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.

chapter |3 pages


chapter 1|19 pages

Integrity Therapy and the Integrity model

The beginning

chapter 2|35 pages

Lander and Nahon's Integrity model

Theoretical formulations

chapter 3|24 pages

The Integrity model in practice

chapter 4|12 pages

Transference and countertransference

Therapeutic dilemmas

chapter 6|10 pages

Working with the antisocial personality

chapter 7|9 pages

Working with the addict

chapter 8|10 pages

Working with post-traumatic stress

chapter 10|10 pages

Working with cultural diversity

chapter 11|12 pages

Workplace stress and burnout

chapter 12|10 pages

Dealing with organizational stress