ABSTRACT
Conceptualization is predicated upon the transference and countertransference manifested and discerned. Phenomenologically the hard to reach client is less able to respond to more goals-based methods (correlated with counseling and the clinician’s “Doing Style”) and requires interventions be rebalanced toward process (correlated with psychotherapy and the clinician’s “Feeling-Sensing Style”). Thus client pathology and functioning in relationship are key data governing clinical choices in increasing or decreasing reliance on either goals or process to bring the client to second-order change. Characterologically the client has developed in specific ways assessable and understandable in the DCT schema; resulting disavowal necessarily impairs client self-reporting. Thus, in a new manifestation of the dialectic between goals and process, the clinician must steer between the duty to follow the client’s presenting story (goals) and the duty to “look beyond” it (process). Consequent requirements of the clinician in terms of process skills in the reparative, intersubjective developmental work of building client self-structure are incorporated into the working hypothesis.
