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The therapeutic relationship in cognitive behavioral therapy

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Giorgos Efstathiou

Abstract


The article describes the distinctive features of the therapeutic relationship in cognitive behavioral therapy (CBT) and the ways of dealing with problems in the therapeutic interaction. The development of the way that the therapeutic relationship is understood within the context of cogntive behavioral therapy is presented, from the initial view that the therapeutic relationship is a necessary but not sufficient condition in order to achieve therapeutic change, to the modern view that the therapeutic change is produced by the therapeutic techniques, as well as the therapeutic relationship. The role of the therapist and the features of the therapeutic alliance in CBT are described, central among which is collaborative empiricism and Socratic questioning. The difficulties in the therapeutic relationship and the ways that can be addressed are discussed in the context of the related concepts of resistance, of ruptures in the therapeutic alliance and of transference and countertransference. The rationale regarding boundaries to the therapeutic relationship is discussed. In conclusion, in CBT the emphasis on the therapeutic relationship is not so central as in other therapeutic models and the relationship is integrated with techniques, although there is ongoing effort to enhance and expand the understanding of the therapeutic interaction.  Nonetheless the quality of the relationship is not inferior to that of other treatment models and the therapeutic change in CBT is attributed equally to the implementation of techniques and relationship factors.


Keywords


cognitive behavioral therapy; resistance ruptures in the therapeutic alliance; therapeutic relationship; therapeutic alliance; transference – countertransference

References


Ackerman, S. J., Benjamin, L. S., Beutler, L. E., Gelso, C. J., Goldfried, M. R., Hill, C., Lambert, M. J., Norcross, J. C., Orlinsky, D. E., & Rainer, J. (2001). Empirically supported therapy relationships: Conclusions and recommendations of the Division 29 Task Force. Psychotherapy: Theory, Research, Practice, Training. 38(4), 495-497. https://doi.org/10.1037/0033-3204.38.4.495

Agnew-Davies, R., Stiles, W. B., Hardy, G. E., Barkham, M., & Shapiro, D. A. (1998). Alliance structure assessed by the Agnew Relationship Measure (ARM). British Journal of Clinical Psychology, 37(2), 155–172. https://doi.org/10.1111/j.2044-8260.1998.tb01291.x

Alford, B. A., & Beck, A. T. (1997). Therapeutic interpersonal support in cognitive therapy. Journal of Psychotherapy Integration, 7(2), 105–117. https://doi.org/10.1037/h0101141

Andersson, G. (2016). Internet-Delivered Psychological Treatments. Annual Review of Clinical Psychology, 12(1), 157–179. https://doi.org/10.1146/annurev-clinpsy-021815-093006

Andrusyna, T. P., Tang, T. Z., DeRubeis, R. J., & Luborsky, L. (2001). The factor structure of the working alliance inventory in cognitive-behavioral therapy. The Journal of Psychotherapy Practice and Research, 10, 173–178

Arnow, B. A., Steidtmann, D., Blasey, C., Manber, R., Constantino, M. J., Klein, D. N., Markowitz, J. C., Rothbaum, B. O., Thase, M. E., Fisher, A. J., & Kocsis, J. H. (2013). The relationship between the therapeutic alliance and treatment outcome in two distinct psychotherapies for chronic depression. Journal of Consulting and Clinical Psychology, 81(4), 627–638. https://doi.org/10.1037/a0031530

Aviram, A., & Westra, H. A. (2011). The impact of motivational interviewing on resistance in cognitive behavioural therapy for generalized anxiety disorder. Psychotherapy research : journal of the Society for Psychotherapy Research, 21(6), 698–708. https://doi.org/10.1080/10503307.2011.610832

Ayllon, T. & Michael, J. (1959). The psychiatric nurse as a behavioral engineer. Journal of the Experimental Analysis of Behavior, 2, 323-34. https://doi.org/10.1901/jeab.1959.2-323

Barber, J. P., Connolly, M. B., Crits-Christoph, P., Gladis, L., & Siqueland, L. (2000). Alliance Predicts Patients’ Outcome Beyond In-Treatment Change in Symptoms. Journal of Consulting and Clinical Psychology, 68(6), 1027–1032. https://doi.org/10.1037/0022-006X.68.6.1027

Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. Basic Books.

