Capitol Hill Blue
Itís Not You, Itís Pathological Ambivalence!

This is an interesting explanation of pathological ambivalence, a block that often happens in therapy. It sounds logical and dealing with it in this context confirms the psychodynamics, but I remain unsure of the analysis, but on the other hand if it works...

Quote:
ďA Clinicianís Guide to Pathological Ambivalence,Ē describes a common experience that many therapists face with clients; feeling stuck. Whether sessions with a client seem to be going around and around in circles Ė or have come to a halt altogether Ė many clinicians blame their own perceived inadequacy when things arenít moving forward.

ďI was searching for a name that would describe this behavioral pattern that is so common in our field,Ē Dr. Buchanan said. ďI thought, rather than be frustrated with ourselves or our patients for a lack of progress, if we could identify a pattern of behavior Ė and develop strategies to address it Ė we would be much better positioned to help our clients.Ē

[quote]ďPathological AmbivalenceĒ as a way to re-conceptualize the state of resistance. This shift in perspective benefits both the client and the therapist by helping to explain why some people tend to sabotage progress in therapy, and how the therapist may often become an unintentional enabler.

Pathological Ambivalence is the co-existence of opposing attitudes or feelings toward a person, object or idea that negatively impact quality of life. Dr. Buchanan believes that a lack of change often occurs when different parts of a person have different wishes or needs that are not being effectively integrated.
Quote:

When resistance is encountered in psychotherapy, it is usually because either the client or therapist (or both) doesnít realize that the resistance is actually caused by ambivalence,Ē Buchanan explained. ďThus, when a therapist takes a side (presumably the part that wants to change in a healthy direction), the client is likely to voice the other side, resulting in what looks like resistance.

Therefore, the therapist must learn how to be on the clientís side without taking a side.Ē


ďI was recently speaking with a client who was afraid to fully recover from her eating disorder because she didnít want to have to experience the feelings that her eating disorder allowed her to avoid. Saying something like ĎYes, but your eating disorder symptoms can cause you physical problems and you need to learn ways to manage your emotions without using behaviorsí (both of which would have been correct observations) could have resulted in her needing to explain again why this is hard to do. Using a Carkhuff statement, I instead responded, ĎSo you feel afraid to recover because you canít yet believe that you can manage hurtful feelings without your eating disorder.í I didnít take either side, just reflected. She looked at me as if Iíd just performed magic and said Ďwow, itís like youíre in my mindÖI guess Iím going to have to find other ways to manage my feelings.í Ultimately, our pathologically ambivalent clients are much more likely to take their own advice over ours.Ē
Sometimes I wrestle with my demons... sometimes we just cuddle.
Sometimes I wrestle with Dem-ons, sometimes we coddle.
I only coddle Molly.
If it goes beyond coddling, you may need some Dry Moly Lube?
That, or improvements to my coddle startup protocol...
foul play is not the road to mandalay,
One can play chicken on the road, if no man delays it.
Chicken with no head anyway
Hijack
This thread has been completely hijacked, including my complicit auto-jacking blush

Rumpism may now be starting to suffer from pathological ambivalence, as more and more data is showing the actions of the previous administration to be unAmerican and QAnon is psychotic with thought disorder. Nevertheless, it is difficult and embarrassing to admit how wrong their ideas were. So we are left with millions of ambivalent trumpsters that dig in their heels when confronted, necessitating purrhaps a different stratergery to overcome this resistance.

Originally Posted By: TatumAH
Itís Not You, Itís Pathological Ambivalence!

This is an interesting explanation of pathological ambivalence, a block that often happens in therapy. It sounds logical and dealing with it in this context confirms the psychodynamics, but I remain unsure of the analysis, but on the other hand if it works...

Quote:
ďA Clinicianís Guide to Pathological Ambivalence,Ē describes a common experience that many therapists face with clients; feeling stuck. Whether sessions with a client seem to be going around and around in circles Ė or have come to a halt altogether Ė many clinicians blame their own perceived inadequacy when things arenít moving forward.

ďI was searching for a name that would describe this behavioral pattern that is so common in our field,Ē Dr. Buchanan said. ďI thought, rather than be frustrated with ourselves or our patients for a lack of progress, if we could identify a pattern of behavior Ė and develop strategies to address it Ė we would be much better positioned to help our clients.Ē

Quote:
ďPathological AmbivalenceĒ as a way to re-conceptualize the state of resistance. This shift in perspective benefits both the client and the therapist by helping to explain why some people tend to sabotage progress in therapy, and how the therapist may often become an unintentional enabler.

Pathological Ambivalence is the co-existence of opposing attitudes or feelings toward a person, object or idea that negatively impact quality of life. Dr. Buchanan believes that a lack of change often occurs when different parts of a person have different wishes or needs that are not being effectively integrated.[quote]
When resistance is encountered in psychotherapy, it is usually because either the client or therapist (or both) doesnít realize that the resistance is actually caused by ambivalence,Ē Buchanan explained. ďThus, when a therapist takes a side (presumably the part that wants to change in a healthy direction), the client is likely to voice the other side, resulting in what looks like resistance.

Therefore, the therapist must learn how to be on the clientís side without taking a side.Ē


ďI was recently speaking with a client who was afraid to fully recover from her eating disorder because she didnít want to have to experience the feelings that her eating disorder allowed her to avoid. Saying something like ĎYes, but your eating disorder symptoms can cause you physical problems and you need to learn ways to manage your emotions without using behaviorsí (both of which would have been correct observations) could have resulted in her needing to explain again why this is hard to do. Using a Carkhuff statement, I instead responded, ĎSo you feel afraid to recover because you canít yet believe that you can manage hurtful feelings without your eating disorder.í I didnít take either side, just reflected. She looked at me as if Iíd just performed magic and said Ďwow, itís like youíre in my mindÖI guess Iím going to have to find other ways to manage my feelings.í Ultimately, our pathologically ambivalent clients are much more likely to take their own advice over ours.Ē
On the one hand, Iím in complete agreement... on the other hand, I really donít see your point.
Many Trumpling oriented activists are appearing to base their resistance to mask wearing and social distancing on ďFREEDOM!!Ē

But where do the lines of freedom and responsibility cross? Is it rational to demand freedom from responsibility?

I feel confident in my assessment that the current pandemic of decidedly un-conservative rightwingnuts is merely another manifestation of the classic ďhold my beer and watch thisĒ freedom caucus. Aka, pathologically ambivalent ďTexansĒ.
In that vein: Iíd like to find out which of the Freedum fighters in Boise own businesses so people can be organized to show up at their establishments naked and expecting service. How many will recognize their newfound customersí Freedums?
We discussed the stupidity of the Boise Freedumb movement while standing in line for our second very well organized smooth Pfizerization. It's natural selection in action. There is a reason these folks end up in HidYHo, where all the residents are above average, for plants!

It's worth paying some taxes to have the state take away our freedom to die unmasked and unimmunized.

TAT
Yíall, Boise is the burg of my birth... I desperately hope that it wasnít ďsomething in the waterĒ.
Yeah, but you left before the dreaded CUMO brane disorder developed fully crazy
Originally Posted By: TatumAH
Yeah, but you left before the dreaded CUMO brane disorder developed fully crazy


That's not how you spell brian.
Always look on D-brane side, de dum de dum de dum grin



TAT
Did you hear about the case of the agnostic, dyslexic, insomniac who stayed awake at night wondering if there was a DOG?

ATT
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