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Submit to Clinician's Quandary!

Let Us Know How YOU Would Tackle This Sticky Situation in Your Practice...

Psychotherapy Networker • No Comments

Even the best therapists rely on advice from peers. In the spirit of building community, we're introducing Clinician's Quandary, a new forum where you can weigh in on how you'd handle a particular clinical quagmire. Here's this month's Quandary.

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How To Stop Couples Conflict Before It Even Starts

...And the Five Life Factors That Contribute to Intensifying Anger Arousal

W. Robert Nay • No Comments

By W. Robert Nay - Therapy often involves entirely too much talking about new skills the client should put into place, but not enough rehearsing. Just as exposure training reduces anxiety to feared situations, having couples rehearse conflict makes them feel less threatened as they learn new ways of responding to old anger triggers.

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Incorporating Mindfulness Into Our Online Habits

Simple Mindfulness Techniques for Reducing Stress from Information Overload

John Grohol • No Comments

Human beings are creatures of habit, and nowhere is the force of habit more apparent than in the way most of us use the Internet. Few of us are disciplined enough to go online, do one thing, and log off, and researchers are beginning to document the emotional and psychological price we're paying for doing so. But the good news is that feeling overwhelmed and lost online isn't an inevitable consequence of living in the Internet Age---using a few mindfulness techniques, we can change how we behave when we go on online and how we interact with the web.

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Letting Go of Hatred

Case Study: How to Help Clients Change Unconscious Responses

Steve Andreas • No Comments

Simply telling a client to let go of it—without showing them how to do it—is a conscious instruction that will only result in frustration, compounding the presenting problem. Luckily, the boundary between what’s unconscious and conscious is quite permeable. With appropriate questioning, it’s possible to elicit the unconscious process that causes the trouble, which typically has a fairly simple structure involving images, sounds, and thoughts in a particular configuration. Once this structure is identified, the therapist can guide a client through a specific process to quickly transform it.

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The Decline And Fall Of Parental Authority...

...and What Therapists Can Do About It

Ron Taffel • No Comments

American parents today face a perfect storm of cultural and social circumstances that undermine the very foundations of parental authority. In response, mothers and fathers are beginning to see therapists as irrelevant and to challenge the entire social, educational, and economic context of childrearing.

 

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Attempting Connection with the Resistant Client

Can You Help a Client Want to Change?

David Johnson • No Comments

In my several decades of practice, one skill that’s served me well in this field is my ability to leave work at the office. But every once in a while, I see clients whose situation intrigues, moves, or confounds me in a way that keeps them in my thoughts in between sessions.

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Case Study: Overcoming the Fear of Losing Clients

Moving Past the Fear of Losing Clients is Necessary to be an Effective Couples Therapist

Ellyn Bader and Peter Pearson • No Comments

For the couple dropping out of therapy without having faced basic issues in their relationship, the stakes are much higher—more potentially damaging—than losing clients is for me.

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Case Study: When Couples Therapy Causes Emotional Pain

Coming to Terms with Inflicting Emotional Pain in Order to Provide Good Couples Therapy

Ellyn Bader and Peter Pearson • No Comments

We don’t become therapists to inflict emotional pain, but eventually we learn that sadness, anger, shock, and disillusionment can be part and parcel of therapy with couples in serious trouble. Good couples therapy sometimes hurts.

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Using Intersubjectivity to Help Abused Children

Helping Abused Kids Rewrite Their Own Stories

Dan Hughes • No Comments

Sadly, children who’ve suffered abuse and neglect at the hands of their parents are often convinced that their mistreatment was justified. As a result, they typically grow up with a pervasive sense of shame, struggling with emotional regulation, cognitive and reflective functioning, and the inability to experience positive emotions.

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Case Study: Facing a Fear of Confrontation in Couples Therapy

When Couples Issues Hit Close to Home, Moving Forward Means Putting Aside the Fear of Confrontation

Ellyn Bader and Peter Pearson • No Comments

We frequently need to confront our clients, and putting aside a fear of confrontation—not to mention a fear of losing clients—means that we must risk the possibility of one partner, or perhaps both, becoming openly angry with us.

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