Counselling Psychology Program, Ontario Institute for Studies in Education, University of Toronto, 252 Bloor St. West, 7th Floor, Toronto, ON M5S 1V6.
J Clin Psychol. 2011 Nov;67(11):1117-28. doi: 10.1002/jclp.20849.
In this article, treatment failure in humanistic experiential psychotherapy is defined and explored. I outline several markers that indicate when treatment is not going well. Factors that contribute to failure include client factors, for example, emotional processing capacities, shame, and impoverished narratives, as well as therapist factors including lack of empathic attunement and inflexibility. Treatment failure is illuminated with a case example drawn from humanistic/experiential psychotherapy, and clinical strategies for dealing with failures are recommended.
本文定义并探讨了人本主义体验心理治疗中的治疗失败。我概述了几个表明治疗进展不顺利的标志。导致治疗失败的因素包括患者因素,例如情绪处理能力、羞耻感和贫瘠的叙述,以及治疗师因素,包括缺乏共情共鸣和缺乏灵活性。本文通过一个来自人本主义/体验心理治疗的案例示例来阐明治疗失败,并推荐了处理失败的临床策略。