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Challenging The Narcissist

How to Find Pathways to Empathy

July/August 2013
Given their arrogance, condescension, and lack of empathy, narcissists are notoriously difficult clients. The key to working with them is being direct and transparent about the roiling emotions they trigger in us.

Editor's Note

When the Tough Get Therapy

May/June 2013
There are some clients who yell at us, manipulate us, go broodingly silent on us, have uncontrollable emotional breakdowns in session, disappear for weeks at a time, ignore our advice, and later blame us when their lives don’t improve. The normal rules of genteel reciprocity, so willingly respected by our “nice” clients, are routinely trashed by these “tough customers.” What do we do?
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Is Resistance Dead?

Or Have the Rumors Been Exaggerated?

May/June 2013
With all the recent developments in research, theory, and practice, we have more treatment options to choose from than ever before. Why then do so many practitioners still find client “resistance” a regular companion in their consulting rooms?
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When Therapy Is Going Nowhere

Escaping the “Groundhog Day” Cycle

May/June 2013
Why do we get stuck in “Groundhog Day therapy”—cases in which we spin our wheels from session to session? Before lurching on to alternative treatment strategies, the key to progress is recognizing the need to shift the therapist–client relationship.
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Depathologizing The Borderline Client

Learning to Manage Our Fears

May/June 2013
Inevitably, given their history of trauma, many borderline clients will trigger their therapists from time to time. But forgoing the urge to blame these clients and taking responsibility for what’s happening inside you can become a turning point in therapy.

Breaking The Spell

7 Questions to Ask When Therapy is Stuck

May/June 2013
When therapy goes wrong, it’s typically because we’ve entered our clients’ trance, joining them in their myopic misery. Once there, our job is to break the spell, broaden the vision, and open ourselves to possibilities outside the tunnel.

Living With The Devil We Know

We May be Anxious, but Not to Change

January/February 2013
As therapists, we typically assume that a person suffering from severe anxiety is eager and motivated to receive the help we offer. But we should never naively underestimate clients’ hidden antipathy to change, despite their discomfort.
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Case Study

Treating the Dissociative Child: The Road Back from the Ultimate Loss of Self

January/February 2013
Few cases offer as eerie a therapeutic challenge as a suddenly noncommunicative child, lost in a dissociative shutdown.

Joining Through The Truth

Coaching and Our Assumptions

November/December 2012
A new breed of therapist believes that it’s disrespectful not to say to clients displaying obnoxious, selfish, or self-defeating behaviors what traditionalists might only share in a supervision group.

Clinician's Digest IV

What Causes Borderline Personality Disorder?

November/December 2012
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