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Therapeutic presence, immediacy, and transparency in CBT with youth: carpe the moment!

Published online by Cambridge University Press:  11 November 2013

Robert D. Friedberg ,
Sarah Tabbarah  and
Rosa M. Poggesi
Robert D. Friedberg*
Affiliation:
Center for the Study and Treatment of Anxious Youth, Palo Alto University, Los Altos, CA, USA
Sarah Tabbarah
Affiliation:
Center for the Study and Treatment of Anxious Youth, Palo Alto University, Los Altos, CA, USA
Rosa M. Poggesi
Affiliation:
Center for the Study and Treatment of Anxious Youth, Palo Alto University, Los Altos, CA, USA
*
*Author for correspondence: Dr R. D. Friedberg, Center for the Study and Treatment of Anxious Youth, Palo Alto University, 5150 El Camino Real Ste C-22, Los Altos, California 94022, USA (email: rfriedberg@paloaltou.edu)
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Abstract

Cognitive behavioural therapy (CBT) with youth owns a solid and growing empirical literature base. CBT also recognizes the contribution a good therapeutic relationship makes to favourable treatment outcome. However, it is argued that the therapeutic relationship is insufficiently operationalized and the extant definitions neglect the role of therapeutic presence, immediacy, and transparency. Indeed, presence, immediacy, and transparency represent critical elements in creating the necessary therapeutic alchemy leading to propitious symptom change. Accordingly, therapeutic presence, immediacy, and transparency are defined and explained. Additionally, clinical parameters for using presence, immediacy, and transparency in clinical encounters with young patients are articulated. Finally, these crucial processes pervade cognitive behavioral modules such as self-monitoring, cognitive restructuring and behavioural experiments/exposures are explicated through specific examples and therapeutic dialogues.

Keywords

CBTchild behaviour problemschildhood anxietypsychotherapy process
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 6 , 2013 , e12
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Recommended follow-up reading

Friedberg, RD, Gorman, AA, Wilt, LH, Biuckians, A, Murray, M (2011). Cognitive Behavioral Therapy for the Busy Child Psychiatrist and Other Mental Health Professionals. New York: Routledge.Google Scholar
Friedberg, RD, McClure, JM (2002). Clinical Practice of Cognitive Therapy with Children. New York: Guilford.Google Scholar

