Conceptualizing empathy in cognitive behaviour therapy: Making the implicit explicit

Behavioural and Cognitive Psychotherapy

Volumn 35, Issue 5, 2007, Pages 591-612

  Thwaites, Richard ^a,c   Bennett Levy, James ^b  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b Oxford Cognitive Therapy Centre ^*  (United Kingdom)

^c Department of Psychological Services ^*  (United Kingdom)

Author keywords

Cognitive behaviour therapy; Cognitive behaviour therapy training; Empathy; Interpersonal; Therapeutic relationship

Indexed keywords

ATTITUDE; CLINICAL RESEARCH; COGNITIVE THERAPY; EMPATHY; HUMAN; INTERPERSONAL COMMUNICATION; KNOWLEDGE; MEDICAL LITERATURE; PRIORITY JOURNAL; PSYCHOTHERAPIST; PSYCHOTHERAPIST ATTITUDE; REVIEW;

EID: 35548956975     PISSN: 13524658     EISSN: 14691833     Source Type: Journal    
DOI: 10.1017/S1352465807003785     Document Type: Review

References (64)

1. Anderson, J. R. (1987). Skill acquisition: compilation of weak-method problem solutions. Psychological Review, 94, 192-210.
2. Anderson, J. R., Bothell, D., Byrne, M.D., Douglass, S., Lebiere, C. and Qin, Y. (2004). An integrated theory of mind. Psychological Review, 111, 1036-1060.
3. Baron-Cohen, S. (1994). The mindreading system: new directions for research. Current Psychology of Cognition, 13, 724-750.
4. Baron-Cohen, S. (2005). The empathizing system: a revision of the 1994 model of the mindreading system. In B. J. Ellis and D.F. Bjorklund (Eds.). Origins of the Social Mind: evolutionary psychology and child development. New York: Guilford.
5. Barrett-Lennard, G. (1993). The phases and focus of empathy. British Journal of Medical Psychology, 66, 3-14.
6. Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford.
7. Beck, J. S. (1995). Cognitive Therapy: basics and beyond. New York: Guilford.
8. Bennett-Levy, J. (2006). Therapist skills: a cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy, 34, 57-78.
9. Bennett-Levy, J. and Beedie,A. (2007). The ups and downs of cognitive therapy training: What happens to trainees' perception of their competence during a cognitive therapy training course? Behavioural and Cognitive Psychotherapy, 35, 61-75.
10. Bennett-Levy, J., Butler, G., Fennell, M., Hackman, A., Mueller, M. and Westbrook, D. (2004). Oxford Guide to Behavioural Experiments in Cognitive Therapy. Oxford: Oxford University Press.
11. Bennett-Levy, J., Lee, N., Travers, K., Pohlman, S. and Hamernik, E. (2003). Cognitive therapy from the inside: enhancing therapist skills through practising what we preach. Behavioural and Cognitive Psychotherapy, 31, 145-163.
12. Bennett-Levy, J. and Thwaites, R. (2007). Self and self-reflection in the therapeutic relationship: a conceptual map and practical strategies for the training, supervision and self-supervision of interpersonal skills. In P. Gilbert and R. L. Leahy (Eds.), The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies (pp. 255-281). London: Routledge.
13. Bohart, A., Elliott, R., Greenberg, L.S. and Watson, J.C. (2002). Empathy. In J. C. Norcross (Ed.), Psychotherapy Relationships that Work. (pp. 89-108). New York: Oxford University Press.
14. Bohart, A. C. and Greenberg, L. S. (1997a). Empathy and psychotherapy: an introductory overview. In A. C. Bohart and L. S. Greenberg (Eds.), Empathy Reconsidered: new directions in psychotherapy (pp. 3-31). Washington: American Psychological Association.
15. Bohart, A. C. and Greenberg, L. S. (1997b). Empathy: where are we and where do we go from here. In A. C. Bohart and L. S. Greenberg (Eds.), Empathy Reconsidered: new directions in psychotherapy (pp. 419-449). Washington: American Psychological Association.
16. Book, H. E. (1988). Empathy: misconceptions and misuses in psychotherapy. American Journal of Psychiatry, 145, 420-424.
17. Burns, D. B. and Auerbach, A. (1996). Therapeutic empathy in cognitive-behavioural therapy: does it really make a difference? In P. Salkovskis (Ed.), Frontiers of Cognitive Therapy (pp. 137-164). New York: Guilford.
18. Decety, J. and Jackson, P. L. (2004). The functional architecture of human empathy. Behavioral and Cognitive Neuroscience Reviews, 3, 71-100.
