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Therapeutic Relationship in Cognitive-Behavioral Therapy: A Clinician's Guide

by Nikolaos Kazantzis, Frank Dattilio and Keith Dobson Guilford Publications
Pub Date:
Ebk 288 pages
AU$67.00 NZ$68.70
Product Status: Available
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From leading cognitive-behavioral therapy (CBT) experts, this book describes ways to tailor empirically supported relationship factors that can strengthen collaboration, empiricism, and Socratic dialogue and improve outcomes. In an accessible style, it provides practical clinical recommendations accompanied by rich case examples and self-reflection exercises. The book shows how to use a strong case conceptualization to decide when to target relationship issues, what specific strategies to use (for example, expressing empathy or requesting client feedback), and how to navigate the therapist's own emotional responses in session. Special topics include enhancing the therapeutic relationship with couples, families, groups, and children and adolescents. Several reproducible worksheets can be downloaded and printed in a convenient 8 1/2" x 11" size.  

Foreword, Judith S. Beck
1. Introduction
2. Defining the Therapeutic Relationship in CBT
I. Generic and CBT-Specific Relationship Elements
3. Tailoring Empirically Supported Relationship Elements with Cognitive Case Conceptualization
4. Collaboration and Empiricism
5. Socratic Dialogue and Guided Discovery
II. Application of the Guidance in Therapy
6. Setting Agendas and Establishing Pace and Session Goals
7. Behaviorally Focused Interventions
8. Cognitively Focused Interventions
9. Cognitive and Behavioral Experiments
10. Between-Session (Homework) Interventions
11. Concluding Relationships and Relapse Prevention
III. Therapist Reactions and Therapy Contexts
12. Ethics and Safeguards to the Therapeutic Relationship
13. Identifying and Managing Therapist Reactions
14. Working with Couples, Families, and Groups
15. Working with Children and Adolescents, Mark J. Knepley, Hannah Frank, and Philip C. Kendall

“Until now, there has not been a comprehensive resource to guide CBT practitioners in utilizing the special and unique therapeutic relationship to help clients achieve long-lasting change. This book meets an essential clinical need—and does so brilliantly. The authors provide a wealth of information about both generic and CBT-specific elements of forming effective therapeutic relationships. They have structured the book skillfully into easy-to-follow chapters, each targeting key components of conducting CBT. Case illustrations with sample dialogues, clinical tips, and self-reflection exercises engage readers in applying the ideas in their own practices. Students and clinicians will repeatedly return to these pages for sound advice.”

—Joan Davidson, PhD, Co-Director, San Francisco Bay Area Center for Cognitive Therapy; Assistant Professor, Clinical Sciences Program, University of California, Berkeley


“Experienced clinicians know that therapy is not simply the application of 'techniques' to solve the client’s problems. Some therapists have high dropout rates, while others are able to connect and encourage clients to explore and grow even when difficulties arise. This important contribution aids in the development of effective, compassionate therapist–client relationships. Grounded in theory and the empirical literature, the book provides guidelines on agenda setting, homework compliance, behavioral assignments, and cognitive interventions. It shows how different ways of addressing roadblocks can either impede or enrich the therapeutic process. Clinicians at all levels will benefit from the authors' insight and wisdom.”

—Robert L. Leahy, PhD, Department of Psychiatry, Weill Cornell Medical College; Director, American Institute for Cognitive Therapy


“The therapeutic relationship is the heart and soul of CBT. This is just the book that is needed to link the many outstanding volumes on CBT technique to the practice of CBT in the room with real clients. The authors’ rich clinical experience shines through in the case examples and deep understanding of the realities of practice. Not surprisingly from these authors, the book consistently draws on the empirical literature. Reading this book is the next best thing to having one of these outstanding professionals as your clinical supervisor. This book will be a strong addition to graduate curricula, but also has much to offer for the experienced practitioner. The self-reflection exercises nicely model the collaborative relationship at the core of CBT.”

