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Originally Posted by archipelago
I just was reading some stuff about how CBT has been criticized by not considering the therapeutic relationship enough and now are trying to address that type of claim, which is considered exaggerated but justified. There is almost universal recognition that the relationship is a key factor to effectiveness, more powerful than technique/method, and since CBT remains focused on being evidence-based, it admits that that cannot be overlooked.
What I found interesting is that the relationship was considered so much more complex that the usual attention to beliefs or schemas is not considered the way to approach it. All the aspects that other types of therapeutic approaches consider (especially psychoanalytic) like interpersonal relating, attachment, non-conscious material, etc. was part of the CBT re-thinking of this issue and how to add it in.
So I wonder if one problem might be that some people with CBT training that is earlier may not be up to date on how CBT has modified its approach in order to accommodate the importance of the relationship.
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I do think it also depends on the personalities and thought processes of the client and T alike when it comes to the therapeutic relationship. I agree that it is in some way vital to any therapy, because without some connection there won't be trust. But I don't think CBT Ts ever use the whole psychodynamic approach but definitely bits and pieces and I think the same is true in the reverse case. In my studies now we are learning about all the different approaches, and they are all valid, but most people will lean toward a certain approach(es) because of their personal philosophy.
The client base makes a difference too. People who work with autistic children use behavioral therapy, because that's what works the best for these kids. But if a client has Aspergers, they'll need a little more personal connection, so a strict behavioral T won't cut it and a mix of CBT/talk therapy might work well. But psychodynamic therapy would probably be frustrating and too abstract, so for some clients it wouldn't be helpful at all.