19. Dobson, K. S. and Shaw, B. F. (1993). The training of cognitive therapists: what have we learned from treatment manuals? Psychotherapy, 30, 573-577.
20. Eisenberg, N. and Fabes, R. A. (1998). Prosocial development. In N. Eisenberg (Vol. ed.), Handbook of Child Psychology: Vol. 3. Social, emotional and personality development (5th ed., pp. 701-778). New York: Wiley.
21. Geller, J. D., Norcross, J. C. and Orlinsky, D. E. (Eds.). (2005). The Psychotherapist's Own Psychotherapy: patient and clinician perspectives. New York: Oxford University Press.
22. Gilbert, P. (1997). The evolution of social attractiveness and its role in shame, humiliation, guilt and therapy. British Journal of Medical Psychology, 70, 113-147.
23. Gilbert, P. (2000). Counselling for Depression. London: Sage.
24. Gilbert, P. (2005).Compassion and cruelty: a biopsychosocial approach. In P.Gilbert (Ed.), Compassion: conceptualisations, research and use in psychotherapy (pp. 195-217). Hove: Brunner-Routledge.
25. Gilbert, P. (2007). Evolved minds and compassion in the therapeutic relationship. In P. Gilbert and R. L. Leahy (Eds.), The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies (pp. 106-142). London: Routledge.
26. Gilbert, P. and Leahy, R. L. (2007). The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies. London: Routledge.
27. Grace, M., Kivlighan, D. M. and Kunce, J. (1995). The effect of nonverbal skills training on counsellor trainee nonverbal sensitivity and responsiveness and on session impact and working alliance ratings. Journal of Counselling and Development, 73, 547-552.
28. Greenberg, L. S. (2002). Emotion-Focused Therapy: coaching clients to work through their feelings. Washington: APA.
29. Greenberg, L. S. (2007). Emotion in the relationship in emotion focused therapy. In P. Gilbert and R. L. Leahy (Eds.), The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies (pp. 43-62). London: Routledge.
30. Greenberg, L. S. and Elliott, R. (1997). Varieties of empathic responding. In A. C. Bohart and L. S. Greenberg (Eds.), Empathy Reconsidered: new directions in psychotherapy (pp. 167-186). Washington: American Psychological Association.
31. Guidano, V. F. and Liotti, G. (1983). Cognitive Processes and Emotional Disorders. New York: Guilford.
32. Hardy, G., Cahill, J. and Barkham, M. (2007). Active ingredients of the therapeutic relationship that promote client change: a research perspective. In P. Gilbert and R. L. Leahy (Eds.), The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies (pp. 24-42). London: Routledge.
33. Hoffart, A., Versland, S. and Sexton, H. (2002). Self-understanding, empathy, guided discovery, and schema belief in schema-focused cognitive therapy of personality problems: a process-outcome study. Cognitive Therapy and Research, 26, 199-219.
34. Hoffman, M.L. (2000). Empathy and Moral Development: implications for caring and justice. Cambridge: Cambridge University Press.
35. Jacobs, T. (1991). The Use of the Self: countertransference and communication in the analytic setting. Madison, CT: International Universities Press.
36. Jennings, L. and Skovholt, T. M. (1999). The cognitive, emotional, and relational characteristics of master therapists. Journal of Counseling Psychology, 46, 3-11.
37. Jordan, J. V. (1997). Relational development through mutual empathy. In A. C. Bohart and L. S. Greenberg (Eds.), Empathy Reconsidered: new directions in psychotherapy (pp. 343-351). Washington: American Psychological Association.
38. Kohut, H. (1984). How Does Analysis Cure? Chicago: University of Chicago Press.
39. Laireiter, A-R. and Willutzki, U. (2003). Self-reflection and self-practice in training of cognitive behaviour therapy: an overview. Clinical Psychology and Psychotherapy, 10, 19-30.
40. Leahy, R. (2001). Overcoming Resistance in Cognitive Therapy. New York: Guilford Press.
41. Leahy, R. L. (2005). A social-cognitive model of validation. In P. Gilbert (Ed.), Compassion: conceptualizations, research and use in psychotherapy (pp. 195-217). Hove: Brunner-Routledge.
