An Integrity perspective	86	(1)
Countertransference: An Integrity perspective	87	(5)
Case example: Bonnie	92	(2)
Working with the borderline personality disorder	94	(13)
Integrity issues for the borderline individual	95	(1)
Therapeutic working through with borderline individuals	96	(5)
Case examples: Nancy and Ann	101	(6)
Working with the antisocial personality	107	(10)
Integrity issues for the antisocial personality	109	(1)
The Integrity model with antisocial individuals	109	(4)
Case example: David	113	(4)
Working with the addict	117	(9)
Mowrer's Integrity (Therapy) groups with addicts	119	(1)
The Integrity model with addicts	120	(4)
Case example: Charlie	124	(2)
Working with post-traumatic stress	126	(10)
Dilemmas of boundary violations	130	(1)
Issues of natural and large-scale disasters	130	(3)
Case example: Ari	133	(3)
Working with the schizophrenic, schizotypal, or psychotic-core individual	136	(11)
The Integrity model in working with the schizophrenic or psychotic-core individual	140	(2)
Case example: Richard	142	(5)
Working with cultural diversity	147	(10)
Integrity issues in working with cultural diversity	147	(5)
Integrity and evolving values	152	(1)
An extension to national and international impasses	153	(4)
Workplace stress and burnout	157	(12)
Values and Integrity	158	(3)
Impasses over paying the piper	161	(1)
The myth of the team	162	(3)
Working with occupational stress and burnout: Therapeutic dilemmas	165	(1)
Examining values clashes and integrity dilemmas	166	(1)
Case example: Susan	166	(1)
Case example: Sylvia	167	(2)
Dealing with organizational stress	169	(10)
Organizational stress: An Integrity analysis	170	(2)
Creating a healthier workplace: An Integrity perspective	172	(5)
Implications of the Integrity model in the workplace	177	(2)
Conclusions	179	(7)
Afterword	186	(1)
Notes	187	(3)
References	190	(17)
Author index	207	(4)
Subject index	211