Therapist perspectives on working with fears,blocks and resistances to compassion in compassion focused therapy |
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| Authors: | Stan Steindl Tobyn Bell Alison Dixon James N Kirby |
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| Institution: | 1. Compassionate Mind Research Group, School of Psychology, University of Queensland, Brisbane, Queensland, Australia;2. Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UK;3. Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK |
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| Abstract: | Objective A core aspect of compassion focused therapy (CFT) is addressing fears, blocks, and resistances (FBRs) to compassion. How CFT therapists do this with clients remains unclear. This study aims to explore the perspectives of well-trained, experienced CFT therapists regarding how they work with FBRs in the context of CFT. Methods A qualitative study was conducted. Participants were asked five open-ended questions regarding (a) their experiences of working with FBRs to compassion, (b) how they understand and formulate FBRs, (c) specific ways they address FBRs, (d) how other therapists might learn about working with FBRs, and (e) their top recommendations. A total of 64 participants completed the online questionnaire, and the qualitative data were analysed using thematic analysis. Results The analysis produced four interrelated superordinate themes: (a) Getting “alongside” and “behind”: The central role of formulation, (b) “It's not your fault”: Psychoeducation, (c) “Get experiential”: An emphasis on experiential interventions, and (d) “Respect the wisdom”: The importance of therapeutic process. Conclusions Working with FBRs to compassion is critical in CFT. Understanding the wisdom in the client's FBRs, and validating and de-shaming the client's FBRs are crucial. We provide clinical recommendations regarding working with FBRs as part of CFT. |
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| Keywords: | compassion compassion-focused therapy fears of compassion qualitative research self-compassion |
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