Beck, A.T & Freeman, A. (1990) Cognitive Therapy of Personality Disorders. Guilford Press.

Beck, A. T., Freeman, A., & Davis, D. (2004). Cognitive therapy of personality disorders (2nd ed.). Guilford Press.

Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of Depression: A treatment manual. Guilford Press.

Beck, J. S. (2005). Cognitive Therapy for Challenging Problems: What to Do When the Basics Don't Work. Guilford Press.

Beck, J. S. (2011). Cognitive therapy: Basics & beyond (2nd ed.). Guilford Press.

Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252-260. https://doi.org/10.1037/h0085885

Burns, D. D., & Nolen-Hoeksema, S. (1992). Therapeutic empathy and recovery from depression in cognitive-behavioral therapy: A structural equation model. Journal of Consulting and Clinical Psychology, 60, 441–449. https://doi.org/10.1037/0022-006X.60.3.441

Burns, D.D. & Auerbach, A. (1996) Therapeutic empathy in cognitive-behavioural therapy: does it really make a difference? In R. Salkovskis (Ed.), Frontiers of Cognitive Therapy (pp. 135-64). Guilford Press.

Borrill, J. & Foreman, E.I. (1996). Understanding cognitive change: a qualitative study of the impact of cognitive-behavioural therapy on fear of flying. Clinical Psychology and Psychotherapy, 3(1), 62-74. https://doi.org/10.1002/(SICI)1099-0879(199603)3:1<62::AID-CPP67>3.0.CO;2-A

Castonguay, L. G., Goldfried, M.R., Wiser, S., Raue, P. J., & Hayes, A. M. (1996). Predicting the Effect of Cognitive Therapy for Depression: A Study of Unique and Common Factors. Journal of Consulting and Clinical Psychology, 64(3), 497–504. https://doi.org/10.1037/0022-006X.64.3.497

Castonguay, L. G., Constantino, M. J., McAleavey, A. A., & Goldfried, M. R. (2010). The therapeutic alliance in cognitive-behavioral therapy. In J. C. Muran & J. P. Barber (Eds.), The therapeutic alliance: An evidence-based guide to practice (pp. 150-171). The Guilford Press.

Constantino, M. J., Arnow, B. A., Blasey, C., & Agras, W. S. (2005). The Association Between Patient Characteristics and the Therapeutic Alliance in Cognitive-Behavioral and Interpersonal Therapy for Bulimia Nervosa. Journal of Consulting and Clinical Psychology, 73(2), 203–211. https://doi.org/10.1037/0022-006X.73.2.203

Davidson, K.M. (2000) Cognitive therapy for personality disorders: a guide for clinicians. Routledge.

Davis, D. D. & Beck, J. S. (2015). The Therapeutic Alliance with Patients with Personality Disorders. In Α. Τ. Beck, D. D. Davis, & A. Freeman (Eds.), Cognitive Therapy of Personality Disorders (3rd ed.) (pp. 125 – 139). Guilford Press.

Dobson, D. & Dobson, K. S. (2017). Evidence based practice of Cognitive Behaviour Therapy (2nd ed.). Guilford Press.

DeRubeis, R. J., Brotman, M. A., & Gibbons, C. J. (2006). A Conceptual and Methodological Analysis of the Nonspecifics Argument. Clinical Psychology: Science and Practice, 12(2), 174–183. https://doi.org/10.1093/clipsy.bpi022

Ellis, A. (1959). Requisite conditions for basic personality change. Journal of Consulting Psychology, 23(6), 538–540. https://doi.org/10.1037/h0049260

Falkenström, F., Granström, F., & Holmqvist, R. (2014). Working alliance predicts psychotherapy outcome even while controlling for prior symptom improvement. Psychotherapy Research, 24(2), 146–159. https://doi.org/10.1080/10503307.2013.847985

