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Brief Dynamic Interpersonal TherapyA Clinician's Guide$
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Alessandra Lemma, Mary Target, and Peter Fonagy

Print publication date: 2011

Print ISBN-13: 9780199602452

Published to Oxford Scholarship Online: September 2011

DOI: 10.1093/acprof:oso/9780199602452.001.0001

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When Things go Wrong

When Things go Wrong

(p.183) Chapter 9 When Things go Wrong
Brief Dynamic Interpersonal Therapy

Alessandra Lemma

Mary Target

Peter Fonagy

Oxford University Press

No matter how well trained or how much personal therapy we have undertaken, some of the time, we all get it wrong. This ‘getting it wrong’ may have different sources and meanings. It may indicate a momentary lapse in attentiveness for example, which says more about our state of mind than being the result of the patient's projections. There are also those occasions when things go ‘wrong’ because we are drawn into an enactment, responding to unconscious pressure from the patient to behave in particular ways that resonate with the interpersonal-affective focus (IPAF). This chapter discusses how to manage difficulties in the therapeutic relationship, forms of resistance, and working with resistance.

Keywords:   DIT, personal therapy, therapist, patient

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