ABSTRACT

The treatment plan leads the therapist to pay particular attention to one aspect of what the client says and does, to set up a particular exercise or experiment. This chapter provides an example of this kind of unfolding, developing treatment plan. Gradually the pieces begin to fit together, the percentage of disconfirmations grows smaller and smaller; client and therapist are both aware of the treatment plan and are both invested in implementing it. Internally, the therapist looks for splits, for introjects, and for any fixations from the past that may interfere with or disrupt the natural flow of assimilation and accommodation processes within the client. Only as Sarah allowed herself actually to receive that which she so deeply needed, did her cognition, affect, behavior, and physiological responses come together into a total experience that could be carried out of the therapy situation into her ongoing social interactions.