42. Linehan, M. M. (1997). Validation and psychotherapy. In A. C. Bohart and L. S. Greenberg (Eds.), Empathy Reconsidered: new directions in psychotherapy (pp. 333-392). Washington: American Psychological Association.
43. Lyons, C. and Hazler, R. J. (2002). The influence of student development level on improving counsellor student empathy. Counselor Education and Supervision, 42, 119-130.
44. Machado, P. P. P., Beutler, L. E. and Greenberg, L. S. (1999). Emotional recognition in psychotherapy: impact of therapist level of experience and emotional awareness. Journal of Clinical Psychology, 55, 39-57.
45. Macran, S. and Shapiro, D. (1998). The role of personal therapy for therapists: a review. British Journal of Medical Psychology, 71, 13-25.
46. Nerdrum, P. and Ronnestad, M. H. (2003). Changes in therapist's conceptualization and practice of therapy following empathy training. The Clinical Supervisor, 22, 37-61.
47. Padesky, C. A. (1996). Developing cognitive therapist competency: teaching and supervision models. In P. M. Salkovskis (Ed.), Frontiers of Cognitive Therapy (pp. 266-292). New York: Guilford.
48. Padesky, C. A. (1993). Socratic Questioning: changing minds or guided discovery? Paper presented at the European Congress of Behavioural and Cognitive Therapies, London, September.
49. Padesky, C. A. (2004). Constructing New Underlying Assumptions and Behavioral Experiments [Video recording]. Center for Cognitive Therapy, Huntington Beach, California.
50. Patterson, C. H. (1984). Empathy, warmth, and genuineness in psychotherapy: a review of reviews. Psychotherapy, 21, 431-438.
51. Rogers, C. R. (1967). On Becoming a Person: a therapist's view of psychotherapy. London: Constable and Company.
52. Safran, J. D. and Muran, J. C. (2000). Negotiating the Therapeutic Alliance: a relational treatment guide. New York: Guilford.
53. Safran, J. D. and Segal, Z. V. (1996). Interpersonal Process in Cognitive Therapy (2nd ed.). Northvale, NJ: Aronson.
54. Sanders, D. and Wills, F. (2005). Cognitive Therapy: an introduction (2nd ed.). London: Sage.
55. Schmid, P. F. (2001). Comprehension: the art of not knowing. Dialogical and ethical perspectives on empathy as dialogue in personal and person-centred relationships. In S. Haugh and T. Merry (Eds.), Empathy. Ross on Wye: Person-Centred Counselling Services Books.
56. Shamasundar, C. (1999). Understanding empathy and related phenomena. American Journal of Psychotherapy, 53, 232-245.
57. Shapiro, J., Morrison, E. H. and Boker, J. R. (2004). Teaching empathy to first year medical students: evaluation of an elective literature and medicine course. Education for Health, 17, 73-84.
58. Thwaites, R., Chaddock, A. and Bennett-Levy, J. (2006). How does a manualised Self Practice/Self Reflection (SP/SR) programme impact on trainee CBT therapists' ability to work with interpersonal process? Paper presented at the European Association of Behavioural and Cognitive Therapies Conference, Paris.
59. Thwaites, R. and Freeston, M. H. (2005). Safety behaviours: fact or function? How can we clinically differentiate between safety behaviours and adaptive coping strategies across anxiety disorders? Behavioural and Cognitive Psychotherapy, 33, 177-188.
60. Trusty, J., Ng, K. and Watts, R. E. (2005). Model of effects of adult attachment on emotional empathy of counseling students. Journal of Counseling and Development, 83, 66-77.
61. Valiente, C., Eisenberg, N., Fabes, R. A., Shepard, S. A., Cumberland, A. and Losoya, S. H. (2004). Prediction of children's empathy-related responding from their effortful control and parent's expressivity. Developmental Psychology, 40, 911-926.
62. Wispé, L. (1986). The distinction between sympathy and empathy: to call forth a concept, a word is needed. Journal of Personality and Social Psychology, 50, 314-321.
63. Young, J. E. and Beck, A. T. (1988). Cognitive Therapy Scale. Unpublished manuscript. University of Pennsylvania, Philadelphia.
64. Young, J. E., Klosko, J. S. and Weishaar, M. E. (2003). Schema Therapy: a practitioner's guide. New York: Guilford.