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450 ГЛАВА 11. Прогресс и завершение лечения, а также заключительные мысли...

Продолжение табл. 11.2

Мишень

Мысли о своей приемлемости или

ценности как терапевта

ислияние с историями

орезультатах

Слияние с рассказами

о намерениях клиента

Слияние с правилами

Описание/примеры

Я плохой психотерапевт

Терапевт получше сделал бы...

Он слишком долго боролся с НА и ни- когда не поправится

Поскольку его вес не вырос на этой неде-

ле, он, должно быть, снова себя ограни-

чивал

Он не хочет поправляться

Он манипулирует

Он должен есть шесть раз в день

Я должен вслепую взвешивать всех сво- их клиентов

Общие области узкого или ригидного внимания

Прошлые ошибки

Страшное далекое будущее

Оценка/обратная связь

Межличностные сигналы угрозы

Что-то, что кто-то сделал или сказал, на

что клиент ответил отрицательно

Допускаем оплошность

Неудачаклиента в лечении или послед-

ствия для здоровья

Комментарии клиента, опекуна или других поставщиков услуг о прогрессе клиента или его отсутствии

Сканирование клиентом тела терапевта.

Сигналы неодобрения или неприязни со стороны клиента

Общие проблемы чрезмерной привязанности или обедненного селф

Успех как психотерапевта

Прогресс/результат клиента определяет

Рассказы о том, как быть

терапевта

неправильным терапевтом

Я плохой психотерапевт

 

Я понятия не имею, что делать

ГЛАВА 11. Прогресс и завершение лечения, а также заключительные мысли...

451

 

Окончание табл. 11.2

Мишень

Описание/примеры

Ограниченное

-

Ограниченная осведомленность о мыс

эмоциональное

лях/чувствах, которые вы испытываете

самопознание

в ответ на поведение клиента (например,

 

обвинять клиента в отсутствии прогрес-

 

са, а не связываться с собственным чув-

 

ством неадекватности как терапевта)

Общие трудности с прояснением ценностей

Избегание ценностей

Отключение от клиента и терапевтиче-

из-за потенциального

ской работы

дискомфорта

Общие трудности в целенаправленных действиях

Интервенции остаются на уровне контента

Действия настойчивы,

несмотря на их

неэффективность

Действия слишком структурированы

Бездействие

Чрезмерная приверженность психообра-

зованию

Попытки убедить клиента отказаться от своих мыслей/чувств/ переживаний

Настаивать на том, что клиент должен изменить определенное поведение (и не уважать выбор клиента или его го-

товность предпринять маленькие шаги)

Ригидное и нечувствительное соблюде- ние терапевтического протокола

Предоставление только поддерживаю-

щей психотерапии

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