title: Troubles in the therapeutic relationship: a pluralistic perspective.
abstract: From a pluralist perspective, there is no universally correct therapeutic attitude and no set way to deal with troubled therapeutic relationships. A three-factor model of therapeutic impasse is presented in terms of hopeless narratives, failing strategies, and ineffective interactions. This triple mapping allows for the development of a working hypothesis and a critical intervention in order to set therapy back on track. Although a one-shot event, the critical intervention is not a single-session magical cure, but an attempt to restore a productive therapeutic routine based on a better working alliance. This article illustrates this approach in three separate cases.
authors.affiliation: Department of Psychology, Tel-Aviv University, Ramat-Aviv, Israel.
authors.forename: H
authors.initials: H
authors.lastname: Omer
mesh_terms: D001290:Attitude; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D008962:Models, Theoretical; D011369:Professional-Patient Relations; D011572:Psychoanalysis