Therapeutic Oxymoron Laid to Rest

Posting has been a little light lately as I discover, like 60 million bloggers before me, the inverse relationship between blogging and work.

In the mail this week is Paul Gilbert and Robert Leahy’s new book titled: The Therapeutic Relationship in the Cognitive Behavioral Therapies.

I’ve been holding the book up to everybody who comes to my office over the week with a range of responses from “unbelievable” to “about time". I have to say I was delighted to see this title which I see as a sign of the rounding out and maturing of cognitive approaches to therapy.

I know my headline will invoke some criticisms from the Cognitive Therapists. However looking through all the books on cognitive therapy in our clinic (and we have a lot) I could not find one that had a chapter on the therapeutic relationship except for the more in-depth DBT and Schema Therapy books.

…….there may be a grain of truth in the observation that many of us who utilize CBT could do a better job of understanding and working with the therapeutic relationship.

A full review in a week or two when I have had time to read it through.

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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[Jim]

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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