Resistance in psychotherapy: what conclusions are supported by research.
Theoretical literature is contradictory in most areas, but virtually all theories agree on the existence of patient resistance and propose similar implications, meanings, and effects of its manifestation. However, theories differ widely in both the assumed causes of resistance and the methods of dealing with resistant patients. Common to various theoretical definitions is an assumption that resistance is both a dispositional trait and an in-therapy state of oppositional, angry, irritable, and suspicious behaviors. Reactance is a special class of resistance that is manifest in oppositional and uncooperative behavior. Resistance bodes poorly for treatment effectiveness. Nondirective and paradoxical strategies have been found to be quite successful in overcoming resistant and reactant states, while matching low-directive and self-directed treatments with resistant patients circumvents the effects of resistance traits.
Beutler
Larry E
LE
Department of Education, University of California, Santa Barbara, CA 93106, USA. beutler@education.ucsb.edu
Moleiro
Carla
C
Talebi
Hani
H
D003674:Defense Mechanisms; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D011582:Psychological Theory; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods; D012106:Research; D016896:Treatment Outcome; D016312:Treatment Refusal / Q000523:psychology*