Download - The Safran Lab

31. Engages in didactic persuasion. The stance is teaching, guiding, persuading. It is a
goal-directed stance that is meant to, through examining evidence, convince the client
that his/her way of thinking is erroneous. "This plan we were talking about allowed you
to test out the predictions you had. Do you see how you were able to disprove those
predictions and thus get more accurate information?" (Rate on freq/clarity.)
32. Defines/Identifies/Specifies the maladaptive pattern. "You have a tendency when
you're feeling scared to pull back. We've seen how this happens in your friendships and
with people at work," "When you get angry with people you are close to, you have a
tendency to react impulsively. This has been going on for a long time, and we need to
understand what this pattern is about."
33. Receptive silence, (a/k/a receptive listening) Did the therapist appear to allow
silence to continue, using minimal encouragements such as "uh-huh," "mm-hmm," and
"okay" as a means of encouraging the patient to talk? Allows pt space to communicate.
(Hollon, 1984)
34. Helps client examine currently available evidence or information to test the
validity and realistic consequences of the client's beliefs. Therapist helps the client use
evidence from 1) client's past experience, 2) his/her knowledge of the way the world
works, to test his/her beliefs for validity. This can also be applied when the therapist
looks at the realistic consequences of an event with the client. "Let's look at what actually
happened and see if your belief still holds," "What's the evidence for the belief that your
friends can't stand you?" (Rate on freq/clarity.)
35. Respects client as arbiter of experience. Therapist maintains a humble, subjective,
exploratory stance. Therapist is not the expert on the client's feelings; s/he is facilitating
their unfolding. (Rate on freq/clarity - GLOBAL item.)
36. Interprets/Explores maladaptive patterns by linking dynamics with others (past
and present) to current dynamics with the therapist. Therapist tries to show the client
that patterns that existed in relationships with significant others are similar to patterns in
the relationship with the therapist. "So you used to rely on John on a daily basis, and
now you can't do that because he's gone, so you feel like you are starting to rely on me
for those things." (Rate on freq/clarity.)
37. Deepens client's awareness/experience through in- or out-of-session awareness
exercise. Often, when the client has expressed an emotion, the therapist will say: "Try
saying that to me directly," "Try saying, 'I'm angry at you'" or "Over the week, be aware
of when you get sad or close off and withdraw." (includes 2-chair exercise.) (Rate on
freq/clarity.)
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