Falkenström, F., Granström, F., & Holmqvist, R. (2013). Therapeutic alliance predicts symptomatic improvement session by session. Journal of Counseling Psychology, 60(3), 317–328. https://doi.org/10.1037/a0032258

Fitzpatrick, M. R., Iwakabe, S., & Stalikas, A. (2005). Perspective divergence in the working alliance. Psychotherapy Research, 15(1–2), 69–80. https://doi.org/10.1080/10503300512331327056

Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316–340. https://doi.org/10.1037/pst0000172

Flückiger, C., Del Re, A. C., Wampold, B. E., Symonds, D., & Horvath, A. O. (2012). How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis. Journal of Counseling Psychology, 59(1), 10–17. https://doi.org/10.1037/a0025749

Ford, J. (1978). Therapeutic relationship in behaviour therapy: An empirical analysis. Journal of Consulting and Clinical Psychology, 46(6), 1302–1314. https://doi.org/10.1037/0022-006X.46.6.1302

Freeman, A. (2013). The Therapeutic Relationship. In S. G. Hofmann (Ed.). The Wiley Handbook of Cognitive Behavioral Therapy (pp. 3 – 22). Wiley-Blackwell.

Freeman, A., Pretzer, J., Fleming, B., & Simon, K. (2004). Clinical Applications of Cognitive Therapy (2nd ed.). Plenum Press.

Gaston, L., Marmar, C., Gallagher, D., & Thompson, L. (1991). Alliance Prediction of Outcome Beyond in-Treatment Symptomatic Change as Psychotherapy Processes. Psychotherapy Research, 1(2), 104–112. https://doi.org/10.1080/10503309112331335531

Gaston, L., Thompson, L., Gallagher, D., Cournoyer, L.-G., & Gagnon, R. (1998). Alliance, Technique, and their Interactions in Predicting Outcome of Behavioral, Cognitive, and Brief Dynamic Therapy. Psychotherapy Research, 8(2), 190–209. https://doi.org/10.1093/ptr/8.2.190

Gilbert, P. & Leahy, R. L. (2007). Introduction and overview: Basic issues in the therapeutic relationship. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in the cognitive behavioural psychotherapies (pp. 3 – 23). Routledge.

Greenberg, R. P., Constantino, M. J., & Bruce, N. (2006). Are patient expectations still relevant for psychotherapy process and outcome? Clinical Psychology Review, 26(6), 657–678. https://doi.org/10.1016/j.cpr.2005.03.002

Giovazolias, T. (2004). The therapeutic relationship in cognitive-behavoural therapy. Counselling Psychology Review, 19(2), 14–21.

Goldfried, M. R. (1982). Resistance and Clinical Behavior Therapy. In P. L. Wachtel (Ed.) Resistance: Psychodynamic and Behavioral Approaches (pp. 95 - 114). Plenum Press.

Goldfried, M.R., & Davison, G.C. (1994). Clinical behavior therapy (Expanded ed.). Wiley.

Goldfried, M. R., Burckell, L. A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive-behavior therapy. Journal of Clinical Psychology, 59(5), 555–568. https://doi.org/10.1002/jclp.10159

Hayes, A.M., Beck, J.G., & Yasinski, C. (2012). A Cognitive Behavioral Perspective on Corrective Experiences. In L. G. Castonguay & C. Hill (Eds.). Transformation in Psychotherapy: Corrective Experiences Across Cognitive Behavioral, Humanistic and Psychodynamic Approaches (pp. 69 - 84). American Psychological Association.

Hofmann, S. G., & Barlow, D. H. (2014). Evidence-based psychological interventions and the common factors approach: The beginnings of a rapprochement? Psychotherapy, 51(4), 510–513. https://doi.org/10.1037/a0037045

Katzow, A. W., & Safran, J. D. (2007). Recognizing and resolving ruptures in the therapeutic alliance. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in the cognitive behavioral psychotherapies (p. 90–105). Routledge/Taylor & Francis Group.

