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Persuasion Strategies

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Extinction Training During the Reconsolidation Window Prevents Recovery of Fear
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Published on: August 24, 2012

On refusal.

Richard M Billow1

  • 1Adelphi Postdoctoral Programs in Psychoanalysis and Psychotherapy, Derner Institute, Adelphi University, Garden City, NY, USA. RMbillow@hotmail.com

International Journal of Group Psychotherapy
|October 17, 2007
PubMed
Summary

This study differentiates "refusal" from "resistance" in psychotherapy. Refusal involves willful nonparticipation, distinct from resistance

Area of Science:

  • Psychology
  • Psychotherapy
  • Psychoanalysis

Background:

  • The term "resistance" traditionally encompasses all obstacles in psychotherapeutic work.
  • A distinction between "resistance" and "refusal" offers a more nuanced understanding of therapeutic dynamics.
  • Understanding these concepts is crucial for addressing therapeutic impasses.

Purpose of the Study:

  • To differentiate the concepts of "resistance" and "refusal" in psychotherapy.
  • To categorize different forms of refusal encountered in clinical practice.
  • To explore the implications of refusal for therapeutic progress and therapist's approach.

Main Methods:

  • Conceptual analysis distinguishing "resistance" from "refusal."
  • Clinical examples illustrating the manifestation and impact of refusal.

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  • Categorization of refusal into three types based on cognitive and perceptual engagement.
  • Main Results:

    • Resistance involves gradual elaboration of experience, while refusal is willful nonparticipation in symbolized material.
    • Refusal exists in all communication at varying degrees.
    • Three categories of refusal identified: refusal to perceive external experience, refusal to think about known information, and refusal to think about unknown information.

    Conclusions:

    • Distinguishing refusal from resistance provides a more precise framework for analyzing therapeutic obstacles.
    • Therapeutic impasses can arise from therapists' limitations in addressing various forms of refusal.
    • Recognizing and understanding refusal is key to overcoming therapeutic impasses and enhancing therapist flexibility.