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The Role of the Relationship Between Therapist and Client in Cognitive Behaviour Therapy in the Context of Therapeutic Tasks

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The Role of the Relationship Between Therapist and Client in Cognitive Behaviour Therapy in the Context of Therapeutic Tasks
THE ROLE OF THE RELATIONSHIP BETWEEN THERAPIST AND CLIENT IN COGNITIVE BEHAVIOUR THERAPY IN THE CONTEXT OF THERAPEUTIC TASKS
CANDIDATE NUMBER: 12823707
22-11-2011

Essay submitted for the award of Foundation Degree in Psychodynamic Counselling and Cognitive Behaviour Therapy, Birkbeck College, University of London
CONTENT PAGE

Introduction Page 3

Appendix 1 Page 13

Appendix 2 Page 15

Appendix 3 Page 16

Appendix 4 Page 17

Appendix 5 Page 18

Introduction

Within this case review I will explore the relationship between client and therapist by identifying the role it plays within the following; establishing the boundaries of my work; assessment/diagnosis; the development and process of the relationship, including my own self awareness gained from the use of supervision. To achieve this I will also explore my use of the underpinning skills of the cognitive behavioral theory. This will be explored through work carried out with one of my clients.
Place of work
I work as an Addiction Counsellor (qualified to Level three certification in counseling studies) for RAPt situated within HMP Wandsworth within the rehabilitation treatment unit. Male’s aged between 20 and 60 are referred for treatment displaying chronic substance misuse. A high percentage of those referred suffer mental health concerns relating mainly to depression; Anxiety, social and OCD; trauma; psychosis and anger. Therapy is delivered within group therapy, group sessions and within a one to one setting. My role incorporates an initial assessment, six one to one sessions, 90 psycho education sessions. The assessment is 90minutes with 50miuntes for therapy. The theoretical approaches used are brief Psychodynamic and Cognitive Behavioral Therapy; however this case study will be CBT based. Referrals are made from the Carat team (drug intervention team), healthcare, and St Giles and prison officers situated within HMP Wandsworth.
The initial contact with a client consists of explaining the ethical



References: BACP Ethical Framework. (2011). Internet Beck, A.T. (1987). Cognitive models of depression. Journal of cognitive Psychotherapy: 1, 5-37 Brewin, C.R. (1988). Cognitive foundations of clinical psychology. London; Erlbaum Greenberger, D. & Padesky, C.A. (1995). Mind Over Mood: Change how you feel by changing the way you think. New York: The Guildford Press

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