Certifiable pdf free download. In therapy much time is consumed in coping with resistances to the yielding of ego-syntonic patterns. It is traditionally assumed that this extended period is inevitable as part of the process of “working-through.” There is, however, some evidence that certain expediences may be employed to catalyze progress. One mode has a paradigm in crisis situations during which motivation has been created for change that otherwise would not have developed. Using this idea, some therapists attempt during therapy to create minor crisis situations for the patient by tactics such as aggressive confrontation and other ways of stirring up anxiety. The object is to convince the patient that pursuit of one’s usual mode of behaving is offensive to others and unpleasant for oneself. In this way the therapists try to break through resistances to productive change.
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