Kazantzis, N. (2018). Introduction to the Special Issue on Processes of Cognitive Behavioral Therapy: Does “Necessary, But Not Sufficient” Still Capture It? Cognitive Therapy and Research, 42(2), 115-120. https://doi.org/10.1007/s10608-018-9891-z

Kazantzis, N., Cronin, T. J., Dattilio, F. M., & Dobson, K. S. (2013). Introduction: Using Techniques via the Therapeutic Relationship. Cognitive and Behavioral Practice, 20(4), 385–389. https://doi.org/10.1016/j.cbpra.2013.03.001

Kazantzis, N., Cronin, T. J., Norton, P. J., Lai, J., & Hofmann, S. G. (2015). Reservations about the Conclusions of the Interdivisional (APA Divisions 12 & 29) Task Force on Evidence-Based Therapy Relationships: What Do We Know, What Don’t We Know?: Evidence-Based Relationships. Journal of Clinical Psychology, 71(5), 423–427. https://doi.org/10.1002/jclp.22178

Kazantzis, N., Dattilio, F. M., & Dobson, K. S. (2017). The Therapeutic Relationship in Cognitive-Behavioral Therapy: A Clinician's Guide. Guilford Press.

Kazantzis, N., Luong, H. K., Usatoff, A. S., Impala, T., Yew, R. Y., & Hofmann, S. G. (2018). The Processes of Cognitive Behavioral Therapy: A Review of Meta-Analyses. Cognitive Therapy and Research, 42(4), 349–357. https://doi.org/10.1007/s10608-018-9920-y

Kohlenberg, R. J., & Tsai, M. (1994). Functional analytic psychotherapy: A radical behavioral approach to treatment and integration. Journal of Psychotherapy Integration, 4, 175–201. https://doi.org/10.1037/h0101264

Laska, K. M., Gurman, A. S., & Wampold, B. E. (2014). Expanding the lens of evidence-based practice in psychotherapy: A common factors perspective. Psychotherapy, 51(4), 467–481. https://doi.org/10.1037/a0034332

Lazarus, A. A. (1994). How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness. Ethics & Behavior, 4(3), 255–261. https://doi.org/10.1207/s15327019eb0403_10

Lazarus, A. A. & Fay, A. (1982). Resistance or Rationalization? A Cognitive-Behavioral Perspective. In P. L. Wachtel (Επίμ. Έκδ.) Resistance: Psychodynamic and Behavioral Approaches (pp. 115 - 132). Plenum Press.

Lazarus, A. A., & Rego, S. A. (2013). What Really Matters: Learning From, Not Being Limited by, Empirically Supported Treatments. The Behavior Therapist, 36(3), 67-69.

Leahy, R. L. (2001). Overcoming Resistance in Cognitive Therapy. Guilford Press.

Leahy, R. L. (2007). Schematic mismatch in the therapeutic relationship: A socialcognitive model. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in the cognitive behavioural psychotherapies (pp. 229–254). Routledge.

Leahy, R. L. (2008). The Therapeutic Relationship in Cognitive-Behavioral Therapy. Behavioural and Cognitive Psychotherapy, 36(6), 769–777. https://doi.org/10.1017/S1352465808004852

Ledley, D. R., Marx, B. P., & Heimberg, R. G. (2005). Making cognitive-behavioral therapy work: clinical process for new practitioners. Guilford Press.

Levitt, H., Butler, M., & Hill, T. (2006). What Clients Find Helpful in Psychotherapy: Developing Principles for Facilitating Moment-to-Moment Change. Journal of Counseling Psychology, 53(3), 314–324. https://doi.org/10.1037/0022-0167.53.3.314

Levendusky, P.G. & Rosmarin, D. H. (2013). Cognitive Behavior Therapy: A Rich but Implicit Relational Framework Within Which to Deal With Therapist Frustrations. In A. W. Wolf, M. R. Goldfried, & J. C. Muran (Eds.), Transforming Negative Reactions to Clients: From Frustration to Compassion (pp. 45 – 68). American Psychological Association. https://doi.org/10.1037/13940-002

Linehan, M. M. (1993). Diagnosis and treatment of mental disorders. Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.

Liotti, G. (2007). Internal working models of attachment in the therapeutic relationship. In P. Gilbert & R. L. Leahy (Eds.), The therapeutic relationship in the cognitive behavioural psychotherapies (pp. 143–162). Routledge.

