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Defining the Role and Function of the Therapeutic Relationship in Cognitive Behavioral Therapy: a Modified Delphi Panel

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Abstract

While it is accepted that therapeutic relationship is a necessary condition for cognitive behavior therapy (CBT), the way a therapist adapts to that relationship based on the case formulation has not been clearly articulated. In addition, the direct effects of the therapeutic relationship and its elements require further empirical study. Achieving expert consensus on the roles and function for the therapeutic relationship is important for training, supervision, accreditation, as well as the next generation of research examining whether treatment processes are wholly or partially dependent upon in-session processes. This article summarizes the findings, conclusions, and recommendations of an expert panel on these features of the therapeutic relationship in order to identify potentially fruitful avenues for future research.

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Acknowledgments

Mathew E. Stuckey is acknowledged for comments on a previous version of this manuscript.

Funding

The authors acknowledge the scientific committee of the 8th International Congress of Cognitive Psychotherapy held in Hong Kong, 24–27 June 2014, who supported this expert panel

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Correspondence to Nikolaos Kazantzis.

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Kazantzis, N., Dattilio, F.M., McGinn, L.K. et al. Defining the Role and Function of the Therapeutic Relationship in Cognitive Behavioral Therapy: a Modified Delphi Panel. J Cogn Ther 11, 158–183 (2018). https://doi.org/10.1007/s41811-018-0014-0

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