Please confirm that your email address is correct, so you can successfully receive this alert.
To the Editor: Janis L. Cutler, M.D., et al. (1) presented an excellent clinical case conference comparing approaches to the treatment of an individual using three different types of psychotherapy (cognitive behavior therapy, interpersonal psychotherapy, and psychodynamic therapy). Dr. Cutler commented that cognitive behavior therapy and interpersonal psychotherapists "do not believe it necessary to explore or interpret transference" (p. 1572). We would disagree with this statement with regard to cognitive behavior therapy. As cognitive behavior therapy supervisors training psychiatry residents, we often find that supervisees and psychodynamic therapy supervisors have the perception that transference is not examined in cognitive behavior therapy. In our opinion, this is one of the major misconceptions of cognitive behavior therapy that has been identified by various experts (2–5).
Although the word "transference" is not part of the jargon of cognitive behavior therapy, examination of the cognitions related to the therapist with respect to past significant relationships is an integral part of the assessment and treatment in cognitive behavior therapy. Developing a cognitive behavior therapy case conceptualization of patients is recommended for treating every patient with cognitive behavior therapy (3); cognitive behavior therapists examine the thoughts, feelings, and behaviors related to a wide range of situations (including reactions to the therapist) and relevant childhood experiences to understand the underlying core beliefs and conditional assumptions of each patient. In addition, Beck et al. (5) stated that a cognitive therapist must be
particularly sensitive to…the patient’s hypersensitivity to any action or statement that might be construed as rejection, indifference or discouragement. The patient’s exaggerated responses or misinterpretations may provide valuable insights but the therapist must be alert to their occurrence and prepare the framework for using these distorted reactions constructively.
We believe that it is important to underscore that transference issues are examined carefully, in an upfront fashion, in cognitive behavior therapy and must be an integral component of the complete management of every patient undergoing cognitive behavior therapy.
Download citation file:
Web of Science® Times Cited: 1