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Resistance and Motivating for change
Laurette · 10/19/03 at 3:40 PM ET
I am having great difficulty in moving a client into a change mode for therapy. This is a 72 year old female admitted post suicide attempt due to mainly axis 2 and psychosocial factors. she does not report emotion, cognitions or even dreams that can be used to engage with. she 'fires' me during most sessions and this is obviously when I am touching on a sensitive issue but when an attempt is made to explore this she avoids following it up. She currently has two other mental helath workers in her life, her psychiatric district nurse and the day hospital as well as myself (clinical psychologist). What I am finding promising is that issues that we talk about during our session she usually engages with when she meets with her PDN again, so this assures me that she is hearing the message. I was informed at the latest team meeting that " I don't want to get Laurette sacked or anything, but I don't know why talking about my family is going to help and I don't think she is very good at her job", I take this as being a sign that her anxiety is increasing as we are approaching areas of difficulty for her and roll with this (though it does hurt a little - agree?). anyway any tips in other ways that I might engage her would be received with open arms. I have met with her approximately 6 times and have focussed a lot on establishign a good therapeutic relationship, but it's time to move on as well to the issues. Regards in anticipation.
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