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Evaluation ViewAttendees 16

Mini Workshop

Treatment - CBT

Mini Workshop 23 - The Therapeutic Relationship: Preventing and Repairing Ruptures

Saturday, November 16, 2024
8:30 AM – 10:00 AM EST
Location: Grand Ballroom D, Level 5, Downtown Marriott
Earn 1.5 Credit
Keywords: Theraputic Relationship, African Americans / Black Americans, Cognitive Schemas / Beliefs
Level of Familiarity: Moderate
Recommended Readings: Beck, J.S. (2021). Cognitive Behavior Therapy: Basics and Beyond (3rd ed.). New York, NY: Guilford.,   Kazantzis, N. & Dobson, K.S. (2022). Therapeutic relationships in cognitive behavioral therapy: Theory and recent research, Psychotherapy Research, 32:8, 969-971, DOI: 10.1080/10503307.2022.2124047,   Steele, J.M. (in press). Racism and African American Mental Health: Using Cognitive Behavior Therapy to Empower Healing. Routledge.,   ,  

    Presenter(s)

  • Judith S. Beck, Ph.D.

    President/Clinical Professor
    Beck Institute for Cognitive Behavior Therapy/University of Pennsylvania
    Bala Cynwyd, Pennsylvania, United States

  • Janee Steele, Ph.D., LPC

    Core Faculty
    Walden University
    Kalamazoo, Michigan, United States

Do you have clients who get angry at you in session, get upset when you gently interrupt them, lie to you, avoid revealing important aspects of their life or history to you, spend session time entertaining you, act superior to you, try to control the therapy session...The list could go on and on. Some patients (and therapists) bring distorted an/or maladaptive beliefs about themselves, their worlds, and other people to the therapy session. Their formative experiences, and the appraisal of their experiences, often lead them to develop certain "rules for living" and associated behavioral strategies, which may be adaptive in certain situations but are maladaptive in other contexts. Their dysfunctional beliefs may become activated in the context of psychotherapy and the therapeutic relationship and they may employ certain coping strategies which interfere with treatment. Conceptualizing relevant beliefs and strategies is fundamental to planning interventions that can not only strengthen the alliance but that also can be generalized to improve relationships outside of therapy. In addition, conceptualizing and addressing difficulties in the therapeutic relationship for African Americans (and other groups who face racism and/or discrimination) require an additional conceptual lens and specific strategies to prevent and repair ruptures.

Outline:
• Case example of a therapeutic rupture
• Research about the therapeutic relationship
• Strategies to prevent ruptures in the relationship
• Identifying maladaptive beliefs and coping strategies that negatively affect the therapeutic relationship
• Eliciting honest feedback from clients
• Conceptualizing a specific therapeutic rupture
• Responding effectively to negative feedback
• Helping clients generalize learning to other relationships
• Identifying and effectively responding to therapists’ maladaptive beliefs and coping strategies that negatively affect the therapeutic relationship.
• Case example of a therapeutic rupture with an African American client
• Conceptualizing and varying treatment to build strong relationships with African American clients (and other groups who face racism and/or discrimination) who have been impacted by racism and discrimination.
• Using specific strategies to prevent and repair ruptures for these populations.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Conceptualize problems in the therapeutic relationship according to the cognitive model.
  2. Prevent and repair ruptures in the therapeutic relationship.
  3. Describe how to conceptualize and vary treatment to build strong therapeutic relationships with African American clients who been negatively impacted by racism and discrimination.
  4. Long-term Goal: improve the conceptualization and resolution of problems in the therapeutic relationship.
  5. Long-term Goal: conceptualize and vary treatment to build strong therapeutic relationships with African American clients who been negatively impacted by racism and discrimination.