Therapy With Difficult Clients

by Hanna, Fred J., Ph.D.

• ISBN13: 9781557987938
• ISBN10: 1557987939
• Format: Hardcover
• Copyright: 2001-09-01
• Publisher: Amer Psychological Assn

Summary

Johns Hopkins Univ., Baltimore, MD. Practical guide offers a tool for assessing the readiness for change in clients and in therapists. Offers strategies, examples, and insights for enhancing precursors that are lacking and leveraging those that are present.

Table of Contents

Preface	vii
Acknowledgments	ix
Introduction	3	(14)
I. Understanding Difficult Clients, Therapeutic Change, and Resistance	17	(94)
What Makes a Client Difficult?	19	(12)
Toward a Model of Change for Difficult Clients	31	(16)
The Precursors Model: Skills and Functions of Change	47	(64)
II. Assessing the Potential for Therapeutic Change	111	(32)
Rating Client Change Potential: Using the Precursors Assessment Form	113	(16)
Rating Therapist Precursors	129	(14)
III. Clinical Applications: First Steps	143	(50)
Orienting the Relationship Around Change	145	(22)
Reducing Therapist Interference and Increasing Therapeutic Wisdom	167	(14)
Multicultural and Gender Considerations: A New Adaptation of Cognitive Therapy and a Framework for Empowerment	181	(12)
IV. Clinical Applications: Implementing and Enhancing the Precursors	193	(90)
Instilling a Sense of Necessity	195	(16)
Establishing the Willingness or Readiness to Experience Anxiety or Difficulty	211	(16)
Cultivating Awareness	227	(14)
Enhancing Confronting	241	(14)
Increasing Effort or Will Toward Change	255	(10)
Building Hope for Change	265	(10)
Developing Social Support for Change	275	(8)
V. Conclusion	283	(12)
At the Horizon of Change	285	(10)
Appendix: Characteristics of Wisdom	295	(2)
References	297	(18)
Author Index	315	(6)
Subject Index	321	(8)
About the Author	329