Active Passivity and Apparent Competence: The Dialectical Dilemma of Helplessness and Competence

Psychē, PLLC Vanderbilt University

Key Points

  1. In active passivity vs. apparent competence, the patient fluctuates between appearing able to handle life issues and being completely incapable or unwilling to do so.
  2. Be alert to the risk of over- or underestimating the patient’s true capacities in order to avoid invalidation.
  3. Synthesizing the idea of helplessness and competence (being capable and incapable) is the task of therapy in this dilemma.
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