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TatumAH Offline OP
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Its Not You, Its 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:
A Clinicians Guide to Pathological Ambivalence, 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 or have come to a halt altogether many clinicians blame their own perceived inadequacy when things arent moving forward.

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

[quote]Pathological Ambivalence 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) doesnt realize that the resistance is actually caused by ambivalence, Buchanan explained. Thus, 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 clients side without taking a side.


I was recently speaking with a client who was afraid to fully recover from her eating disorder because she didnt want to have to experience the feelings that her eating disorder allowed her to avoid. Saying something like Yes, but your eating disorder symptoms can cause you physical problems and you need to learn ways to manage your emotions without using behaviors (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, So you feel afraid to recover because you cant yet believe that you can manage hurtful feelings without your eating disorder. I didnt take either side, just reflected. She looked at me as if Id just performed magic and said wow, its like youre in my mindI guess Im going to have to find other ways to manage my feelings. Ultimately, our pathologically ambivalent clients are much more likely to take their own advice over ours.

Last edited by TatumAH; 02/20/21 01:44 AM.

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Sometimes I wrestle with my demons... sometimes we just cuddle.


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Sometimes I wrestle with Dem-ons, sometimes we coddle.

Last edited by TatumAH; 02/20/21 04:05 PM.

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I only coddle Molly.


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If it goes beyond coddling, you may need some Dry Moly Lube?


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That, or improvements to my coddle startup protocol...


You never change things by fighting the existing reality.
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TatumAH Offline OP
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foul play is not the road to mandalay,


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One can play chicken on the road, if no man delays it.


You never change things by fighting the existing reality.
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TatumAH Offline OP
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Chicken with no head anyway


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TatumAH Offline OP
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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
Its Not You, Its 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:
A Clinicians Guide to Pathological Ambivalence, 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 or have come to a halt altogether many clinicians blame their own perceived inadequacy when things arent moving forward.

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

Quote:
Pathological Ambivalence 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) doesnt realize that the resistance is actually caused by ambivalence, Buchanan explained. Thus, 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 clients side without taking a side.


I was recently speaking with a client who was afraid to fully recover from her eating disorder because she didnt want to have to experience the feelings that her eating disorder allowed her to avoid. Saying something like Yes, but your eating disorder symptoms can cause you physical problems and you need to learn ways to manage your emotions without using behaviors (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, So you feel afraid to recover because you cant yet believe that you can manage hurtful feelings without your eating disorder. I didnt take either side, just reflected. She looked at me as if Id just performed magic and said wow, its like youre in my mindI guess Im going to have to find other ways to manage my feelings. Ultimately, our pathologically ambivalent clients are much more likely to take their own advice over ours.


There's nothing wrong with thinking
Except that it's lonesome work
sevil regit
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