{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T18:10:29Z","timestamp":1762279829629,"version":"build-2065373602"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":1394,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p>This paper describes a psychotherapeutic constructivist intervention oriented to the resolution of implicative dilemmas, in order to promote personal change. It presents a clinical case study of a client with depression and with some dependent and obsessive functioning. The Repertory Grid Technique was administered along with symptom assessment (SCL\u201090\u2010R) both at beginning and end of the psychotherapeutic process. Exploring themes emerged from Repgrid, several narratives, experiential and metaphoric strategies were used in order to explore and reconstruct meanings associated with the five implicative dilemmas found. The therapeutic process succeeds at solving dilemmas as found in the post\u2010therapy assessment. This resolution was accompanied by symptom reduction. In conclusion, the utility of implicative dilemmas as a marker to understand the therapeutic impasse and dysfunctional system coherence is discussed, as well as the efficacy of the strategies used in this clinical case concerning its adaptation to working with implicative dilemmas that prevent therapeutic process.<\/jats:p>","DOI":"10.1348\/147608306x109294","type":"journal-article","created":{"date-parts":[[2006,9,14]],"date-time":"2006-09-14T10:28:00Z","timestamp":1158229680000},"page":"165-180","source":"Crossref","is-referenced-by-count":7,"title":["When what I wish makes me worse \u2026 to make coherence flexible"],"prefix":"10.1111","volume":"80","author":[{"given":"Eug\u00e9nia Maria","family":"Fernandes","sequence":"first","affiliation":[]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Baptista A.(1993).A g\u00e9nese da perturba\u00e7\u00e3o de p\u00e2nico.Unpublished doctoral thesis submitted to the Instituto de Ci\u00eancias Biom\u00e9dicas Abel Salazar Universidade do Porto."},{"key":"e_1_2_8_3_1","first-page":"1","volume-title":"Repertory grid technique and personal constructs: Applications in clinical and educational settings","author":"Beail N.","year":"1985"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"volume-title":"Teoria de los construtos personales: Applications a la pr\u00e1tica psicol\u00f3gica","year":"1998","author":"Botella L.","key":"e_1_2_8_5_1"},{"volume-title":"SCL\u201090\u2010R: Administration, scoring and procedures: Manual 1","year":"1977","author":"Derrogatis L. 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