—Debra A. Hope, PhD, Department of Psychology, University of Nebraska–Lincoln


“There is currently an impressive array of CBT books available to instruct practitioners about a range of disorders. This book complements those volumes and provides an important step forward as it offers a solid foundation for the role of the therapeutic relationship in the practice of CBT. Students from the mental health professions will learn much about the nature of the client–therapist relationship in psychotherapy from this book. Clinicians with many years of experience will also benefit, as they learn how best to apply the generic and distinctive features of the therapist–client interaction to refine their practice and strengthen relationships with clients, as well as use tensions and strains in the alliance as opportunities to improve the therapeutic relationship.”

—from the Foreword byJudith S. Beck, PhD, President, Beck Institute for Cognitive Behavior Therapy


“This brilliant book demonstrates like no other that the practice of CBT is a human, rather than mechanical, process. Socratic dialogue and collaborative empiricism are presented not as strategies to employ, but rather as crucial components of the therapeutic relationship. This book will enhance the library of beginning students as well as novice and seasoned clinicians. It will serve as an invaluable reference for therapists to return to again and again in reflecting on the case conceptualization and maintaining a therapeutic relationship, within the context of competent and ethical CBT. I plan to use it in a seminar I am teaching on the psychotherapeutic process, and think it would be excellent required reading for a broader class on CBT.”

—Christopher R. Martell, PhD, ABPP, Clinic Director, Psychological Services Center, University of Massachusetts, Amherst
Nikolaos Kazantzis, PhD, is Associate Professor in the School of Psychological Sciences and the Institute for Cognitive and Clinical Neurosciences at Monash University (Australia) where he directs the clinical training program and Cognitive Behaviour Therapy Research Unit. He has an active funded research program studying various aspects of treatment process, with a particular emphasis on depression and cognitive-behavioral therapy (CBT). He is a recipient of many prestigious professional awards, including the Beck Scholar Award for Excellence in Contributions to Cognitive Therapy from the Beck Institute for Cognitive Behavior Therapy, presented by Dr. Aaron T. Beck and Dr. Judith S. Beck. Dr. Kazantzis is a Fellow of the Australian Psychological Society, a current board member of the International Association of Cognitive Psychotherapy (IACP), and the IACP delegate for Australia. He is Associate Editor for the British Journal of Clinical Psychology, Cognitive Therapy and Research, and the International Journal of Cognitive Therapy, and has published over 100 peer-reviewed publications and 6 books, including The Therapeutic Relationship in Cognitive-Behavioral Therapy and Using Homework Assignments in Cognitive Behavior Therapy. Dr. Kazantzis has developed CBT training programs for over 6,000 professionals, and has presented workshops in 20 countries.


Frank M. Dattilio, PhD, ABPP, is a Teaching Associate (part-time) in Psychiatry at Harvard Medical School and Clinical Associate in Psychiatry at the University of Pennsylvania School of Medicine. He is also a practicing clinical psychologist in Allentown, Pennsylvania, where he provides individual, couple, and family therapy. Dr. Dattilio has presented extensively throughout the world on treating a wide range of disorders using CBT and has been active in research, professional education, training, and supervision of psychiatrists and mental health professionals. His more than 300 publications include 22 books in the areas of couple and family therapy, anxiety and behavioral disorders, and clinical and forensic psychology. Dr. Dattilio serves on the editorial boards of a number of professional journals and is the recipient of numerous awards for outstanding achievement in the fields of psychology and psychotherapy.


Keith S. Dobson, PhD, is Professor of Clinical Psychology at the University of Calgary, Alberta, Canada, and a Principal Investigator for the Opening Mindsprogram of the Mental Health Commission of Canada, with a focus on stigma reduction in the workplace. His research has focused on both cognitive models and CBTfor depression. Dr. Dobson has published over 230 articles and chapters, 13 books, two DVDs, and one DVD series. He is a past president of the Canadian Psychological Association, the Academy of Cognitive Therapy, and the International Association for Cognitive Psychotherapy. Dr. Dobsonis a recipient of the Award for Distinguished Contributions to the Profession of Psychology and the Donald O. Hebb Award for Distinguished Contributions to the Science of Psychology from the Canadian Psychological Association, among other honors.