References

Beck, AT, Rush, AJ, Shaw, BF, Emery, G (1979). Cognitive Therapy of Depression. New York, NY: Guilford Press.Google Scholar
Chiu, AW, McLeod, BD, Har, K, Wood, JJ (2009). Child therapist alliance and clinical outcomes in cognitive behavioral therapy for child anxiety disorders. Journal of Child Psychology and Psychiatry and Allied Disciplines 50, 751–758.Google Scholar
Chorpita, BF, Daleiden, EL, Weisz, JR (2005). Identifying and selecting the common elements of evidence-based interventions: a distillation and matching model. Mental Health Services Research 7, 5–20.Google Scholar
Coyne, LW, McHugh, L, Martinez, ER (2011). Acceptance and commitment therapy (ACT): advances and applications with children, adolescents, and families. In: Child and Adolescent Psychiatric Clinics (ed. Peters, T. E. and Freeman, J. B.), pp. 379–400. Philadelphia, PA: W. B. Saunders.Google Scholar
Creed, TA, Kendall, PC (2005). Therapist alliance-building behavior within a cognitive behavioral treatment for anxiety in youth. Journal of Consulting and Clinical Psychology 73, 498–505.Google Scholar
De Palma, B (director). (1983). Scarface [Film]. United States of America: Universal Studios.Google Scholar
Ehrenreich, JT, Goldstein, CM, Wright, LR, Barlow, DH (2009). Development of a unified protocol for the treatment of emotional disorders in youth. Child and Family Behavior Therapy 31, 20–37.Google Scholar
Friedberg, RD, Brelsford, GM (2011). Core principles in cognitive therapy with youth. Child and Adolescent Psychiatric Clinics of North America 20, 369–378.Google Scholar
Friedberg, RD, Gorman, AA, Hollar, LW, Biuckians, A, Murray, M (2011). Cognitive Behavior Therapy for the Busy Child Psychiatrist and Other Mental Health Professionals. New York, NY: Routledge.Google Scholar
Geller, SM, Greenberg, LS (2012). Therapeutic Presence: A Mindful Approach to Effective Therapy. Washington, D.C.: American Psychological Association.CrossRefGoogle Scholar
Greenberg, LS (2007). Emotion in the therapeutic relationship in emotion focused therapy. In: The Therapeutic Relationship in Cognitive Behavioral Psychotherapies (ed. Gilbert, P. and Leahy, R. L.), pp. 43–52. New York, NY: Routledge/Taylor & Francis Group.Google Scholar
Karver, MS, Handelsman, JB, Fields, S, Bickman, L (2005). A theoretical model of common process factors in youth and family therapy. Mental Health Services Research 7, 35–51.Google Scholar
Karver, M, Shirk, S, Handelsman, JB, Fields, S, Crisp, H, Gudmundsen, G, McMakin, D (2008). Relationship processes in youth psychotherapy: measuring alliance, alliance building behaviors, and client involvement. Journal of Emotional and Behavioral Disorders 16, 15–28.Google Scholar
Kendall, PC (ed.). (2012). Child and Adolescent Therapy: Cognitive Behavioral Procedures, 4th edn. New York, NY: Guilford Press.Google Scholar
Klein, DA, Miller, AL (2011). Dialectical behavior therapy for suicidal adolescents with borderline personality disorder. In: Child and Adolescent Psychiatric Clinics of North America (ed. Peters, T. E. and Freeman, J.B.), pp. 205–216. Philadelphia, PA: W. B. Saunders.Google Scholar
Newman, CF (2012). Core Competencies in Cognitive Behavioral Therapy: Becoming a Highly Effective and Competent Cognitive-Behavioral Therapist. New York, NY: Routledge/Taylor & Francis.Google Scholar
Padesky, CA (2004). Behavioral experiments at the crossroads. In: Oxford Guide to Behavioral Experiments in Cognitive Therapy (ed. Bennett-Levy, J., Butler, G., Fennell, M., Hackman, A., Mueller, M. and Westbrook, D.), pp. 433–438. Oxford, UK: Oxford University Press.Google Scholar
Padesky, CA (1996). Developing cognitive therapist competency: teaching and supervision models. In: Frontiers of Cognitive Therapy (ed. Salkovskis, P. M.), pp. 266–292. New York, NY: Guilford Press.Google Scholar
Pierson, H, Hayes, SC (2007). Using acceptance and commitment therapy to empower the therapeutic relationship. In: The Therapeutic Relationship in Cognitive Behavioral Psychotherapies (ed. Gilbert, P. and Leahy, R. L.), pp. 205–228. New York, NY: Routledge/Taylor & Francis.Google Scholar
Semple, RJ, Burke, CA (2012). Mindfulness-based treatment for children and adolescents. In: Child and Adolescent Therapy: Cognitive-Behavioral Procedures (ed. Kendall, P. C.), pp. 411–428. New York: Guilford.Google Scholar
Shirk, SR, Caporino, NE, Karver, MS (2010). The alliance in adolescent therapy: conceptual, operational, and predictive issues. In: Elusive Alliance: Treatment Engagement Strategies with High-risk Adolescents (ed. Castro-Blanco, D. and Karver, M. S.), pp. 59–93. Washington: American Psychological Association.Google Scholar
Shirk, SR, Karver, MS (2011). Alliance in child and adolescent psychotherapy. In: Psychotherapy Relationships That Work: Evidence-based Responsiveness, 2nd edn (ed. Norcross, J. C.), pp. 70–91. New York, NY: Oxford University Press.Google Scholar
Shirk, SR, Saiz, CC (1992). Clinical, empirical, and developmental perspectives on the therapeutic relationship in child psychotherapy. Development and Psychopathology 4, 713–728.Google Scholar
Waddington, L (2002). The therapy relationship in cognitive therapy: a review. Behavioural and Cognitive Psychotherapy 30, 179–190.CrossRefGoogle Scholar
Waller, G (2009). Evidence-based treatment and therapist drift. Behavior Research and Therapy 47, 119–127.Google Scholar
Weisz, JR, Kazdin, AE (2010). Evidence-based Psychotherapies for Children and Adolescents, 2nd edn. New York, NY: Guilford Press.Google Scholar
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