Light Up The Couch

When Clients Disengage: An IFS-Informed Approach to Repairing Ruptures and Improving Outcomes, Ep. 249

Aug 6, 2025
Dr. Beth Mullen-Houser, a clinical psychologist specializing in Internal Family Systems (IFS), discusses crucial aspects of therapy with Elizabeth Irias, LMFT. They explore how IFS can mend ruptures in the therapist-client relationship and emphasize the ethical duty of staying attuned. Mullen-Houser shares her journey from acceptance and commitment therapy to embracing IFS, highlighting the importance of genuine human connection. The conversation tackles the emotional dynamics between therapists and clients, underscoring the need for self-awareness to improve outcomes.
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INSIGHT

Therapeutic Alliance Drives Outcomes

  • The therapeutic alliance and therapist warmth are crucial common factors for positive therapy outcomes.
  • A strong, empathic therapy relationship supports the journey from distress to emotional health.
INSIGHT

Recognizing Harmful Therapy Behaviors

  • Harmful therapy often involves therapist behaviors like devaluation, cultural incompetence, and verbal abuse.
  • These behaviors can cause clients to lose trust and motivation, negatively impacting therapy.
ANECDOTE

An Example of Harmful Therapist Reaction

  • A client with dissociative parts was previously told by a therapist to leave when silent, damaging trust.
  • This example shows how well-intentioned therapist reactions can cause harm and impede progress.
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