The therapeutic relationship in cognitive-behavioral therapy: Patient perceptions and therapist responses

Wright, Jesse H.; Davis, Denise D.

doi:10.1016/s1077-7229(05)80085-9

Cited by 78 publications

(40 citation statements)

References 34 publications

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“…We agree with Wright and Davis (1994) that a therapist's "training should include intense supervision on relationship issues" (p. 42). At a minimum, two components comprise a FAP therapist's ability to accurately construct the therapeutic relationship in the way that we have outlined: (1) an understanding of the basic principles of behaviorism with at least some understanding of Skinner's analysis of verbal behavior (Skinner, 1957) 3 ; and 3 We recognize that Skinner's (1957) analysis of verbal behavior is not the only one, and that it may not be (2) an intact interpersonal repertoire for conducting FAP.…”

Section: The Role Of Supervisionmentioning

confidence: 86%

“…Clients often present for therapy with preconceptions regarding how they should engage therapy as well as what they expect from a therapist. These ideas may come from a variety of sources such as a client's previous experiences in therapy, sociocultural biases, or media representations (Wright & Davis, 1994). There are a few potential problems in assuming the client has a sufficiently useful or accurate understanding of therapy and the therapeutic relationship.…”

Section: The Importance Of Conveying An Understanding Of the Therapeumentioning

confidence: 99%

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Useful constructions of the client–therapist relationship.

Callaghan¹,

Naugle²,

Follette³

1996

Psychotherapy: Theory, Research, Practice, Training

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Although different theories of psychotherapy emphasize the importance of the therapeutic relationship, these perspectives diverge when considering why this relationship matters clinically. This article proposes that different verbal constructions or definitions of the therapeutic relationship result in very different approaches to treatment and affect the way the client and therapist interact. An understanding of this relationship using a contemporary radical behavioral therapy, Functional Analytic Psychotherapy (FAP), is discussed and is contrasted with different conceptualizations of this relationship. This discussion emphasizes how specific constructions provide advantages to therapists that facilitate treatment and offers a distinction between the therapeutic relationship and a friendship. A discussion of why it is important for the therapist to understand and convey this definition to the client during treatment is included along with a brief description of how supervision helps the therapist gain an understanding of this relationship.

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Section: The Role Of Supervisionmentioning

confidence: 86%

Section: The Importance Of Conveying An Understanding Of the Therapeumentioning

confidence: 99%

Useful constructions of the client–therapist relationship.

Callaghan¹,

Naugle²,

Follette³

1996

Psychotherapy: Theory, Research, Practice, Training

View full text Add to dashboard Cite

show abstract

“…Studies (Wright & Davis, 1994;Sharply, 1997;Mearns & Thorne, 2000) underscored that effective communication between clients and counselors contributes largely to the outcome of counseling process and creates a sense of security and dependability. Therefore, it is advisable that counselors adopt strategic or therapeutic techniques in engaging with their clients in order to establish trusting relationship and engagement through constant and open communication.…”

Section: Interpersonal Communication Approach In Counseling: Practicementioning

confidence: 99%

“…In their analysis of therapeutic relationship in cognitive-behavioral therapy, Wright and Davis (1994) evaluated and determined the outcome of patient perceptions and therapist responses. It was then argued that counselors should be aware of concepts and various contexts involving clients' backgrounds and different experiences.…”

Section: Contextual Significance Of Strategic Communication In Counsementioning

confidence: 99%

Therapeutic Communication and Client Counseling: Toward a Conceptual Framework for Strategic Interpersonal Engagement

Okoro¹

2018

IJBSS

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“…In CBT, the therapeutic relationship between the patient and the clinician is key because they must work as a team to identify and evaluate the patient's automatic thoughts. It is vital for the therapist not only to gain the trust of the patient, but to also convey an accurate conceptualisation of the patient's disorder, so that it resonates with the patient (Wright & Davis, 1994). The different frameworks that are relevant when patients and doctors discuss medical conditions such as depression will be further discussed in the next chapter on explanatory models.…”

Section: Modern Theories Of Depressionmentioning

confidence: 99%

Depression explanatory models of primary care patients and doctors: Relationship with self-stigma, communication effectiveness, and recovery

Teh¹

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This thesis examines the role of patient and doctor perspectives in primary care depression management. The analytical term chosen to explore these perspectives is Kleinman's explanatory model (EM), defined as "notions about an episode of sickness and its treatment that are employed by all those engaged in the clinical process" (1980, p. 105). This research is exploratory and focuses mainly on patients, with input from a small number of general practitioners (GPs).I examine self-stigma in depression patients because there has been an attempt in recent years to reduce stigma by describing depression as a medical condition like diabetes. This may have decreased some public stigma, but the association between biomedical explanations for depression and patient self-stigma has not been studied in-depth. Self-stigma is the internalisation of negative stereotypes and prejudices about having mental illness and it can inhibit help-seeking and outcomes more than public stigma. Another factor that can influence depression outcomes is the therapeutic relationship between patient and their doctor. Studies report empathy and good communication as Quantitative analysis methods mainly consisted of non-parametric tests for differences between groups and strength of correlations. Interviews were analysed manually and with textual analysis software Leximancer.RQ1 results showed that most participants had a strong or moderate belief about whether biomedical and/or psychosocial factors caused their depression, and most EM beliefs did not change over time. RQ2 results indicated that biomedical belief was associated with lower helpseeking inhibition but also greater alienation. RQ3 results highlighted that endorsement of GPpatient cooperation was strongly positively correlated with communication effectiveness. Patient interviews yielded exemplars to illustrate these findings. RQ4 results from a paired study (n = 29) suggest that the GPs were aware of and concordant with their patient's EMs. Awareness appears to be more important in determining recovery than concordance. Incidentally, GP interviews showed that doctors mostly accorded importance to knowing their patient's EM but concordance was seen as less crucial.This thesis gives new understanding about depression EM beliefs that are associated with lower patient self-stigma and more effective GP-patient communication. Results from this research on awareness-concordance were not generalisable due to the small sample size, but future work with larger samples will undoubtedly yield more insights into the importance of EMs in primary care depression management.

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The therapeutic relationship in cognitive-behavioral therapy: Patient perceptions and therapist responses

Cited by 78 publications

References 34 publications

Useful constructions of the client–therapist relationship.

Useful constructions of the client–therapist relationship.

Therapeutic Communication and Client Counseling: Toward a Conceptual Framework for Strategic Interpersonal Engagement

Depression explanatory models of primary care patients and doctors: Relationship with self-stigma, communication effectiveness, and recovery

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