Lorenzo-Luaces, L., & DeRubeis, R. J. (2018). Miles to Go Before We Sleep: Advancing the Understanding of Psychotherapy by Modeling Complex Processes. Cognitive Therapy and Research, 42(2), 212–217. https://doi.org/10.1007/s10608-018-9893-x

McCullough, J.P. (2000). Treatment for chronic depression: Cognitive behavioral analysis system of psychotherapy. Guilford Press.

Meichenbaum, D. & Gilmore, J. B. (1982). Resistance from a Cognitive-Behavioral Perspective. In P. L. Wachtel (Ed.) Resistance: Psychodynamic and Behavioral Approaches (pp. 133 - 156). Plenum Press.

Miranda, R., & Andersen, S. (2007). The therapeutic relationship: Implications for cognition and transference. In P. Gilbert & R. Leahy (Eds.), The therapeutic relationship in the cognitive behavioral psychotherapies (pp. 63–69). Routledge.

Moorey, S. (2014). “Is it Them or is it Me?”: Transference and Countertransference in CBT. In A. Whittington & N. Grey (Eds.), How to Become a More Effective CBT Therapist: Mastering Metacompetence in Clinical Practice (pp. 284 – 299). Wiley-Blackwell.

Morris, R. J., & Suckerman, K. R. (1974). Therapist warmth as a factor in automated systematic desensitization. Journal of Consulting and Clinical Psychology, 42(2), 244-250. https://doi.org/10.1037/h0036261

Muran, J. C., Safran, J. D., Eubanks, C. F., & Gorman, B. S. (2018). The effect of alliance-focused training on a cognitive-behavioral therapy for personality disorders. Journal of Consulting and Clinical Psychology, 86(4), 384–397. https://doi.org/10.1037/ccp0000284

Muran, J. C., Safran, J. D., Gorman, B. S., Samstag, L. W., Eubanks-Carter, C., & Winston, A. (2009). The relationship of early alliance ruptures and their resolution to process and outcome in three time-limited psychotherapies for personality disorders. Psychotherapy: Theory, Research, Practice, Training, 46(2), 233–248. https://doi.org/10.1037/a0016085

Muran, J. C., Gorman, B. S., Safran, J. D., Twinin, J. D., Samstag, L., Wallner L., & Winston, A. (1995). Linking In-Session Change to Overall Outcome in Short-Term Cognitive Therapy, 63(4), 651-657. https://doi.org/10.1037/0022-006X.63.4.651

Muran, J. C. & Barber, J. P. (2010). The Therapeutic Alliance: An Evidence-Based Guide to Practice. New York: Guilford Press.

Newman, C. F. (1994). Understanding client resistance: Methods for enhancing motivation to change. Cognitive and Behavioral Practice, 1(1), 47–69. https://doi.org/10.1016/S1077-7229(05)80086-0

Newman, C. F. (2002). A Cognitive Perspective on Resistance in Psychotherapy. Journal of Clinical Psychology, 58(2), 165–174. https://doi.org/10.1002/jclp.1140

Newman, C. F. (2013). Core Competencies in Cognitive-Behavioral Therapy: Becoming a Highly Effective and Competent Cognitive-Behavioral Therapist. Routledge.

Norcross, J. C., & Lambert, M. J. (2018). Psychotherapy relationships that work III. Psychotherapy, 55(4), 303–315. https://doi.org/10.1037/pst0000193

Norcross, J. C., & Lambert, M. J. (2011). Psychotherapy relationships that work II. Psychotherapy, 48(1), 4–8. https://doi.org/10.1037/a0022180

Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy, 48(1), 98–102. https://doi.org/10.1037/a0022161

Persons, J. B. (1989). Cognitive Therapy in Practice: A case formulation approach. W. W. Norton & Company.

Persons, J. B. (2008). The case formulation approach to cognitive-behavior therapy. Guilford Press.

