Popular Topic - Challenging Clients & Treatment Populations

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What Makes Fanatics Tick? Exploring the Psyches of People on the Fringe

July/August 2014

Review of The Unpersuadables: Adventures with the Enemies of Science

A new book investigates the worldview of a range of fanatics who’ve dedicated their lives to holding onto to their antiscientific and antihistorical claims.

Case Study

Rewriting the Story: Entering the World of the Abused Child

January/February 2014
Therapists must offer abused children a different felt experience of who they are.

Editor's Note

First Comes the Hard Work

November/December 2013
Romantically infatuated with the idea of psychological revelation—aka the therapeutic “breakthrough”—therapists too often ignore the fact that a life’s worth of habitual behavior often trumps, for good or ill, all the insights and emotional fireworks that we like to see as the key to therapeutic “progress.”
Bonus - Read the entire article FREE!

Shaking & Dancing in Dharamsala

A Group of Tibetan Refugees Find their Inner Guides

November/December 2013
How do you help 200 teenagers who’ve had to flee their country find a path to peace in a new place? A psychiatrist who’s traveled across the world to help traumatized refugees from Tibet guides them to a source of wisdom and hope within themselves.

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?
Bonus - Read the entire article FREE!

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?
Bonus - Read the entire article FREE!

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.
Bonus - Read the entire article FREE!

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.

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.
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