In-Session Structure and Collaborative Empiricism Original Research Article

This article examines the interplay between in-session structure and collaborative empiricism in the therapeutic relationship. The standard structure of a cognitive-behavior therapy session is presented, including the three major phases of beginning the session, the detailed working phase, and the final ending phase. Details of the typical manner in which a cognitive-behavioral therapist would structure each of these phases is provided. The description of the typical session structure is followed by discussion of factors that can influence this structure, including factors related to the client, the therapist, and the nature of CBT itself. It is noted that while a standard session structure is often recommended, at times these various factors affect the collaborative process and may at times warrant deviation from a standard session structure. The article ends with a hypothetical case that demonstrates some of the above processes, and how they can affect the ability to develop a collaborative and evidence-based therapy relationship.