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Therapeutic Self-Disclosure within DBT, Schema Therapy, and CBASP: Opportunities and Challenges
Stephan Köhler1, Anne Guhn1, Felix Betzler1
1Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Berlin, Germany.
Third-wave cognitive behavior therapy (CBT) strategies enhance treatment by emphasizing therapist self-disclosure. This approach addresses interpersonal issues in patients unresponsive to classical CBT, showing promise for future research.
Area of Science:
- Psychology
- Psychotherapy
- Clinical Psychology
Background:
- Cognitive Behavior Therapy (CBT) has been extended by "third-wave" strategies.
- These advanced CBT approaches address challenges in patient subgroups not responding to classical CBT.
Purpose of the Study:
- To highlight therapist self-disclosure as a method for addressing interpersonal problems.
- To compare three third-wave strategies: Dialectical Behavioral Therapy (DBT), Schema Therapy (ST), and Cognitive Behavioral Analysis System of Psychotherapy (CBASP).
Main Methods:
- Comparative analysis of three third-wave CBT strategies.
- Focus on therapist self-disclosure within acceptance and change (DBT), limited reparenting (ST), and disciplined personal involvement (CBASP).
Main Results:
- Therapist self-disclosure is a key feature in specific third-wave CBT approaches.
- Each strategy (DBT, ST, CBASP) utilizes self-disclosure differently to manage patient interpersonal issues.
Conclusions:
- Therapist self-disclosure presents opportunities and challenges in psychotherapy.
- Self-disclosure is a promising therapeutic tool warranting further in-depth investigation in clinical psychology research.
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