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Advancing the role of patient-therapist communication during cognitive-behavioral treatment for social anxiety disorder |
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Abstract:
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Substantive research has underscored the important role of the communicative therapist-patient relationship, commonly called the therapeutic alliance, in generating change during and after psychotherapy. This interpersonal bond has demonstrated to be a predictor of treatment outcome across a number of psychosocial interventions, including cognitive-behavioral therapy (CBT), one of the most popularly employed psychotherapeutic treatments. Although the association between patient-therapist communication and psychotherapeutic outcome has been well documented, scant attention has focused on the factors necessary for a fruitful therapeutic alliance in CBT treatment specifically for social anxiety disorder (SA; also called social phobia), the third most common psychological disorder in the nation. Extrapolating from previous discourse in the area of the therapeutic alliance in both CBT and other psychotherapeutic approaches—replete with relevant concessions that take into account the unique nature of individuals with SA—this paper advances several conceptual elements deemed applicable to CBT treatment for SA in terms of trust and openness; warmth, genuineness, and unconditional positive regard; empathic understanding; and therapist self-disclosure. The reality that approximately half of all patients with SA who receive CBT do not significantly benefit also warrants this investigation. Findings suggest that it is critical that therapists and researchers alike explore further the association between key ingredients of the therapeutic alliance and treatment outcome specifically in the context of CBT in treating SA. Since this issue has been virtually uncharted, it is hoped that the preliminary guidelines presented herein stimulate a promising avenue of inquiry that may vastly improve the efficacy of this treatment modality for this debilitating disorder. |
Most Common Document Word Stems:
therapist (84), patient (82), treatment (75), social (72), cognit (59), sa (58), therapeut (57), cbt (55), allianc (51), behavior (50), may (35), anxieti (32), clinic (32), therapi (31), research (30), disord (29), cognitive-behavior (28), m (27), communic (26), psycholog (25), outcom (25), |
Author's Keywords:
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Patient-therapist communication, therapeutic alliance, social anxiety, cognitive-behavioral treatment |
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Association:
Name: NCA 93rd Annual Convention URL: http://www.natcom.org
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Citation:
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MLA Citation:
| Johnson, Christopher. "Advancing the role of patient-therapist communication during cognitive-behavioral treatment for social anxiety disorder" Paper presented at the annual meeting of the NCA 93rd Annual Convention, TBA, Chicago, IL, Nov 15, 2007 <Not Available>. 2010-03-12 <http://www.allacademic.com/meta/p193024_index.html> |
APA Citation:
| Johnson, C. C. , 2007-11-15 "Advancing the role of patient-therapist communication during cognitive-behavioral treatment for social anxiety disorder" Paper presented at the annual meeting of the NCA 93rd Annual Convention, TBA, Chicago, IL Online <PDF>. 2010-03-12 from http://www.allacademic.com/meta/p193024_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Abstract: Substantive research has underscored the important role of the communicative therapist-patient relationship, commonly called the therapeutic alliance, in generating change during and after psychotherapy. This interpersonal bond has demonstrated to be a predictor of treatment outcome across a number of psychosocial interventions, including cognitive-behavioral therapy (CBT), one of the most popularly employed psychotherapeutic treatments. Although the association between patient-therapist communication and psychotherapeutic outcome has been well documented, scant attention has focused on the factors necessary for a fruitful therapeutic alliance in CBT treatment specifically for social anxiety disorder (SA; also called social phobia), the third most common psychological disorder in the nation. Extrapolating from previous discourse in the area of the therapeutic alliance in both CBT and other psychotherapeutic approaches—replete with relevant concessions that take into account the unique nature of individuals with SA—this paper advances several conceptual elements deemed applicable to CBT treatment for SA in terms of trust and openness; warmth, genuineness, and unconditional positive regard; empathic understanding; and therapist self-disclosure. The reality that approximately half of all patients with SA who receive CBT do not significantly benefit also warrants this investigation. Findings suggest that it is critical that therapists and researchers alike explore further the association between key ingredients of the therapeutic alliance and treatment outcome specifically in the context of CBT in treating SA. Since this issue has been virtually uncharted, it is hoped that the preliminary guidelines presented herein stimulate a promising avenue of inquiry that may vastly improve the efficacy of this treatment modality for this debilitating disorder. |
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| Document Type: |
PDF |
| Page count: |
25 |
| Word count: |
6683 |
| Text sample: |
| STUDENT PAPER/DEBUT PAPER Advancing the role of patient-therapist communication during cognitive-behavioral treatment for social anxiety disorder Christopher C. Johnson 2 ABSTRACT Substantive research has underscored the important role of the communicative therapist-patient relationship commonly called the therapeutic alliance in generating change during and after psychotherapy. This interpersonal bond has demonstrated to be a predictor of treatment outcome across a number of psychosocial interventions including cognitive-behavioral therapy (CBT) one of the most popularly employed psychotherapeutic treatments. Although the association between |
| affecting treatment outcome in social phobia. Behaviour Research and Therapy 34 795-804. Wang P. S. Lane; M. Olfson M.; Pincus H. A. Wells K. B. & Kessler R. C. (2005). Twelve- month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry 62 629-640. 25 Wagner R. F. & Reinecker H. (2003). Problems and solutions: Two concepts of mankind in cognitive-behavioral therapy. American Journal of Psychotherapy 57 401-413. Wilson |
Similar Titles:
Advancing the role of patient-therapist communication in cognitive-behavioral treatment for social anxiety disorder
Advancing the role of therapist-patient communication in cognitive-behavioral treatment for social anxiety disorder
Advancing the role of therapist-client communication in cognitive-behavioral treatment for social anxiety disorder
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