Therapy with difficult clients : using the precursors model to awaken change / Fred J. Hanna.

Format:

Book

Author/Creator:

Hanna, Fred J.

Language:

English

Subjects (All):

Impasse (Psychotherapy).

Attitude change.

Physical Description:

x, 329 pages : illustrations ; 27 cm

Edition:

First edition.

Place of Publication:

Washington, DC : American Psychological Association, [2002]

Summary:

In Therapy With Difficult Clients, Fred J. Hanna offers an innovative approach to working with clients who simply do not seem to change. Therapeutic change, in his view, hinges on the presence of seven "precursors" of change: hope, awareness, a sense of the necessity of change, the willingness to experience anxiety or difficulty, confronting issues, the exertion of will or effort, and the presence of social support. The presence of these precursors bodes well for a client no matter what the therapist's theoretical orientation. Their absence creates roadblocks to therapeutic change no matter how skilled the therapist, how potent the theory, or how close the relationship.

In this practical guide, Hanna offers a tool for assessing the readiness for change in clients and in therapists. He offers an abundance of strategies, examples, and insights for therapists who face seemingly insurmountable obstacles in the therapeutic relationship.

Contents:

I. Understanding Difficult Clients, Therapeutic Change, and Resistance 17

Chapter 1. What Makes a Client Difficult? 19

Chapter 2. Toward a Model of Change for Difficult Clients 31

Chapter 3. The Precursors Model: Skills and Functions of Change 47

II. Assessing the Potential for Therapeutic Change 111

Chapter 4. Rating Client Change Potential: Using the Precursors Assessment Form 113

Chapter 5. Rating Therapist Precursors 129

III. Clinical Applications: First Steps 143

Chapter 6. Orienting the Relationship Around Change 145

Chapter 7. Reducing Therapist Interference and Increasing Therapeutic Wisdom 167

Chapter 8. Multicultural and Gender Considerations: A New Adaptation of Cognitive Therapy and a Framework for Empowerment 181

IV. Clinical Applications: Implementing and Enhancing the Precursors 193

Chapter 9. Instilling a Sense of Necessity 195

Chapter 10. Establishing the Willingness or Readiness to Experience Anxiety or Difficulty 211

Chapter 11. Cultivating Awareness 227

Chapter 12. Enhancing Confronting 241

Chapter 13. Increasing Effort or Will Toward Change 255

Chapter 14. Building Hope for Change 265

Chapter 15. Developing Social Support for Change 275

Chapter 16. At the Horizon of Change 285

Appendix Characteristics of Wisdom 295.

Notes:

Includes bibliographical references (pages 297-313) and indexes.

ISBN:

1557987939

OCLC:

46394401