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Effective Techniques for Dealing with Highly Resistant Clients
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12 of 12 people found the following review helpful
on November 19, 2005
Format: Paperback
A practical resource for therapists at all levels of experience. Seasoned therapists will find a fresh approach for many of the most common and frustrating client interactions. Students will find helpful tips to develop confidence to work with clients while practicing various therapeutic techniques. Dr. Mitchell presents the material in a no-nonsense, sometimes humorous style that is clear and concise. You will find yourself returning to review the techniques in this manual frequently.
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7 of 7 people found the following review helpful
Format: Perfect PaperbackVerified Purchase
I work with involuntary clients in a lock-down facility for delinquent juveniles and dealing with heavy resistance is a daily struggle. The methods I've used from this book have greatly improved my success in gaining cooperation and participation during counseling sessions. It's also relieved a lot of stress.

In this book you will find a new way of viewing resistance. It is approached as a product of the interaction between therapist and client instead of an internal client trait. It is a special form of communication from the client, and when handled skillfully, it can actually be used to move therapy forward. I love the Aikido metaphor he uses to make this point. Responding to the resistance to change is also viewed as the heart of all therapy because without it people wouldn't be in therapy in the first place.

In addition, he covers the importance of eliciting the "desire side" of change to boost client motivation, the importance of being sensitive to the client's stage of change using the transtheoretical model of change, and the importance of collaborative goal creation to keep therapy moving in a positive direction.

This book cuts to the chase by bypassing elaborate theory to get right to case examples that illustrate the methods and techniques described. The metaphors and excerpted quotes promote the quick understanding of the material even further. At first glance it may appear to be just a book of techniques, but it is actually a complete approach to therapy and is built on the foundation of Rogers' Person-Centered Therapy. This book also makes an excellent compliment to Miller and Rollnick's Motivational Interviewing.

The only criticism I have is that I would have liked to have seen an extended transcript from a collection of actual sessions with a single client that illustrate the techniques as that client moves through the stages of change.

Note: Apparently Amazon no longer carries this book directly. However, it can be purchased on the author's website for $30. Just google his name.
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5 of 5 people found the following review helpful
on December 21, 2007
Format: Perfect Paperback
I just received this book last week, but it is already tremendously useful to me in my work. For example, last night during a session with my most challenging client, I experienced his resistance in a completely new way: instead of feeling like a source of frustration to me, it became a place of great therapeutic opportunity for the client. He was more vulnerable and engaged than ever and his work took on an organic "flow" which was remarkable to experience.

I'm new to the field, still learning what counseling is and is not, and Dr. Mitchell's book is, by far, the best presentation of the therapeutic relationship I've yet run across. It makes me feel excited again about being a counselor and instills hope in me that I can actually help my clients change.
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2 of 2 people found the following review helpful
on May 7, 2008
Format: Perfect Paperback
All Businesses have them - those difficult clients who come in and only seem to make the day seem to drag out longer and longer. "Effective Techniques for Dealing with Highly Resistant Clients, 2nd Edition" will lay out everything the reader need to know to deal with these formerly dreaded but valuable people. Written with practicality in mind, it teaches readers nine common errors therapists make that foster resistance, use the inherent power of language to create movement, the problem of over questioning, managing difficult responses, dealing with awkward silences and specific techniques to manage it all. Recommended for both business management and industrial psychology community library shelves.
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2 of 2 people found the following review helpful
on March 14, 2014
Format: Perfect Paperback
I am so impressed with this book that I felt I just had to write a review to sing its praises.

It is full of effective advice & explanations & is enormously practical in a wise way that puts the practicality into context.

I am enjoying & gaining from dipping into it and am looking forward to reading it thoroughly.

It is a good book to turn to when you get "those" clients and it cuts to the chase to the benefit of all.
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2 of 2 people found the following review helpful
on January 31, 2014
Format: Perfect PaperbackVerified Purchase
I found the text useful and easy to understand and implement. The theory and practice is integrated well, and it works well with clients.
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1 of 1 people found the following review helpful
on February 19, 2013
Format: PaperbackVerified Purchase
I won't really write an extensive review here, other than to say as a therapist myself I have found this book invaluable for recognize the causes of resistance, identifying and developing my own responses to it and how to work through it. In fact this book will help you redefine the word so we don't conceptualize resistance as a problem only clients have, but rather one that therapists contribute to. It's eminently practical, readable and applied for clinicians of every stripe. The best time to read this book is at the beginning of your career. I recommend you do what I did, write an outline of this book to help retain the most salient points and refer to as a handy reference! Highly recommended.
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on November 18, 2010
Format: Paperback
Cliff Mitchell's book on dealing with client resistance delivers a very important and pragmatic tool into the hands of counceling therapists. Mitchell, clearly an expert in this field, compiles years of research and theory in combination with decades of his own counceling experience to produce a highly accessible device for dealing with this common yet highly problematic area of therapy.

The book is designed primarily as a practical reference guide. Mitchell certainly presents enough supporting research and theory to solidly ground his ideas. More importantly, these references are always accompanied by functional examples that clearly demonstrate the point to be made.

While the content of the book is obviously its main feature, it is the user-friendly organization and presentation of the information that makes it stand out. Foremost of these elements are the practical examples provided. In such a complex and fluid enviroment as clinical therapy it is difficult to imagine presenting anything close to IF-THEN performance aids for counceling dialogue. Yet, this is what Dr. Mitchell accomplishes in a wide number of cases.

Other items also contribute to the usefulness of the information in the book. Topics are layed out to support growing concepts, language is direct, clear, and consise. Material is chunked into managable sizes for ease of reading and subsequent ease of use.

Clearly the best testiment to the qualities of this book come from therapists who have successfully applied methods described within. It is a book that should be on every therapists desk as a ready reference. While Dr. Mitchell's book provides valuable insights and methods to deal with client resistance, it also serves as an excellent base for both therapist and research growth on this topic.

PM
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1 of 1 people found the following review helpful
on June 28, 2013
Format: Perfect PaperbackVerified Purchase
Excellent book to read, study and integrate into practice; a cohort in case consultation recommended the book; I ordered it while still in the meeting, the book arrived within 48 hours.
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on September 18, 2011
Format: Perfect PaperbackVerified Purchase
Dr. Mitchell presents a treasure trove of practical skills that are immediately useful for counselors at all levels: novice to experienced. His plain-speaking writing style eliminates all the fluff while managing to deliver clinically sound content. Out of the dozens of counseling-related books I have purchased, this is by far the best one I have ever come across! I have used the techniques in this book in my profession as an academic counselor and will be using them as I work with sex offenders for my counseling internship. The techniques in this book go beyond working with resistance as they teach you how to foster productive partnerships with clients period. I believe this book has been my "secret weapon" throughout my counseling training, allowing me to advance my skills in a relatively short amount of time. If you practice the techniques in this book, you will undoubtedly become a better counselor...that is a guarantee.
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