In his first CBT treatment manual (Cognitive Therapy of Depression, 1979) Beck makes clear that CBT demands a sound therapeutic relationship, the CBT “working alliance”, that requires Rogerian acceptance and warmth alongside therapist humility. We must be able to conceptualize the experience of the person who is the therapist as well as the person who is the patient, whilst being particularly attentive to interpersonal ruptures arising within the relationship.
Resolving ruptures in the therapeutic alliance achieves much more simply addressing the problem behind the rupture, resolution can strengthen the relationship. So, it is crucial to recognize, conceptualize and manage interpersonal ruptures in CBT. Similarly, relapses can undermine the course of CBT – or can strengthen the alliance and enhance progress if conceptualized and managed appropriately.
Very often vulnerability to relapse and interpersonal problems are the result of persistent and unhelpful schemata that drive interpretations and motivations – which can apply to both therapist and patient. So therapists need to be aware of the psychology of schemata and how this can impact on treatment.
This workshop will:
• Review how we understand schema driven processes in CBT
• Review the basics of establishing a safe and respectful working alliance
• Explore how we can understand and manage interpersonal ruptures within therapy
• Explore how we can engage in collaborative relapse management
The content of the workshop draws heavily on the text: “Dialogues for Discovery” (Padesky & Kennerley, 2023).
Another key text for this workshop is: “Interpersonal Process in Cognitive Therapy” (Safran & Segal, 1990)
Throughout the workshop, there will be opportunities for reflections, discussions and questions.
Level: Participants with clinical experience and a basic knowledge of CBT
CPD Hours: 5 hrs 14 mins
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