ABSTRACT

This chapter examines the historical commonalities of cognitive behaviour therapy (CBT) and psychodynamic approaches and the relational aspects in CBT. It draws attention to the issues which draw people into becoming therapists and the importance of integrating an awareness of countertransference in CBT work, so increasing therapeutic efficacy. Traditionally CBT and psychodynamic (PP) approaches were seen as very different and many people had allegiance to only one of these approaches. In PP, the client is encouraged to develop a greater understanding and insight of themselves through the exploration and discussion of the past and early childhood. In CBT, countertransference occurs and is understood when the relationship with the patient triggers automatic thoughts and schemata in the clinician. Schema therapy is used with people with personality disorder, and utilises many techniques to help weaken the maladaptive schemas and coping styles and rebuild the patient's healthy side.