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(p. 123) Working with your client 

(p. 123) Working with your client
Chapter:
(p. 123) Working with your client
Author(s):

Dickon Bevington

, Peter Fuggle

, Liz Cracknell

, and Peter Fonagy

DOI:
10.1093/med-psych/9780198718673.003.0004
Page of

date: 18 September 2019

The first quadrant of the AMBIT wheel is presented, focusing on mentalizing in face-to-face client work. The “therapist’s mentalizing stance” (first developed in mentalization-based treatment) is described—behavioral prompts promoting a “way of being with” the client to foster mentalizing. Next, the “Mentalizing Loop” is described: a sequence of activities providing structure for sessions. Common sources of “unbalance” in the work are explored that can make it stressful; this is particularly expressed in the common tension between “Scaffolding existing relationships” and “Managing risk,” two often apparently contradictory elements of AMBIT’s principled stance. Broadcasting intentions, and other explicit mentalizing techniques, are presented, leading on to a presentation of the AMBIT wheel from the client’s perspective, emphasizing parallel helping processes between worker and client. The place of other (non mentalization-based) specific evidence-based interventions within AMBIT frameworks is discussed. Risk assessment, and the tension between support and challenge, is described.

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