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Differentiating authentic versus pseudo vulnerability in therapeutic practice1

Bibliographic Data

ID15528111
AuthorsSusan G Simpson (0000-0002-9625-0797, University of South Australia, corresponding author), Limor Navot (U-center)
Year2023
Volume14
Pages1200981-1200981
Publication date2023-10-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1200981
PMID38025480
OpenAlexW4388023685
LanguageEN
Citations received1
References cited28

The importance of empathy and attuned care as key ingredients in therapeutic healing has been widely recognized. However, empathy that is delivered in ways that are misaligned with the client's clinical presentation and emotional states or 'modes' can have the opposite effect, reinforcing unhelpful coping patterns, and hindering recovery. In this theoretical development paper, it is proposed that 'pseudo vulnerability' is an important yet overlooked source of therapeutic impasses, often resulting in unremitting clinical problems, and poor clinical outcomes. A range of commonly occurring pseudo vulnerable presentations are described, including Complaining Protector, Attention/Recognition Seeking, and Self-Pity/Victim, with the addition of a new mode Helpless Surrenderer. Guidance on differentiating pseudo vulnerable modes from each other and from the authentic Vulnerable Child mode are delineated via characteristic clinical presentations and typical therapist countertransference reactions. Methods for managing pseudo vulnerability to facilitate access to underlying authentic vulnerability are described

Computer security · Countertransference · Empathy · Pity · Presentation (obstetrics · Psychotherapist · Vulnerability (computing · Child and Adolescent Psychosocial and Emotional Development · Computer Science · Counseling, Therapy, and Family Dynamics · Medicine · Psychology · Psychotherapy Techniques and Applications · Social Psychology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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