Dowd E Thomas
a Rainier Associates , Tacoma , Washington , USA.
Am J Clin Hypn. 2016 Jul;59(1):100-13. doi: 10.1080/00029157.2016.1163656.
This article describes the phenomenon of therapeutic resistance and reactance from the perspective of the wounded self. The concept of the wounded self is first presented as it is applied to anxiety and depression and then extended to anger applications. The wounded self can be seen as deeply embedded in human cognitive structures (or core beliefs) of tacit knowledge. The operation of tacit knowledge is then described in everyday life as well as in the therapeutic process. Then there is a discussion of the role of resistance and psychological reactance in psychotherapy with implications for the therapeutic alliance. Finally, a case of a resistant client with anger issues using the cognitive hypnotherapy model is presented.
本文从受伤的自我的角度描述了治疗抵抗和逆反现象。受伤的自我这一概念首先是在应用于焦虑和抑郁时提出的，然后扩展到愤怒的应用中。受伤的自我可以被视为深深嵌入人类隐性知识的认知结构（或核心信念）之中。接着描述了隐性知识在日常生活以及治疗过程中的运作。然后讨论了抵抗和心理逆反在心理治疗中的作用及其对治疗联盟的影响。最后，呈现了一个使用认知催眠治疗模型的有愤怒问题的抗拒型来访者的案例。
