This chapter extends the coercion model by specifying five structural changes that emerge when families engage in habitual and extended coercive interaction. These five variables increase the difficulty of helping families change. They incorporate dimensions of cognitions, behavioral patterns, and emotions and are conceptualized as indicators on a latent construct. The five structural variables are: overly inclusive classification, negative attribution, punishment acceleration, nonresponsiveness to social stimuli, and emotional dysregulation. They are presumed likely to contribute to clients’ resistance to change during intervention. A goal this chapter is to stimulate new clinical research.