Cookies on oxfam

We use cookies to ensure that you have the best experience on our website. If you continue browsing, we’ll assume that you are happy to receive all our cookies. You can change your cookie settings at any time. Find out more Accept

Feedback

Free returns

-

£3.95 standard UK delivery

-

All profits fight poverty

Keep up with Oxfam's Online Shop

© 2015. Oxfam is a registered charity in England and Wales (no 202918) and Scotland (SC039042). Oxfam GB is a member of Oxfam International.

Resolving impasses in therapeutic relationships

£14.99 Out Of Stock

Product description

This volume deals with a fundamental issue that all clinicians face at some time or other: the therapeutic impasse. What should you do when sessions with a client seem hopelessly mired, or when the client feels that you have done something so egregious that therapy goes awry? How about an abrupt rupture: when you find the angry or hostile feelings directed toward you to be so intolerable that you decide to terminate? Based on years of clinical and consultation work, Sue Nathanson Elkind presents a theoretical framework for understanding and working with the relational knots that occur between therapists and their patients. Asserting that such episodes are unavoidable pivotal events in therapeutic relationships, she provides a map of the wide range of predicaments that can arise, including:* Mismatches between therapist and patient* Stalemates resulting from patient-therapist collusion* Irreconcilable conflicts or power struggles* Breaches in the attachment bond* Untimely terminationsElkind demonstrates how patients and therapists function as relational partners. Without blame and with compassion for inevitable difficulties, she describes how impasses arise when these partnerships become rigid, operate outside of conscious awareness, or when the vulnerabilities and defenses of the patient and the therapist intersect in problematic ways. Her concepts of primary vulnerabilities and relational modes benefit both parties: Rather than automatically pathologizing the patient, they empower the patient and humanize the therapist by recognizing normal human limitations. The final section of the book presents an in-depth discussion of a form of consultation for therapeutic impasses that may include both the patient and the therapist. Demonstrating how both may suffer when the therapeutic dyads function in isolation, Elkind advocates setting up a relational network through the presence of a consultant. Vignettes of actual consultations of this type for a wide range of problems illustrate how such consultations work, what functions they can serve, and what their limitations are. Featuring stories that often are not told because of the feelings of shame and failure that arise for therapists and patients caught in therapeutic impasses, this book is compelling reading. It fills a gap in the literature by comprehensively addressing a common, but rarely discussed, aspect of the profession. As such, it is an important volume for both experienced and novice clinicians regardless of theoretical persuasion. Bringing theoretical issues to life through its clinical vignettes, it also serves as an excellent text for graduate and postgraduate courses in psychology, counseling, psychiatry, and psychiatric social work.

Item details

Author(s):
Sue Nathanson Elkind
Condition:
Used: good
Dimensions:
229x152x32
EAN-13:
9780898628920
Format:
Hardback
ISBN-13:
9780898628920
Number of items:
1
Number of pages:
335
Publisher:
Guilford Publications

Sold Out

We're sorry to say this item has now sold out.

There are over 100,000 more items in stock. Start browsing with our suggestions below.

About this item

This volume deals with a fundamental issue that all clinicians face at some time or other: the therapeutic impasse. What should you do when sessions with a client seem hopelessly mired, or when the client feels that you have done something so egregious that therapy goes awry? How about an abrupt rupture: when you find the angry or hostile feelings directed toward you to be so intolerable that you decide to terminate? Based on years of clinical and consultation work, Sue Nathanson Elkind presents a theoretical framework for understanding and working with the relational knots that occur between therapists and their patients. Asserting that such episodes are unavoidable pivotal events in therapeutic relationships, she provides a map of the wide range of predicaments that can arise, including:* Mismatches between therapist and patient* Stalemates resulting from patient-therapist collusion* Irreconcilable conflicts or power struggles* Breaches in the attachment bond* Untimely terminationsElkind demonstrates how patients and therapists function as relational partners. Without blame and with compassion for inevitable difficulties, she describes how impasses arise when these partnerships become rigid, operate outside of conscious awareness, or when the vulnerabilities and defenses of the patient and the therapist intersect in problematic ways. Her concepts of primary vulnerabilities and relational modes benefit both parties: Rather than automatically pathologizing the patient, they empower the patient and humanize the therapist by recognizing normal human limitations. The final section of the book presents an in-depth discussion of a form of consultation for therapeutic impasses that may include both the patient and the therapist. Demonstrating how both may suffer when the therapeutic dyads function in isolation, Elkind advocates setting up a relational network through the presence of a consultant. Vignettes of actual consultations of this type for a wide range of problems illustrate how such consultations work, what functions they can serve, and what their limitations are. Featuring stories that often are not told because of the feelings of shame and failure that arise for therapists and patients caught in therapeutic impasses, this book is compelling reading. It fills a gap in the literature by comprehensively addressing a common, but rarely discussed, aspect of the profession. As such, it is an important volume for both experienced and novice clinicians regardless of theoretical persuasion. Bringing theoretical issues to life through its clinical vignettes, it also serves as an excellent text for graduate and postgraduate courses in psychology, counseling, psychiatry, and psychiatric social work.

Author(s):
Sue Nathanson Elkind
Condition:
Used: good
Dimensions:
229x152x32
EAN-13:
9780898628920
Format:
Hardback
ISBN-13:
9780898628920
Number of items:
1
Number of pages:
335
Publisher:
Guilford Publications

Delivery & returns

This item will be dispatched to UK addresses via second class post within 7 working days of receipt of your order. Standard UK delivery is Standard UK delivery is £3.95 per order, so you're only charged once no matter how many items you have in your basket. Any additional courier charges will be applied at checkout as they vary depending on delivery address.

This item will be dispatched to UK addresses via second class post within 7 working days of receipt of your order. Standard UK delivery is currently free no matter how many items you have in your basket. Any additional courier charges will be applied at checkout as they vary depending on delivery address.

We offer a 30 day no quibble returns policy. You can find out more about delivery and returns in our help section. You have the option of a full refund or exchange for an alternative item from the range.


Volunteer listed

Wonder how this unique item ended up online?

Most of the second-hand items you see online have been donated, by supporters like you, to our high street stores. Each item is then priced, photographed and listed on this site by our amazing team of volunteers from across the country.

After you have bought your item, our team of volunteers package and dispatch it from the Shop straight to you or your chosen recipient.

All profits from the sales of our goods go towards funding Oxfam's work around the world. We rely on your donations to sell online so please keep the cycle of goodness going!

Oxfam Bookshop Cheltenham

Oxfam is the UK's largest second hand bookseller. Oxfam bookshops offer a wider selection of books than most shops, from modern fiction and leisure interest to more specialist subjects, classics, and rare or collectable books. We also sell a good selection of Fairtrade food and greetings cards. Come and browse!

View Shop