THE USE AND NATURE OF PRESENT-FOCUSED INTERVENTIONS IN COGNITIVE AND BEHAVIORAL THERAPIES FOR DEPRESSION

To improve cognitive and behavioral therapies (CBT) for depression, several approaches recommend an increased focus on the occurrence of problems as they occur in the therapeutic relationship or in relation to the live therapy process, referred to as present-focused. A lingering question has been th...

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Bibliographic Details
Published in:Psychotherapy (Chicago, Ill.) Ill.), 2009-06, Vol.46 (2), p.220-232
Main Authors: KANTER, JONATHAN W, RUSCH, LAURA C, LANDES, SARA J, HOLMAN, GARETH I, WHITESIDE, URSULA, SEDIVY, SONJA K
Format: Article
Language:English
Subjects:
Behavior Therapy
Cognitive Behavior Therapy
Cognitive behaviour therapy
Cognitive Therapy
Depression
Elaboration
Female
Human
Interventions
Major Depression
Male
Psychotherapeutic Processes
Psychotherapeutic Techniques
Therapeutic Alliance
Therapeutic alliances
Therapists
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Summary:To improve cognitive and behavioral therapies (CBT) for depression, several approaches recommend an increased focus on the occurrence of problems as they occur in the therapeutic relationship or in relation to the live therapy process, referred to as present-focused. A lingering question has been the degree to which CBT therapists already engage in present-focused work. This study utilized sessions from recent trials of CBT for depression and, in Phase I, raters identified present-focused interventions on a turn-by-turn basis. Phase II raters used a qualitative analysis to determine categories of present-focused interventions. Results indicated that therapists rarely focused on the therapeutic relationship; when they did, it was often transient and lacking in the elaborations suggested by newer approaches. Therapists more often performed therapy process and emotion focused interventions, but these also tended to lack elaboration.
ISSN:0033-3204
1939-1536
DOI:10.1037/a0016083