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The psychotherapeutic impasse.

¹University of Texas Southwestern Medical School, USA.

Diseases of the Nervous System

|June 1, 1974

Summary

This summary is machine-generated.

Psychotherapeutic impasses occur when therapist and patient goals diverge, rapport fails, or transference issues arise. Diagnosis and targeted interventions, like splitting the transference, can resolve these blocks in therapy.

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Area of Science:

Psychology
Psychotherapy
Clinical Psychology

Background:

Psychotherapeutic impasses can hinder treatment progress.
Understanding the origins of these impasses is crucial for effective intervention.

Observation:

Impasses arise from mismatched goals, inappropriate therapy, failed rapport, or antitherapeutic alliances.
Countertransference, adverse transference, and transference gratification can also lead to stalemates.

Findings:

Resolution requires diagnosing the impasse cause and applying appropriate measures: clarification, confrontation, interpretation, or transference splitting.
Splitting the transference is particularly effective for severe regressive reactions, enabling expression of hostile feelings.

Implications:

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Effective impasse resolution can salvage therapeutic relationships and improve patient outcomes.
Therapists may require consultation, supervision, or personal therapy to manage complex impasses.