TY - JOUR AU - Bresler, Jill PY - 2016/03/03 Y2 - 2024/03/29 TI - Promoting Psychological Flexibility by Practicing Flexibly: The Therapist as Model JF - Pragmatic Case Studies in Psychotherapy JA - PCSP VL - 12 IS - 1 SE - Case Study DO - 10.14713/pcsp.v12i1.1945 UR - https://pcsp.nationalregister.org/index.php/pcsp/article/view/1945 SP - 31-38 AB - <p>In this discussion of Dr. Robert Cohen&rsquo;s (2016) case study of his client Daniel, several integrative shifts over the course of the long-term, psychoanalytic treatment are noted. Initially, a shift from a traditional psychoanalytic model to a relational model was initiated in order to respond to Daniel's lack of responsiveness to a therapy focused on transference interpretation; and later a shift to employing strategies from Acceptance and Commitment Therapy (ACT; &nbsp;Hayes, Strosahl, &amp; Wilson, 2012) was implemented in order to address ruminative thought patterns and accompanying social inhibition. The therapist describes his own process of exploring options flexibly, allowing the reader a rare view into this clinical decision-making process. The treatment as a whole is conceptualized as fostering both mentalization and mindfulness skills in the context of the secure attachment that an intensive treatment tends to &nbsp;foster. The possibility that a shift to ACT provided a bridge to a termination process is discussed.</p> ER -