Persons, J. B., & Burns, D. D. (1985). Mechanisms of action of cognitive therapy: The relative contributions of technical and interpersonal interventions. Cognitive Therapy and Research, 9(5), 539–551. https://doi.org/10.1007/BF01173007

Rabavilas, A.D., Boulougouris, I.C. & Perissaki, C. (1979). Therapist qualities related to outcome with exposure in vivo in neurotic patients. Journal of Behaviour Therapy and Experimental Psychiatry, 10, 293–294. https://doi.org/10.1016/0005-7916(79)90005-3

Raue, P., Castonguay, L., & Goldfried, M. (1993). The Working Alliance: A Comparison of Two Therapies. Psychotherapy Research, 3(3), 197–207. https://doi.org/10.1080/10503309312331333789

Raue, P. L., Goldfried, M.R., & Barkham, M. (1997). The Therapeutic Alliance in Psychodynamic-Interpersonal and Cognitive-Behavioral Therapy. Journal of Consulting and Clinical Psychology, 65(4), 582–587. https://doi.org/10.1037/0022-006X.65.4.582

Rector, N. A., Zuroff, D. C., & Segal, Z. V. (1999). Cognitive change and the therapeutic alliance: The role of technical and nontechnical factors in cognitive therapy. Psychotherapy: Theory, Research, Practice, Training, 36(4), 320–328. https://doi.org/10.1037/h0087739

Rogers, C. (1957). The necessary and sufficient conditions for therapeutic personality change. Journal of Consulting Psychology, 21(2), 95-103. https://doi.org/10.1037/h0045357

Rollnick, S., & Miller, W. R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23(4), 325–334. https://doi.org/10.1017/S135246580001643X

Safran, J. (1990). Towards a refinement of cognitive therapy in light of interpersonal theory: I. Theory. Clinical Psychology Review, 10, 87-105. https://doi.org/10.1016/0272-7358(90)90108-M

Safran, J. D., & Muran, J. C. (2000). Resolving therapeutic alliance ruptures: Diversity and integration. Journal of Clinical Psychology/In Session, 56(2), 233–243. https://doi.org/10.1002/(SICI)1097-4679(200002)56:2<233::AID-JCLP9>3.0.CO;2-3

Safran, J., & Segal, Z. (1990). Interpersonal process in cognitive therapy. Basic.

Schaap, C., Bennun, I., Schindler, L., & Hoogduin, K. (1993). Wiley series in psychotherapy and counselling. The therapeutic relationship in behavioural psychotherapy. John Wiley & Sons.

Segal, Z.V., Mark, J., Williams, G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Guilford Press.

Sperry, L. & Sperry, J. (2016). Cognitive behavior therapy of DSM 5 personality disorders : assessment, case conceptualization, and treatment (3rd ed.). Routledge.

Tee, J., & Kazantzis, N. (2011). Collaborative Empiricism in Cognitive Therapy: A Definition and Theory for the Relationship Construct: Defining Collaborative Empiricism. Clinical Psychology: Science and Practice, 18(1), 47–61. https://doi.org/10.1111/j.1468-2850.2010.01234.x

Thomas, M. (2014). Cognitive behavioural therapy and the therapeutic relationship. In D. Charura & S. Paul (Eds.), The Therapeutic Relationship Handbook: Theory and Practice (pp. 30 – 39). Open University Press.

Wachtel, P. L. (Ed.) (1982). Resistance: Psychodynamic and Behavioral Approaches. Plenum Press.

Weiss, M., Kivity, Y., & Huppert, J. D. (2014). How does the therapeutic alliance develop throughout cognitive behavioral therapy for panic disorder? Sawtooth patterns, sudden gains, and stabilization. Psychotherapy Research, 24(3), 407–418. https://doi.org/10.1080/10503307.2013.868947

Westbrook, D., Kennerley, H., & Kirk, J. (2011). An Introduction to Cognitive Behaviour Therapy: Skills and Applications (2nd ed.). Sage.

