You Have Been Working with a Client in an Outpatient

You have been working with a client in an outpatient hand therapy unit who has been reluctant to participate in therapy and inconsistent with following your home exercise program. In your interactions, the client has been quiet, reserved, and unwilling to provide feedback. In your next meeting, you decide to step back from the therapeutic activities and ask the client about how things are going outside of therapy. The client begins to cry and tells you that he or she has been recently diagnosed with breast cancer. Which of the following statements are consistent with the Intentional Relationship Model (IRM) ?

A) The client's reluctance to participate in therapy, expression of sadness, and intimate self-disclosure related to the diagnosis are inevitable interpersonal events of therapy.
B) The therapist took a step back from therapeutic activity in an attempt to establish an empathic understanding of the client's experience.
C) The client's quiet and reserved communication and unwillingness to provide feedback offers insight into the client's interpersonal characteristics.
D) All of the above