Defining the Role and Function of the Therapeutic Relationship in Cognitive Behavioral Therapy: a Modified Delphi Panel

Abstract

While it is accepted that therapeutic relationship is a necessary condition for cognitive behavior therapy (CBT), the way a therapist adapts to that relationship based on the case formulation has not been clearly articulated. In addition, the direct effects of the therapeutic relationship and its elements require further empirical study. Achieving expert consensus on the roles and function for the therapeutic relationship is important for training, supervision, accreditation, as well as the next generation of research examining whether treatment processes are wholly or partially dependent upon in-session processes. This article summarizes the findings, conclusions, and recommendations of an expert panel on these features of the therapeutic relationship in order to identify potentially fruitful avenues for future research.