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Book Chapter
What To Do When CBT Isn't Working?
2014
Overview
A review of the research literature reveals that there is no generally agreed upon definition of treatment failure. Historically, many of the types of problems and difficulties that have been associated with treatment failure or drop out have been understood with reference to the concept of “resistance”. A contemporary Cognitive Behavioural Therapy (CBT) view on the nature of therapeutic resistance strongly support a view of these phenomena as “understandable”, “adaptive” and as “making sense” from the perspective of the client at some level. The procedural competence of being able to employ CBT theory to devise tentative hypotheses or formulations of what might be maintaining the resistance is an important aspect of developing appropriate flexibility and artistry as a CBT therapist. Difficulties with resistance and therapy interfering behaviours often escalate to the point that a rupture in the working alliance occurs.
Publisher
John Wiley & Sons, Ltd
Subject
ISBN
1118468341, 9781118468340
