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Paradox psychology is a counter-intuitive approach that is primarily geared toward addressing treatment resistance. The method of paradoxical interventions (pdxi) is more focused, rapid, and effective than Motivational Interviewing. In addressing resistance, the method seeks to influence the clients' underlying attitude and perception by providing laser beam attention on strengthening the attachment-alliance. This is counter-intuitive to traditional methods since change is usually directed toward various aspects of behavior, emotions, and thinking. As it turns out, the better therapy is able to strengthen the alliance, the more these aspects of behavior will change.
However, within the pdxi process, the idea of changing behavior is secondary to the main focus on the alliance. In surprising fashion, this seemingly minor shift actually results in a 'day and night' difference in how treatment is conducted. The advantage of focusing on attachment=alliance is that when done correctly, the client cannot block or defend against the intervention. Basically, 'resistance' becomes non-existent. So while the resistant client is often well defended and guarded around attempts to alter his behavior, he is unable to block the therapist from strengthening the alliance. This allows the clinician to avoid power struggles around behavior. By developing a stronger client-therapist bold, there is a natural and unconscious shift toward relaxation. As a result, this allows the client to let go of rigid patterns in a manner that can best be described as spontaneous (as unlikely as that may initially sound!)
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