Η θεραπευτική σχέση στη γνωσιακή συμπεριφοριστική θεραπεία

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.

Intervensi Cogntive Behavioral Therapy Pada Pasien Dengan Gangguan Kepribadian Menghindar (Avoidant)

Gangguan kepribadian menghindar adalah salah satu bentuk dari gangguan kepribadian. Penelitian kali ini bertujuan untuk mengetahui gambaran dari individu dengan gangguan kepribadian menghindar serta melihat efektifitas dari intervensi Cognitive Behavioral Therapy (CBT) pada pasien yang mengalami gangguan menghindar tersebut. Dari hasil intervensi didapat perubahan pada pikiran pasien yang mengalami distorsi kognitif, dimana pasien menyadari adanya pikiran-pikiran negative mengenai dirinya yang mempengaruhi core belief, pasien akhirnya menjadi lebih rasional, dan membiasakan diri untuk menggunakan alternative respon atas pikiran irasional yang muncul. Sebelum intervensi diberikan skor kecemasan pasien berada pada level tinggi dengan skor 36. Setelah intervensi CBT diberikan, skala kecemasan menjadi sedang berada pada skor 22