Third wave CBT can for example be less symptom focused, which may be beneficial for comorbid clients. I'm interested in anything surrounding this, but especially whether the therapeutic alliance is (positively) affected by the third wave approach?
I think we need to be careful about mixing theories and renaming them. The third wave includes mindfulness and schema treatments. There are empirical studies citing the efficacy of trans-diagnostic interventions. I think it is hard to tell which of the many clumped together treatment approaches has added to the improvement of the original CBT. Behavioral interventions for co-morbid diagnoses evolve and should continue to have followers that increase the validity and reliability of CBT. I am weary about the articles regarding third wave CBT as effective for Borderline PD....that would take a very long time and should use qualitative methodologies prior to quantitative, and would have to be longitudinal. Psychoanalytical approaches will always be called psychoanalytical because the approach has lost it's "sex appeal" . However, upon close observation much of what we do in treating neurosis weather its anxiety/comorbid/depression still involves talk therapy. Narrative therapy, Story-telling, etc. Mindfulness is a new and exciting approach, in my opinion. I like the ideal of simply identifying the trigger, thought, emotion.....I think mindfulness is going to be extremely beneficial for individuals with PTSD, and can be conducted virtually. (The way we are headed).
Well, that's an interesting topic. There is so much I would like to say about that. Don't have the time right now. But I definitely recommend the writings of Klaus Grawe (a good introduction might be his SPR presidential address Grawe K (1997) Research-Informed Psychotherapy. Psychotherapy Research 7(1): 1–19). He's far beyond clumping things together. And when it comes to this whole approach thing, see
Smith ML, Glass GV (1977) Meta-analysis of psychotherapy outcome studies. American Psychologist 32(9): 752–760
Stiles WB, Shapiro DA, Elliott R (1986) "Are all psychotherapies equivalent?". Am Psychol 41(2): 165–180
Wampold BE, Mondin GW, Moody M et al. (1997) A meta-analysis of outcome studies comparing bona fide psychotherapies: Empiricially," all must have prizes. Psychological bulletin 122(3): 203
Wampold BE (2001) The great psychotherapy debate. Models, methods, and findings. Erlbaum, Mahwah, NJ
Third wave is not only about mindfulness but also about things like emotion focusing - e.g. Grosse Holtforth M, Hayes AM, Sutter M et al. (2012) Fostering cognitive-emotional processing in the treatment of depression: a preliminary investigation in exposure-based cognitive therapy. Psychotherapy and psychosomatics 81(4): 259–260
Also, there is evidence that a special training in repairing alliance ruptures is associated positively with outcome Safran JD, Muran JC, Eubanks-Carter C (2011) Repairing alliance ruptures. Psychotherapy 48(1): 80–87. doi: 10.1037/a0022140
And there is great evidence that the alliance is equally important for outcome among different theoretical approaches including CBT --> Horvath AO, Del Re AC, Flückiger C et al. (2011) Alliance in individual psychotherapy. Psychotherapy 48(1): 9–16. doi: 10.1037/a0022186
As a researcher and clinical psychologist, I've been working in group with the unified Protocol. I have seen an effective result with anxious disorders and mood. The main issue, according to the literature of CBT, when I am working with transdiagnotics I can promote to the patients an emotional adjustment through the monitoring of thoughts, emotions and behaviors. I find that it is interesting because the patients realize that the sensations auto related are common in depressive and anxious. The focus of reatribuition is a kind of psichoeducation and the group develops altruism, which decreases the hypervigilance symptoms and feelings of self reference above quoted.
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