Cognitive therapy, with its clear-cut measurable techniques, has been a welcome innovation in recent years. However, the very specificity that lends itself so well to research and training has minimized the role of the therapeutic relationship, making it difficult for therapists to respond flexibly to different clinical situations. What is needed is an approach that focuses on the underlying mechanisms of therapeutic change, not just on interventions. In this practical and original book, two highly respected clinician-researchers integrate findings from cognitive psychology, infant developmental research, emotion theory, and relational therapy to show how change takes place in the interpersonal context of the therapeutic relationship and involves experiencing the self in new ways, not just altering behavior or cognitions. Making use of extensive clinical transcripts accompanied by moment-to-moment analyses of the change process, the authors illustrate the subtle interaction of cognitive and interpersonal factors. They show how therapy unfolds at three different levels--in fluctuations in the patient's world, in the therapeutic relationship, and in the therapist's inner experience--and provide clear guidelines for when to focus on a particular level. The result is a superb integration of cognitive and interpersonal approaches that will have a major impact on theory and practice. Reviews: "This volume is a poignant rejoinder to those who believe cognitive-behavioral therapies lack emotional immediacy or fail to utilize the therapeutic relationship. It defines a cognitive-behavioral approach to interpersonal issues that employs a sharp focus on therapist-patient interactions."—Aaron T. Beck "Safran and Segal have written an important and timely book. Equally at home in cognitive and interpersonal psychotherapy, they contribute significantly to the growing rapprochement between two major theoretical orientations and sets of techniques. Forward-looking theorists, therapists, and researchers are becoming united in assigning centrality to the therapeutic relationship and the experiential aspects of all therapeutic approaches. This excellent book clearly contributes materially to progress in this area."—Hans Strupp, Distinguished Professor of Psychology, Vanderbilt University Table of Contents: Part I. Theory
The Cognitive-Behavioral Perspective on the Therapeutic Relationship
Technical and Relationship Factors in Therapy
A Theoretical Model for Integration Part II. Practice
Experiential Disconfirmation and Decentering: I.Out-of-Session Focus
Experiential Disconfirmation and Decentering: II. In-Session Focus
Accessing Action-Disposition Information
General Clinical Issues
10 Patient Selection for Short-Term Cognitive Therapy
Conclusion About the Authors: Jeremy D. Safran, Ph.D., is Professor of Psychology at the New School for Social Research in Manhattan. He is co-author of the book Emotion in Psychotherapy, and co-editor of the book Emotion, Psychotherapy and Change. Dr. Safran has published numerous theoretical and empirical articles on the therapeutic relationship and other aspects of the herapeutic process, and serves on the editorial boards of several journals including Psychotherapy Research and In Session: Psychotherapy in Practice. He also maintains a part-time practice in Manhattan. Zindel V. Segal, Ph.D., is head of the Cognitive Behavioral Therapy Unit at Clarke Institute of Psychiatry and Associate Professor of Psychiatry and Psychology at the University of Toronto. His most recent book is The Self in Emotional Distress (co-authored with Sidney J. Blatt). His research interests are in the areas of experimental cognition and psychopathology, especially the study of psychological risk to relapse in major depression. Dr. Segal is currently involved in the development of a treatment manual for depressive relapse prevention that combines elements of cognitive behavior therapy with mindfulness meditative practice. An active cognitive therapy teacher and supervisor, he directed Clarke Institute's CPA/APA Internship Program from 1990 to 1993. | 
