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Conceptualization Worksheet
Designed for use with audiotape or Audio CD THERAPIST BELIEFS
(TB1).
Developed by Christine A. Padesky, Ph.D. © 1998 Center for Cognitive Therapy.
All rights reserved.  Permission granted to print single copy for personal use only.
All information must be kept intact including copyright information.

Presenting Recurrent Problems

Low Session Structure
Infrequent Agendas, Summaries
Sessions Do Not End on Time

Key Underlying Assumptions

If my client is talking, I shouldn’t interrupt.
If I am structured, I’ll miss important client revelations or appear unfeeling.
If a client is feeling emotional, I can’t let them leave my office until they feel better.

Core Beliefs

I am caring.
Others are needy and vulnerable.
Therapy is supportive.

Behavioral Strategies (linked to recurrent problem)

Let client talk with minimal interruptions
Express lots of empathy and explanations before making an intervention
Frequent extended sessions to "demonstrate caring"

Benefits of Behavioral Strategy

Clients appreciate me and express gratitude.
I feel good for having a kind attitude.

Costs of Behavioral Strategy

CT Protocols take a long time and often aren’t completed in therapy time available.
Sessions often run late and I works longer hours than I want to.

Goals

Become more structured in therapy hour
End sessions on time

Goal Interfering Automatic Thoughts / Underlying Assumptions

If I stop her now to set an agenda, she’ll think I don’t care about these problems she’s describing.
If I end the session when he’s still upset, he might get worse this week.

New Underlying Assumptions

If I really care about my clients I’ll be more structured so therapy will be more effective.
If we end a session when my client is still emotional, he or she can use therapy skills to manage these emotions and that will lead to greater learning in therapy.

© 1998 Center for Cognitive Therapy. All rights reserved.

 

 
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Last modified: April 11, 2008 03:53 PM -0600