ISSN:
1752-0606
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Psychology
Notes:
Resistance or struggle in therapy looms large as a predictor of treatment outcomes. This study organizes the significant empirical data on struggle into a coherent, operational framework for use by therapists in preventing and/or ameliorating harmful struggle in therapy. First, we review the prevalence and significance of struggle. Second, we offer a historical and conceptual overview, with emphasis on a contemporary interactional/systemic perspective on struggle. Thrid, we provide a synthesis of peer-reviewed research, profiling struggle at speech-act and episode levels of interaction process and across assessment/joining, intervention, and integration-consolidation phases of therapy. Fourth, based upon this review, we propose a three-factor model—consisting of eliciting dialogue, enactments, and accommodation-for successful therapy process relative to the occurrence of struggle.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1752-0606.2000.tb00284.x
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