Overcoming Obstacles in CBT comes to the rescue of anyone struggling with the challenges of practicing CBT, whether you are a trainee working under supervision or a qualified practitioner. It examines key obstacles, issues and difficulties encountered over the course of the therapy, illustrated with extensive case examples. Learning objectives, practice exercises and further reading lists help you engage with and relate the issues to your own practice.

Significant others: Impact on Client and Therapy

Significant others: Impact on client and therapy

Learning Objectives

By the end of this chapter, the reader should:

  • be familiar with the way significant others can create therapeutic obstacles;
  • evolve an idiosyncratic, CBT-based formulation of a relationship between a patient and significant other.


Though CBT has historically focused on the individual seeking therapy, as far back as the 1960s and 1970s, it has been applied to the wider problems of families (e.g. Patterson et al., 1967) and couples (e.g. Weiss et al., 1973). CBT models have been evolved and adapted, and are now recognised as a significant adjunctive approach in the treatment of systemic problems (e.g. Nichols and Schwanz, 2001). The central therapeutic focus of these models is either schema change (Azar ...

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