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Test Specific Cases I: Rigidity and Narcissism
Agenda
1st QUESTION: What is the therapist's recommendation in the face of constant technical precisions of an obsessive person?
Avoid entering into debate about the facts and approach rigidity as a symptom
Entering into detailed discussion of dates and data
Insisting on proving who is right
Imposing sanctions for each correction
2nd QUESTION: How can one reframe a rigid person's need for control?
As ineffective management of internal anxiety
As an intentional moral trait
As a purely cognitive problem with no emotional component
As a strategy to manipulate the partner
QUESTION 3: What strategy is recommended with narcissistic patients who resist taking responsibility?
Appealing to each other's empathy without confronting behavioral impacts
Empathic confrontation by validating suffering and pointing out impact of the behavior
Allowing the patient to lead the session without limits
Avoid any mention of impact on the partner
QUESTION 4: What is a useful technique for couples with high volatility in the session?
Use of total improvisation without rules
Allowing everyone to speak as much as they want without temporizing
Avoiding structures because they restrict spontaneity
Use of timers and objects to get the word out
QUESTION 5: What is the purpose of a predefined "repair" list?
Substitute punitive gestures for apologies
Provoke discussions about who is right
Prevent an impromptu apology from turning into a new attack
Encourage neutrality by omitting acknowledgment of harm
QUESTION 6: What is the outcome of appealing to self-interest in therapy with narcissists?
Provoke guilt to force change
To motivate change by showing that if he modifies his behavior he will get what he desires
Always highlight the inferiority of the other
Eliminating consequences to reward the narcissistic patient
7th QUESTION: Why are structural "crutches" therapeutic for couples with ADHD or impulsivity?
Because it totally eliminates personal responsibility
Because they provide a safe container and reduce anxiety caused by escalation
Because they encourage controlled confrontations between the couple
Because they replace therapy with permanent rigid rules
8TH QUESTION: What limit can the therapist set when a member continuously corrects data during the couple's narrative?
To ask to listen to your partner's pain even if the date is wrong
To demand documentary evidence about the exact date
To punish financially each correction
To enter into discussion about which day it really was
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