The techniques of confrontation described here are used by many present-day practitioners, especially those who employ short-term therapy, family therapy, group therapy, and crisis intervention. From the foregoing history it is clear that what the patient is confronted with and how the therapist makes the confrontation have changed through the years. Today, practitioners of the various schools of therapy generally continue the original techniques.The theory and technique of confrontation that follows is based on the proposition that neurosis is a disturbance or distortion of our view of ourselves and of others,and can be changed ultimately only through new, correct, and undistorting experience. Of course, as in all scientific processes, the therapist must wait until a significant block of information is gathered to point to the modes of thinking and functioning that most likely are producing the patient’s problems.The therapist’s views must be communicated at the appropriate time, and in a manner that can be clearly understood and accepted by the patient. This is the essence of what is called “timing” and “interpretation.” New ideas in the form of the resulting “insight” do not in themselves produce change. The confrontation of interpretation is only the beginning of the process of an active interchange between the patient and therapist. Since we are interested in useful change for the patient, and not merely insight, further confrontation is required to insure a change in the actual interpersonal and social activities of the patient.
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