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Any given therapy session presents the therapist with a wide array of possible issues to address. Some will be embedded in what the patient is saying to the therapist; others in what the patient is doing, or failing to do, in the treatment; and still others in the atmosphere the patient is creating in session and the feelings she is stimulating in the therapist. Other important issues may be split off from the patient’s communications in session, reflecting the impact of dissociative defenses on the patient’s cognitive processes and communication. This material may be expressed in the form of behaviors outside the sessions that are potentially harmful to the patient, are disruptive to the treatment, or potentially impede the patient’s progress in the treatment.
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