Resistance, Reactance, and Reluctance to Change: A Cognitive Attributional Approach to Strategic Interventions

作者: Laurence J. Kirmayer

DOI: 10.1891/0889-8391.4.2.83

关键词: MetaphorCognitive reframingPsychological interventionPsychotherapistCognitionResistance (psychoanalysis)Cognitive dissonanceCognitive psychologyReactanceAttributionPsychology

摘要: The metaphor of resistance supports a view psychotherapy as struggle against patients' willful opposition. Strategic claims special efficacy in working with resistant interactions through shift from to the notion joining. This paper provides rationale for application joining interventions terms cognitive attribution theory. same conservative processes that give rise symptoms also result many interactional phenomena resistance. Attributions causality and control self or other lead dissonance reduction, reactance, emotional exacerbation, withdrawal. broad concept can then be replaced by more detailed description modes allowing psychotherapists tailor specific mechanisms maintain symptoms. attributional approach makes it apparent there is no need subterfuge misdirection strategic psychotherapy.

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