For me it's just a question of just sitting down and forcing myself to pound through it. Even if what is coming out is junk, there's usually a few nuggets that I can use after a reread/delete. And oddly enough some of my best stuff has come out of a serious block where I was absolutely stuck on what to do with the story. Other times it takes a few tries before I get something I'm willing to keep.
It's hard since I don't like to delete something I've spent a lot of time writing, but you have to be willing to cut in order to avoid getting stuck behind a huge block. The longer you wait the harder it gets to resume, at least for me.
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