Clinical Social Work II

An environment that contains client's distress in order for individual to feel calm and safe.

When a cilent plays out what is going on in their primary relationships onto the therapeutic relationship.

"You sound like my mother."

When something a client brings in triggers the therapist.

When the client reacts to therapist like they do to others, which that makes therapist react

When a client is acting like someone in your life and you react to it from something in your life.

Working collaboratively with clients, the therapist helps the client identify maladaptive relational patterns and works together to alter the patter. This disconfirms the fault schema or unwanted interpersonal scenario in their real life relationships or therapeutic interaction.

Themes that commonly occur within a client's life. (repetition compulsion)

Recurrent feelings that come up in a client's life.

1. I am unlovable

2. I am incompetent

Feeling of unworth -- "I feel bad about me; I'm not worthy"

Feeling bad about behavior -- "I feel bad about something I did, but I'm stilla  good person."

When clients work against the very change they are trying to attain

Shame

In a non threatening/ non judgemental way normalize ambivalence and allow client to suspend disbelief.

Don't avoid resistance.

to make a perceptual shift away from the over content of what is discussed and begin to track the releational process. Helps client become more aware/willing to verbalize feelings.

Present focused, very direct and non judgemental.

Feelings expressed on the surface that family of origin allowed.