Wittorf, A., Jakobi, U. E., Bannert, K. K., Bechdolf, A., Müller, B. W., Sartory, G., Wagner, M., Wiedemann, G., Wölwer, W., Herrlich, J., Buchkremer, G., & Klingberg, S. (2010). Does the Cognitive Dispute of Psychotic Symptoms do Harm to the Therapeutic Alliance?: The Journal of Nervous and Mental Disease, 198(7), 478–485. https://doi.org/10.1097/NMD.0b013e3181e4f526

Wolpe, J. (1958). Psychotherapy by Reciprocal Inhibition. Stanford University Press.

Wright, J. H., & Davis, D. (1994). The Therapeutic Relationship in Cognitive-Behavioral Therapy: Patient Perceptions and Therapist Responses. Cognitive and Behavioral Practice, (1), 25–45. https://doi.org/10.1016/S1077-7229(05)80085-9

Young, J. E., Klosko, J. S., and Weishaar, M. E. (2003). Schema Therapy: A Practitioner’s Guide. Guilford Press.

Zickgraf, H. F., Chambless, D. L., McCarthy, K. S., Gallop, R., Sharpless, B. A., Milrod, B. L., & Barber, J. P. (2016). Interpersonal Factors Are Associated with Lower Therapist Adherence in Cognitive-Behavioural Therapy for Panic Disorder: Interpersonal Factors and Adherence. Clinical Psychology & Psychotherapy, 23(3), 272–284. https://doi.org/10.1002/cpp.1955

Zilcha-Mano, S., Dinger, U., McCarthy, K. S., & Barber, J. P. (2014). Does alliance predict symptoms throughout treatment, or is it the other way around? Journal of Consulting and Clinical Psychology, 82(6), 931–935. https://doi.org/10.1037/a0035141

Zilcha-Mano, S., Muran, J. C., Eubanks, C. F., Safran, J. D., & Winston, A. (2018). Not Just a Non-specific Factor: Moderators of the Effect of Within- and Between-Clients Alliance on Outcome in CBT. Cognitive Therapy and Research, 42(2), 146–158. https://doi.org/10.1007/s10608-017-9866-5

Ευθυμίου, Κ., Μαυροειδή, Α., & Ευσταθίου, Γ. (2007). Η γνωσιακή – συμπεριφοριστική ψυχοθεραπεία των διαταραχών προσωπικότητας. Στο Μ. Μαλικιώση-Λοϊζου (Επιμ.), Συμβουλευτική Ψυχολογία-Σύγχρονες Προσεγγίσεις (σελ. 299-324). Ατραπός.

Ευσταθίου, Γ. & Χαρίλα, Ν. (2014). Η γνωσιακή – συμπεριφοριστική ψυχοθεραπεία των διαταραχών προσωπικότητας. Στο Γ. Ευσταθίου, Κ., Ευθυμίου, Ν., Χαρίλα, Γ., Κιοστεράκης, Γ., & Χ. Μήτση (Επίμ.), Γνωσιακή – Συμπεριφοριστική Ψυχοθεραπεία Διαταραχών Προσωπικότητας: Θεωρία και ανάλυση κλινικών περιπτώσεων (σελ. 14 - 42). Εκδόσεις Ινστιτούτου Έρευνας & Θεραπείας της Συμπεριφοράς.

Καλαντζή - Αζίζι, Α., Αγγελή, Α. Κ., & Ευσταθίου, Γ .Η. (2002). Αυτογνωσία και αυτοδιαχείριση: Ένα μοντέλο κλινικής πρακτικής και εκπαίδευσης ειδικών ψυχικής υγείας και εκπαιδευτικών. Ελληνικά Γράμματα.

Μπουλουγούρης, Γ. (1996). Συμπεριφορά του Ενήλικα και Θεωρία της Προσκόλλησης. Στο Γ. Μπουλουγούρης (Επίμ.), Θέματα Γνωσιακής και Συμπεριφοριστικής Θεραπείας (Τόμος Γ'). Ελληνικά Γράμματα.

Ρουσσίνου, Σ. & Κουβαράκη, E. (2017). Η ενσυναίσθηση στη γνωσιακή – συμπεριφοριστική θεραπεία: Ανασκόπηση Βιβλιογραφίας. Γνωσιακή - Συμπεριφοριστική Έρευνα & Θεραπεία, 3(1), 19-27.


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