Basch, Daniel Isaacs. Exposure-based cognitive behavioral therapy and client centered therapy: a pragmatic case study of a technically eclectic, integrationist approach. Retrieved from https://doi.org/doi:10.7282/t3-tbjq-hn69
TitleExposure-based cognitive behavioral therapy and client centered therapy: a pragmatic case study of a technically eclectic, integrationist approach
DescriptionFor clients who present with multiple, complex, and unique presenting problems, it can be challenging to address diverse concerns when working solely from one manualized therapy approach. The author found this to be the case during his second year doctoral clinical practicum, when he treated “Rahul” at a university counseling center. Rahul initially presented with specific claustrophobic symptoms, but later in treatment disclosed broader personal and familial concerns. As a result, the manualized, Exposure-Based Cognitive Behavior Therapy (CBT) treatment that was initially employed by the therapist no longer was sufficient. This led to the introduction of a Client Centered approach into the existing therapy, to create a Technically Eclectic integrated treatment. The dissertation consists of a pragmatic case study outlining Rahul’s therapy and this unique treatment approach. The aim of this dissertation is to shed light on how a systematic case-based approach, which employs an individualized case formulation and an individualized treatment plan, can allow for the integration of two very different treatment modalities (perhaps even considered incompatible by some) to effectively address multiple and distinct presenting concerns of the client. In the description of the therapy process, particular attention is given to the development and maintenance of the therapeutic relationship as understood from each treatment modality, and how an attunement to this relationship can dramatically impact and inform the course of treatment.