Chapter 2.The Therapeutic Relationship: Collaborative Empiricism in Action
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One of the appealing features of cognitive-behavior therapy (CBT) is the collaborative, straightforward, and action-oriented style of the therapeutic relationship that it employs. Although the relationship between therapist and patient is not considered to be the principal mechanism for change as in some other forms of psychotherapy, a good working alliance is a critically important part of treatment (Beck et al. 1979). Just like clinicians who use other major forms of psychotherapy, cognitive-behavior therapists seek to provide a treatment environment with a high degree of genuineness, warmth, positive regard, and accurate empathy—the common qualities of all effective therapies (Beck et al. 1979; Keijsers et al. 2000; Rogers 1957). In addition to these nonspecific features of the therapeutic relationship, CBT is characterized by a specific type of working alliance, collaborative empiricism, that is geared toward promoting cognitive and behavioral change.
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