Clinical Practice SWES Practice Exam

What is the term for the conscious and unconscious attempts by a client to disrupt the therapeutic process?

1. Projective identification.

2. Sublimation.

3. Resistance.

4. Counter-transference.

The correct answer is: Resistance.

The term that describes the conscious and unconscious attempts by a client to disrupt the therapeutic process is known as resistance. In a therapeutic context, resistance can manifest in various ways, such as avoidance of certain topics, reluctance to engage fully in the therapy, or even creating conflict within the session. This behavior often stems from the anxiety or fear the client may have regarding facing difficult emotions or memories, and it serves as a protective mechanism to keep them from confronting these underlying issues. Recognizing resistance is crucial for therapists, as it provides insight into what the client may be struggling with or what they find threatening. By addressing resistance, therapists can help clients explore their fears and ultimately work through the issues that are hindering their progress in therapy, facilitating a more productive therapeutic relationship. The other terms mentioned do not align with the concept of resisting therapeutic progress in the same way. While projective identification involves a client projecting feelings onto the therapist, sublimation refers to channeling unacceptable impulses into socially acceptable activities, and counter-transference is the therapist's emotional reaction to the client. Each of these concepts plays a role in the therapeutic dynamic, but resistance specifically addresses the client's behavior that obstructs the therapy process.