Finding Value in Client Resistance

The psychoanalytic concept of resistance is explored in the context of occupational therapy. Research suggests (1) noncompliance with treatment is tied to conflicting perceptions on the part of the therapist and client; (2) a treatment alliance is necessary for achieving successful treatment; and (3) paradigms have emerged that are moving away from a medical model of disability. These new paradigms offer an alternate lens through which to view client responses to treatment. Therapist error, based on either faulty attitudes or lack of psychosocial competence, may play a part in the development of resistance. It is asserted that the concept of resistance can be conceptualized as a powerful force that, if confirmed within the therapeutic alliance, can lead to positive outcomes in treatment.