Confrontation

In our context confrontation is the equivalent of challenge. In this sense simple feedback or a socially unusual remark can be a confrontation. For instance, the question "Do you notice that you are clutching the chair's arm with your right hand?

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In analytic psychotherapy confrontation is always directed at the patient's resistance and defences, never against the patient's true self. Forcefulness is rarely necessary.

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A gentle but precise and well-timed remark can amount to a major confrontation. To be effective it has to emanate from the therapist's care for the patient, from her determination to hold and help him. The personality of the therapist and the strength of her rapport with the patient are central factors in a successful confrontation. The resistance should be confronted persistently at the beginning of the treatment until a breakthrough is achieved and the patient's motivation to work on the real issues far outweighs any residual resistance.

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This principle is followed in particular by brief dynamic psychotherapists. The therapist practising BDP works closely in the here-and-now, which is symbolised by the letter T in the triangle of person, until the threshold is reached and the "unconscious is unlocked" Davanloo, The most common defences are confronted one after the other.

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First, any intellectualization, then regressive helplessness and distancing. Finally, the therapist fires a major confrontation.

She makes the patient see that if he carries on with his defensive moves, he will sabotage the treatment e. Of course, to reach this point far from simple.

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The principles of effective confrontations are:. For instance, the phrase "my mother always beat me up" needs to be completed by the account of real events and their painful, humiliating details;. Once the event is clearly described, her questions are about his thoughts, ideas, feelings and not only about his behaviour. Support Center Support Center.

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Heavy emphasis on acceptance of self as having a problem; acceptance of diagnosis seen as essential for change. De-emphasis on labels; acceptance of "alcoholism" or other labels seen as unnecessary for change to occur.

Confrontation

Emphasis on personality pathology, which reduces personal choice, judgment, and control. Emphasis on personal choice and responsibility for deciding future behavior. Therapist presents perceived evidence of problems in an attempt to convince the client to accept the diagnosis. Therapist conducts objective evaluation, but focuses on eliciting the client's own concerns. Resistance is seen as "denial," a trait characteristic requiring confrontation. Resistance is seen as an interpersonal behavior pattern influenced by the therapist's behavior.