‘It's Like Catching a Desire Before it Flies Away’: A Comprehensive Process Analysis of a Problem Clarification Event in Cognitive-Behavioral Therapy for Depression
Authors: Rees, Anne1; Hardy, Gillian E.1; Barkham, Michael1; Elliott, Robert2; Smith, Jonathan A.3; Reynolds, Shirley4
Source: Psychotherapy Research, Volume 11, Number 3, September 2001 , pp. 331-351(21)
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Abstract:
Comprehensive process analysis (CPA) was applied to a client-selected significant event from cognitive-behavioral therapy to show how the process of moving to the specific is effectively managed. A mirroring was shown between what the client articulated as the most helpful therapist advice and the defined steps of a cognitive-behavioral intervention relating to problem clarification to (a) state the problem, (b) plan movement from negative generalized statements with specific examples, and (c) model possible functional and dysfunctional thinking. Further analysis of the effects of the event showed the therapist developing these planned solutions through homework and in the following session through work on cognitions. The CPA analysis provided evidence at the session level for the effective use of the change principles of cognitive-behavioral therapy.Document Type: Research article
Affiliations: 1: Psychological Therapies Research Centre, University of Leeds 2: University of Toledo 3: School of Psychology, Birkbeck, University of London 4: University of East Anglia, Norwich
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