1st Edition

The Integrity Model of Existential Psychotherapy in Working with the 'Difficult Patient'

ISBN 9781583912201
Published August 8, 2005 by Routledge
232 Pages

USD $48.95

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Book Description

Dealing with the therapeutic impasse is one of the most challenging tasks faced by therapists. The Integrity Model of Existential Psychotherapy in Working with the 'Difficult Patient' describes how the Integrity model of psychotherapy provides an original solution to dealing with difficult issues such as resistance, acting out, counter-transference, guilt, value clashes and cultural diversity.

The Integrity model is based on an existential approach to living and views psychological difficulties as stemming from a lack of fidelity to one's values. In this book, the authors explore how this approach to psychotherapy can enhance other therapeutic models or stand on its own to offer a valuable alternative perspective on the causes of mental illness. Case material is provided to illustrate the value of the Integrity model in relation to a range of clinical issues, including:

Borderline Personality Disorders

Antisocial Personality

Post-Traumatic Stress


Workplace Stress


This book provides a provocative and insightful presentation of the subject of impasses, as well as dealing with associated issues including the role of values in psychotherapy, community, spirituality, and therapist responsibility. It will be of great interest to counsellors and psychotherapists.


'There are gems of seasoned wisdom throughout the book... I found in The Integrity Model new encouragement that I am beginning to understand some fundamental processes of human healing. It challenged me to set aside accustomed frameworks, and to think more broadly about what is unique to human nature and change. Lander and Nahon bring together many pieces of the puzzle that is always on the horizon for me when I am designing, conducting, and trying to understand my own research.' - William R. Miller, Distinguished Professor of Psychology and Psychiatry, The University of New Mexico, USA, Motivational Interviewing Network of Trainers

'Nedra Lander and Danielle Nahon have produced both  a fine tribute to the legacy of the late Hobart Mowrer and a potent example of how the ideas and practices of a distinguished psychologist can be developed and fashioned for a new generation... Lander and Nahon's book seeks to present a healthy form of relatedness which not only includes those who are often placed at the extreme end of the psychiatric continuum but has profound implications for couples, families, the workplace and even for international relations. Those who accuse them of naivete, grandiosity and evangelical zeal, are I suspect, unwittingly pointing to the book's importance and seditious power.' - Brian Thorne, Emeritus Professor of Counselling, University of East Anglia, Norwich, UK, Self and Society