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Research has largely focussed on establishing how client perfectionism relates to psychopathology, how it may impede outcomes in cognitive-behavioural therapy (CBT) and how it might be understood and treated. Less attention has been given to how therapist perfectionism may impact upon the therapeutic process within CBT treatment.
Perfectionism has been identified as a common therapist schema (Haarhoff, 2006). Whilst multidimensional explanations of perfectionism acknowledge adaptive components of the construct which may enhance therapist effectiveness, the potential detrimental effect of more maladaptive components remains. Indeed, research has found a number of significant negative associations between aspects of therapist perfectionism, treatment efficacy and client retention in treatment (Presley et al., 2017).
Authors have pointed to the benefits of therapists reflecting upon the potential impact of their own schema upon their therapeutic work (Leahy, 2001), and the use self-reflection and self-practice is now being more strongly encouraged. This webinar therefore provides an opportunity for participants to consider how and why these therapist factors might impede CBT treatment, plan ways in which these effects might be reduced, and identify any personal challenges/changes related to this.
The webinar will include interactive exercises and space for reflection, whilst contextualising learning using examples from Vickie’s own practice, as well as the lived experience of therapists she has worked with who come from differing cultural backgrounds or perspectives.Learning Outcomes1. To consider both client and therapist factors which contribute to therapeutic relationships and outcomes in psychotherapy2. To reflect upon the potential impact of our own schema on our work with our clients, with a focus on therapist perfectionism 3. To identify ways in which we can manage and minimise and detrimental effect of our schema on our therapeutic work with clients
Vickie Presley is the Course Director for the Postgraduate Diploma in Cognitive Behavioural Therapy at Coventry University. Vickie has worked in psychological therapy services for over 18 years, spanning roles in the NHS, forensic services and private practice. Vickie has worked predominantly with adult clients, and has a particular interest in transdiagnostic processes in psychopathology such as perfectionism and emotional avoidance. Vickie’s research activities to date have focussed more on therapist factors, and the relationship between therapist schemas and therapeutic outcomes in CBT.
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