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Bypassing the Superficial:
Helping Therapy Patients Be More Open And Honest To You And, More Importantly, To Themselves

Getting patients to be open and honest during therapy is a challenge.  Psychotherapy educators often emphasize phrases like "meeting the patient where they are at" as a way of allowing patients to set the rules for what problems and issues will be discussed.  But if therapists allow patients too much control over what is addressed it gives patients reason to stop therapy with the excuse that it is not really addressing the problems.  As an example of this think of a patient with an alcohol problem who says that their "real problem" is that they do not know how to get along with other people.  Therapists who allow the patient too much control in this regards will likely end up with a patient who quits therapy when they keep running into problems with their alcohol use (which has not changed since it is not really addressed in therapy).  And then therapists who are too insistent on patients discussing their "real problems" will often be met with patients quitting therapy because the therapist "is not really the right fit".

This presentation will focus on the issue of effective ways of getting psychotherapy patients to be open and honest in therapy.  It will emphasize trying to find that balance between being supportive and empathic but also being tough and directive enough to get patients to face negative truths about themselves.  Creating and mainting a supportive envrionment, emphasizing a nonjudgmental approach, using transference behaviors (i.e. therapeutic behaviors that are associated with what psychodynamic therapists term "transferrence"), using direct but supportive therapy approaches and providing effective feedback will all be topics addressed throughout this presentation.  Psychological issues related to denial and resistance, issues that date back to the earliest days of psychotherapy and continue to be relevant now, will also be addressed.

https://therapistexpress.com/workshops/Bypassingthe/view

Bypassing the Superficial:
Helping Therapy Patients Be More Open And Honest To You And, More Importantly, To Themselves

Previously Recorded

Presenter: Daniel Marston, PhD, ABPP

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Course Length: 3 Hours

Learning Objectives:
  1. Participants will be able to identify reasons that therapy patients are not open and honest in therapy.
  2. Participants will be able to state what sorts of therapy interventions are likely to maximize openness and honest in therapy.
  3. Participants will be able to list what aspects of the therapeutic mileau are most likely to maxmimize openness and honesty.

This webinar Offers 3 Continuing Education Credits
This webinar is recorded and will not grant live credits.

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Getting patients to be open and honest during therapy is a challenge.  Psychotherapy educators often emphasize phrases like "meeting the patient where they are at" as a way of allowing patients to set the rules for what problems and issues will be discussed.  But if therapists allow patients too much control over what is addressed it gives patients reason to stop therapy with the excuse that it is not really addressing the problems.  As an example of this think of a patient with an alcohol problem who says that their "real problem" is that they do not know how to get along with other people.  Therapists who allow the patient too much control in this regards will likely end up with a patient who quits therapy when they keep running into problems with their alcohol use (which has not changed since it is not really addressed in therapy).  And then therapists who are too insistent on patients discussing their "real problems" will often be met with patients quitting therapy because the therapist "is not really the right fit".

This presentation will focus on the issue of effective ways of getting psychotherapy patients to be open and honest in therapy.  It will emphasize trying to find that balance between being supportive and empathic but also being tough and directive enough to get patients to face negative truths about themselves.  Creating and mainting a supportive envrionment, emphasizing a nonjudgmental approach, using transference behaviors (i.e. therapeutic behaviors that are associated with what psychodynamic therapists term "transferrence"), using direct but supportive therapy approaches and providing effective feedback will all be topics addressed throughout this presentation.  Psychological issues related to denial and resistance, issues that date back to the earliest days of psychotherapy and continue to be relevant now, will also be addressed.

Learning Objectives:
  1. Participants will be able to identify reasons that therapy patients are not open and honest in therapy.
  2. Participants will be able to state what sorts of therapy interventions are likely to maximize openness and honest in therapy.
  3. Participants will be able to list what aspects of the therapeutic mileau are most likely to maxmimize openness and honesty.

Agenda:

Describing the problem  (40 minutes)

Evidence that being honest is a problem in psychotherapy

Identifying what problems and issues patients tend to not be honest about most often

Walking the "fine line" between being too tough and not tough enough in therapy

Results of Patients no being honest in psychotherapy

Specific Examples of Therapy Outcomes When Patients Not Being Honest

Denial and Resistence in Psychotherapy  (50 minutes)

History of these concepts

Most recent research on these concepts

Practical conclusions From Research on Denial and Resistance

Other Practical conclusions from research on psychotherapy patients not being honest

Review of Specific Approaches that help with openness and honest in psychotherapy (60 minutes)

Nonjudgmental approach

Supportive environmental

Empathic confrontation

Transference behaviors

Therapeutic feedback

Other effective approaches

Scenarios and Discussions  (30 minutes)

Example of scenarios of using these approaches in psychotherapy

Group discussion of how these approaches might work in situations brought up attendees

 



This presentation is open to:
  • Social Workers
  • Professional Counselors
  • Therapists
  • Psychologists
  • Licensed Mental Health Practitioners
  • Other professionals interacting with populations engaged in mental health based services
Course Level: intermediate
Level of Clinician: intermediate
  • New practitioners who wish to gain enhanced insight surrounding the topic
  • Experienced practitioners who seek to increase and expand fundamental knowledge surrounding the subject matter
  • Advanced practitioners seeking to review concepts and reinforce practice skills and/or access additional consultation
  • Managers seeking to broaden micro and/or macro perspectives

Participants will receive their certificate electronically upon completion of the webinar and course evaluation form.


  • CE You LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0437
  • CE You! is an approved sponsor of the Maryland Board of Social Work Examiners for continuing education credits for licensed social workers in Maryland. CE You! maintains responsibility for this program. These credits are also accepted by the Maryland Boards for Professional Counselors, Psychology, and Certification of Residential Child Care Program Professionals, and many other states and disciplines.

Refunds
Registrants who are unable to attend a Therapist Express seminar or live webinars may ask for, and will receive, a credit or refund (your choice). Refund requests will be processed within 3 business days. When an attendee knows in advance that they are unable to attend we ask that they inform Therapist Express ahead of time by emailing support@therapistexpress.com or by calling or texting (631) 202-1010 this allows us to free up the spot in the training in the event that a training is at or near capacity.