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  • This blog provides a forum for discussion of therapeutic technique, including cognitive behavioural and psychodynamic technique. The focus of the blog is on psychotherapeutic technique and issues in the room rather than case or theoretical discussions. At the bottom of each post is a comments section. Feel free to make any comments you like. Please remember this blog is a public forum.

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  • Chris Allan is a clinical psychologist and Director of the Psychology Clinic at the University of Wollongong. He has a strong interest in both cognitive and psychodynamic therapies and an ongoing fascination in the interaction of technology and psychology. His interests are varied and include martial arts, playing guitar, cooking, chess, clothes, poetry and computer gaming. He is married with two children two dogs and a budgie.

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Comments

JG

Nice to see CBT continuing to adapt psychodynamic ideas into the work. This will benefit their patients, and the therapists themselves. If only they would also develop a healthier attitude about the need for therapists to experience an intense psychotherapy as part of their training.

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There can be no doubt that the vehicle for change in a therapy session is the therapeutic relationship. The fact is that if clients don't like you they are unlikely to let you help them. What's more a healthy therapeutic relationship is therapeutic itself. While Rogerian therapy can't fix everything it does have one huge benefit, interpersonal trust and safety. Clients are likely to be more adaptive when they believe that they can trust the therapist. They are more likely to be rigid and resistent if they don't believe they are safe within the therapeutic context. This doesn't even account for the benefits of Modelling, Partial Parenting, bog standard option exploration. If the therapist is unwilling to be a part of the therapeutic relationship because they need to maintain control and superiority it is likely they will not create the conditions for an adaptive therapeutic process. Just a thought.

JPE

Always liked the idea of relationship as the delivery vehicle for appropriate cbt interventions. Then again, I tend to describe myself as "a cognitive behavioural therapist with a Rogerian bent." If your client doesn't think you get it or care they are really unlikely to follow through on assignments and homework. Where it gets really interesting for me is the challenges I have treating those I find myself disliking. That's often where the Rogerian part comes in seeking out something... anything I can respect in the individual. Even if it's only the fact that they are seeking help.

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Where it gets really interesting for me is the challenges I have treating those I find myself disliking. That's often where the Rogerian part comes in seeking out something... anything I can respect in the individual. Even if it's only the fact that they are seeking help.

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