Intervention
Utilization Technique Selector
Match a client's specific resistance pattern to the right utilization technique before selecting a clinical response.
This worksheet guides therapists through matching a specific client’s resistance pattern to the most appropriate utilization technique from the ten covered in the book. It prevents the common error of applying a technique before the resistance has been read — symptom prescription used where pacing is indicated, restraint used where joining would work better.
Complete this worksheet after using the Resistance Mapping Tool. Do not select a technique until the map is done. Use the completed selector before the next session with a resistant client to prepare the specific language and anticipated responses.
Utilization Technique Selector
Client (initials or identifier): _______________ Date: _______________
Description of the current resistance pattern What does the resistance look like, when does it appear, and what does it do to the session?
Apparent function of the resistance What does the resistance appear to be doing? (Mark the most applicable.)
- Protection — organizing around something the client is not ready to engage
- Relational control — managing the therapist’s influence in the session
- Communication — the resistance carries a message the client hasn’t said directly
- Avoidance of specific material — organized around one or more specific topics
- Hierarchy management — about authority or the terms of the therapeutic relationship
Notes: _______________________________________________
Technique fit checklist Review each technique and note fit level: Strong fit / Possible fit / Not indicated.
| Technique | Fit | Notes |
|---|---|---|
| Symptom prescription — when resistance is a relational contest | ||
| Joining — when opposing the resistance has strengthened it | ||
| Resistance mapping — always before any other technique | ||
| Reframing resistance as resource — when a positive reframe is plausible | ||
| Pacing before leading — when the therapist has been ahead of the client | ||
| Restraining change — when forward pressure increases resistance | ||
| Avoidance-informed directive design — when past directives ignored the pattern | ||
| Resistance-informed ordeal — when no conventional directive has held | ||
| Indirect suggestion — when direct suggestion consistently triggers refusal | ||
| Resistance as alliance — when the client’s objections contain a usable commitment |
Selected technique
Rationale — why this technique fits this client’s specific pattern
Next-session plan
What to prepare before the session:
What to watch for in the session:
How to respond to the most likely client reaction:
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