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- Title
Narrative and interactional process for preventing harmful struggle in therapy: an integrative empirical model.
- Authors
Butler, Mark H.; Bird, Mark H.; Butler, M H; Bird, M H
- Abstract
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. Third, 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.
- Subjects
RESISTANCE in psychotherapy; DEFENSE mechanisms (Psychology); STRUGGLE; PSYCHOTHERAPY; SOCIAL interaction
- Publication
Journal of Marital & Family Therapy, 2000, Vol 26, Issue 2, p123
- ISSN
0194-472X
- Publication type
journal article
- DOI
10.1111/j.1752-0606.2000.tb00284.x