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Therapeutic Change with Difficult Clients: Precursors and Techniques in the Changes Model

Contributor(s): Wilkinson, Brett D (Author), Hanna, Fred J (Author)

ISBN: 9781433843167

Publisher: American Psychological Association (APA)

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Pub Date: June 17, 2025

Dewey: 616.8914

LCCN: 2024061452

Lexile Code: 0000

Features: Bibliography, Index

Target Age Group: NA to NA

Physical Info: 0.60" H x 10.00" L x 6.90" W ( 1.45 lbs) 328 pages

Descriptions, Reviews, etc.

Description: This book introduces the precursors model of therapeutic change with difficult clients, examining how it provides a framework for addressing barriers to therapeutic change and the strategies and techniques it uses to overcome these barriers.

In the second edition, the seven precursors of the model will be introduced as an acronym: CHANGES.

C = Confronting the Problem
H = Hope for Change
A = Awareness
N = Necessity for Change
G = Grit, or Willingness to Experience Anxiety
E = Efforts Toward Change
S = Social Support

Review Quotes: Even the most experienced and skilled therapists encounter challenges with clients that can stifle progress and bring frustration into the therapeutic relationship. In this volume, Wilkinson and Hanna explore a compassionate approach to working with these challenges that considers the unique individual client. It is an excellent resource for any therapist.--Louis Hoffman, PhD, Editor, APA Handbook of Humanistic and Existential Psychology and coeditor, The Evidence-Based Foundations of Existential-Humanistic Therapy

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