When Psychotherapy Is Not Working: Ethical Considerations

Nezu, Arthur M.

doi:10.1016/j.cbpra.2020.05.006

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…Most CBT research uses manuals: standardised guidelines about the theory, sequencing, content, and procedures of sessions (Kiesler, 1994; Marshall, 2009). While manualisation is favoured methodologically for maximising internal validity, some practitioners use a more judgement-based approach, where decision-making is based on personal experience and expertise (Nezu, 2020). In a survey of 317 US-based CBT practitioners, 11.4% reported frequently using manuals and 58.7% reported occasionally using manuals, suggesting manuals have a significant presence in practice (Becker et al ., 2013).…”

Section: Introductionmentioning

confidence: 99%

“…A review comparing manualised with non-manualised forms of the same psychotherapy found two studies supporting non-manual superiority and four studies showing no difference (Truijens et al ., 2019). Judgement-based therapy practitioners are, however, more prone to decision-making flaws such as biases, heuristics and over-confidence (Miller et al ., 2015; Nezu, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Using a workbook to support cognitive behavioural therapy with young people: a survey of psychological practitioners

Redburn,

Hayes

2023

tCBT

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Practitioners have mixed views about the value of cognitive behavioural therapy (CBT) manuals, with some preferring to work based on professional judgement. The workbook represents a compromise, providing guidance and resources without prescribing standardised procedures. Workbooks have not previously been widely addressed in the CBT literature. This exploratory study analysed how practitioners use a CBT workbook (Think Good – Feel Good, TGFG) to support therapeutic work with young people (YP). Practitioners (n=238) completed an online survey about how TGFG is used and how it supports CBT. A convergent mixed-methods design was pursued. Qualitative and quantitative data were analysed using content analysis, descriptive statistics, and chi-squared tests before themes were defined to summarise the dataset. When deciding whether to use TGFG, practitioners consider a YP’s presenting difficulty, level of understanding, motivation, and availability of systemic support. Practitioners use TGFG inside and outside the therapeutic space to plan sessions, revise CBT concepts, and complete worksheets (particularly those with a cognitive focus). Practitioners use TGFG flexibly and pragmatically (combining it with other therapeutic approaches), and they adapt resources to suit a YP’s understanding and interests. TGFG appears to be a widely used resource for practitioners across the range of experience. Key learning aims (1) To expand upon the concept of the workbook as a therapeutic adjunct within the CBT literature. (2) To explore how a popular CBT workbook is useful to practitioners, how it is typically used, and the breadth of usage. (3) To consider whether and how workbooks are used flexibly by practitioners. (4) To encourage practitioners across the range of experience to reflect on how workbooks support planning and delivery of therapeutic interventions.

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Section: Introductionmentioning

confidence: 99%