Hostname: page-component-7bb8b95d7b-fmk2r Total loading time: 0 Render date: 2024-09-21T11:51:29.275Z Has data issue: false hasContentIssue false
  • English
  • Français

Cognitive psychotherapy: what happens when the therapeutic relationship breaks down?

Published online by Cambridge University Press:  13 June 2014

Noreen Bannan  and
Kevin M Malone
Noreen Bannan
Affiliation:
Department of Adult Psychiatry, Mater Misericordiae Hospital, Ireland
Kevin M Malone
Affiliation:
Department of Adult Psychiatry, Mater Misericordiae Hospital, Ireland
Get access Rights & Permissions [Opens in a new window]

Abstract

Behavioural and interpersonal difficulties arising during the course of cognitive psychotherapy are common and they provide unique opportunities to assess and modify patients' beliefs and assumptions. A breakdown in the therapeutic relationship may be on a continuum from a simple misunderstanding to a more chronic and complex problem. It may act as a potent vehicle for change in the patient, but may also precipitate change in the therapist who is also part of that relationship which can influence treatment outcome.

Keywords

Cognitive psychotherapyTherapeutic relationship
Type
Perspective
Information
Irish Journal of Psychological Medicine , Volume 19 , Issue 3 , September 2002 , pp. 92 - 95
Copyright
Copyright © Cambridge University Press 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Beck, AT. Cognitive therapy and the emotional disorders. Penguin Press, 1976Google Scholar
2.Beck, ATet al.Cognitive therapy of substance abuse. New York: Guilford Press, 1993Google Scholar
3.Albeniz, A, Holmes, J. Psychotherapy integration: Its implications for psychiatry. Br J Psychiat 1996; 169(5): 563–70.CrossRefGoogle ScholarPubMed
4.Horvath, AO, Symonds, BD. Relation between working alliance and outcome in psychotherapy: a meta-analysis. J Coun Psychol 1991; 38:139–49.CrossRefGoogle Scholar
5.Feeley, M, DeRubeis, RJ, Gelfand, LA. The temporal relation of adherence and alliance to symptom change in cognitive therapy for depression. J Consult Clin Psychol 1999; 67: 578–82.CrossRefGoogle ScholarPubMed
6.Alliance predicts patients' outcome beyond in-treatment change in symptoms. J consult Clin Psyclol 2000; 68 (6): 1027–32.CrossRefGoogle Scholar
7.Martin, DJ, Garske, JP, Davis, MK. Relation of the therapeutic alliance with outcome and other variables; a meta-analytic review. J Consult Clin Psychol 2000; 68:438–50.CrossRefGoogle ScholarPubMed
8.Klerman, GLet al.Interpersonal psychotherapy for depression. New York: Basic Books, 1984.Google Scholar
9.Weissman, M, Markowitz, J. Interpersonal psychotherapy: current status. Archives Gen Psychiat 1994; 51(8): 599–606.CrossRefGoogle ScholarPubMed
10.Raue, P, Goldfried, M, Barkham, M. The therapeutic alliance in psychodynamic-interpersonal and cognitive-behavioural therapy. J Consult Clin Psychol 1997; 65(4): 583–7.CrossRefGoogle Scholar
11.Frank, E & Spanier, C. Interpersonal psychotherapy for depression; overview, clinical efficacy, and future directions. Clinical Psychology: Science and Practice, 2,1995:349–369.Google Scholar
12.Safran, JD, Segal, ZV. Interpersonal processes in cognitive therapy. New York: Basic Books, 1990.Google Scholar
13.Arnkoff, DB. Two examples of strains in the therapeutic alliance in an integrative cognitive therapy. J Clin Psychol 2000; 56(2): 187–200.3.0.CO;2-Y>CrossRefGoogle Scholar
14.Layden, MAet al.Cognitive therapy of borderline personality disorder. Boston: Allyn and Bacon, 1990.Google Scholar
15.Persons, JB. Case conceptualisation in cognitive behavioural therapy in Kuehlwein, KT and Rosen, H. (eds), cognitive therapies in action: evolving innovative practice. San Francisco: Jossey-Bass, 1993: 33–53.Google Scholar
16.Dryden, W and Feltham, C. Developing the practice of counselling. London: Sage, 1994Google Scholar
17.Keijsers, GP, Schaap, CP, Hoogduin, CA. The impact of interpersonal patient and therapist behaviour on outcome in cognitive-behaviour therapy. A review of empirical studies. Behav Modif 2000; 24(2): 264–97.CrossRefGoogle ScholarPubMed
18.Beck, J. Cognitive therapy: basics and beyond. New York: Guilford Press, 1990Google Scholar
19.Beck, AT, Freeman, A and Associates. Cognitive therapy of personality disorders. New York: Guilford Press, 1990.Google Scholar
20.Wills, F, Sanders, D. Cognitive therapy, transforming the image, SAGE PublicationsGoogle Scholar
21.Wright, JH, Davis, D. The therapeutic relationship in cognitive behavioural therapy: Patient perceptions and therapist responses, cognitive and behavioural practice; 1:25–45.CrossRefGoogle Scholar
22.Kiesler, DJ. therapeutic metacommunication: Therapist impact disclosure as feedback in psychotherapy. Palo Alto, CA: Consulting Psychologists Press, 1988.Google Scholar
23.Teasdale, J. The relationship between cognition and emotion: The mind-in-place mood disorders. In D.M., Clark and C.G., Fairburn (eds), Science and Practice of Cognitive Behaviour Therapy. Oxford University Press, 1996: 67–93.Google Scholar
24.Padesky, CA. Schema change processes in cognitive therapy clinical psychology and psychotherapy 1994; 1 (5): 267–78.CrossRefGoogle Scholar
25.Padesky, CA. Schema as self prejudice. International Cognitive Therapy Newsletter 1993; 5/6:16–17.Google Scholar
26.Andrusyna, Tet al.The factor structure of the working alliance inventory in cognitive-behavioural therapy; J Psychotherapy Practice and Research, 1993; 10:173–17.Google Scholar
27.Young, JE, Klosco, JS. Reinventing your life. London: Penguin, 1993Google Scholar