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Therapeutic presence, immediacy, and transparency in CBT with youth: carpe the moment!

Published online by Cambridge University Press:  11 November 2013

Robert D. Friedberg ,
Sarah Tabbarah  and
Rosa M. Poggesi
Robert D. Friedberg*
Affiliation:
Center for the Study and Treatment of Anxious Youth, Palo Alto University, Los Altos, CA, USA
Sarah Tabbarah
Affiliation:
Center for the Study and Treatment of Anxious Youth, Palo Alto University, Los Altos, CA, USA
Rosa M. Poggesi
Affiliation:
Center for the Study and Treatment of Anxious Youth, Palo Alto University, Los Altos, CA, USA
*
*Author for correspondence: Dr R. D. Friedberg, Center for the Study and Treatment of Anxious Youth, Palo Alto University, 5150 El Camino Real Ste C-22, Los Altos, California 94022, USA (email: rfriedberg@paloaltou.edu)
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Abstract

Cognitive behavioural therapy (CBT) with youth owns a solid and growing empirical literature base. CBT also recognizes the contribution a good therapeutic relationship makes to favourable treatment outcome. However, it is argued that the therapeutic relationship is insufficiently operationalized and the extant definitions neglect the role of therapeutic presence, immediacy, and transparency. Indeed, presence, immediacy, and transparency represent critical elements in creating the necessary therapeutic alchemy leading to propitious symptom change. Accordingly, therapeutic presence, immediacy, and transparency are defined and explained. Additionally, clinical parameters for using presence, immediacy, and transparency in clinical encounters with young patients are articulated. Finally, these crucial processes pervade cognitive behavioral modules such as self-monitoring, cognitive restructuring and behavioural experiments/exposures are explicated through specific examples and therapeutic dialogues.

Keywords

CBTchild behaviour problemschildhood anxietypsychotherapy process
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 6 , 2013 , e12
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Recommended follow-up reading

Friedberg, RD, Gorman, AA, Wilt, LH, Biuckians, A, Murray, M (2011). Cognitive Behavioral Therapy for the Busy Child Psychiatrist and Other Mental Health Professionals. New York: Routledge.Google Scholar
Friedberg, RD, McClure, JM (2002). Clinical Practice of Cognitive Therapy with Children. New York: Guilford.Google Scholar

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