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  1. Beverly Gaines says:

    As a community based counselor, I often work with children and families. One thing that has been challenging to me as a therapist is the pushback I get from many of my teenage clients. That “you can’t help me and this is pointless” perspective can really rub me the wrong way at times. However, I have found that putting aside my own notions of therapeutic effectiveness and meeting the client where they are, has helped me in session immensely. I am one to get defensive and I have discovered more and more that my own defensiveness to client struggles and behaviors, lies in my perspective that I am the expert (and the client is wrong, should listen to me and just get better….*big sigh*) as well as in my insecurity that I may not be able to help them get better. Learning to see each difficult encounter as a blessing is a work in progress but it’s so worth it as it’s helping me to conceptualize cases more effectively and help clients push past their own reservations. Thanks for this article and all you so for the counseling world!!

    • Really appreciate your openness Beverly. This is an ego bruising endeavor. We need less persuasion and more invitation. As we have our defenses, so do our clients.
      The late Jean Vanier says this about protective systems:
      “We all have a deep fear of our own weaknesses because my weakness is what makes it possible for someone else to crush me. So I create mechanisms of defense and compulsion to protect myself. We all have protective systems designed to prevent people from seeing who we are.”

      One last thing: The clinical vignette you shared of a teenage client that says, “you can’t help me and this is pointless,” could become a powerful place to do some deliberate practice on. You want to deliver a space to hold your inner stirrings, AND critically, develop a mental representation, a framework on HOW to engage with someone who presents this way to you. (We go bit further in describing this our forthcoming paper “Difficult conversations in therapy (DCT)” and our book, Better Results, due in May 2020).

      Pls keep your perspective coming, as I greatly appreciate this.

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