Publication year: 2010
Source: Behaviour Research and Therapy, In Press, Accepted Manuscript, Available online 17 March 2010
Daniel R., Strunk , Melissa A., Brotman , Robert J., DeRubeis
Although Cognitive Therapy for depression is an efficacious treatment, questions about the aspects of the therapy that are most critical to successful implementation remain. In a sample of 60 Cognitive Therapy patients with moderate to severe depression, we examined three aspects of therapists’ adherence to Cognitive Therapy techniques, the patients’ facilitation or inhibition of these techniques, and the therapeutic alliance as predictors of session-to-session symptom improvement across the first five therapy sessions. Two elements of therapist adherence (viz., cognitive methods and negotiating content / structuring sessions) emerged as the strongest predictors of symptom improvement. Patient facilitation or inhibition of therapist...