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Ambivalence in Psychotherapy: Facilitating Readiness to Change

Author(s) : David E. Engle, Author(s) : Hal Arkowitz

Reviews and Endorsements

Contents:
An Overview of Resistance and Ambivalence. Theories of Resistance and Ambivalence. An Integrative Model of Resistant Ambivalence. Measurement and Assessment of Resistance and Ambivalence. An Overview of Approaches to Working with Resistant Ambivalence. The Two-Chair Approach: Part I. The Two-Chair Approach: Part II. Motivational Interviewing: Principles and Strategies. Clinical Applications of Motivational Interviewing. Integrating Ambivalence Work with Other Therapeutic Approaches. Appendix: Comparison among Theories of Assistance.

'Engle and Arkowitz have done a first-rate job of reframing the long problematic concept of resistance while attending thoroughly to the essential phenomena to which the term has referred. They offer, as well, an astute and comprehensive approach to dealing with these phenomena. I am not at all ambivalent about this book!' - Paul L. Wachtel, PhD, Doctoral Program in Clinical Psychology, City College, City University of New York

'Practicing therapists from all orientations have clearly been confronted with resistance as an obstacle to the change process. The question is: Are there ways of understanding resistance and dealing with it clinically? Conceptualizing resistance as involving a state of ambivalence, Engle and Arkowitz address this question in their groundbreaking volume. This conceptualization has important therapeutic implications, and the authors provide invaluable clinical guidelines - vividly illustrated with case descriptions and therapy transcripts - for dealing with resistance as ambivalence, so as to facilitate the therapeutic change process.' - Marvin R. Goldfried, PhD, Department of Psychology, Stony Brook University

'Engle and Arkowitz provide a thoughtful analysis of the enduring issue of resistance and noncompliance in psychotherapy. They survey theories and measures of resistance as well as various ways to respond to it, emerging with an integrative approach centered on the phenomenon of ambivalence. Special attention is devoted to two-chair methods and applications of motivational interviewing, with illustrative case examples of how to use these tools in helping clients get unstuck and move on with their lives.' - William R. Miller, PhD, Department of Psychology, University of New Mexico

'An outstanding contribution to integrative psychotherapy. The authors offer an exciting new approach to helping clients overcome ambivalence about change. The book is specific and detailed and captures the essence of the method, which combines two-chair dialogue and motivational interviewing to provide an excellent set of integrative therapeutic tools. Reading this book really will help you help your clients. This is an invaluable resource for therapists and students alike, regardless of orientation, who want to enhance their clinical effectiveness.' - Leslie Greenberg, PhD, Department of Psychology, York University, Toronto, Ontario, Canada

Author Biography:
David Engle, PhD, private practice, Tucson, AZ

Hal Arkowitz, PhD, Department of Psychology, University of Arizona, Tucson, AZ