Critical moments in cognitive behavioural therapy: a study of discursive expertise.
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Date
2014
Authors
Beckwith, Andrew Robert
Editors
Advisors
Barrett, Robert John
Crichton, Jonathan
Crichton, Jonathan
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Thesis
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Abstract
This thesis investigates how the underlying treatment model of cognitive behavioural therapy (CBT) is put into practice in the interaction between the therapist and client in the clinical setting through an analysis of the language used. The findings from three papers represent a detailed analysis of the therapist–client dyads using theme-orientated discourse analysis (Roberts & Sarangi, 2005; Sarangi, 2010). A form of psychotherapy that evolved from the separate but related traditions of behavioural therapy and cognitive therapy, CBT is a major form of psychotherapy recommended by a number of professional bodies and evidence-based treatment protocols for the treatment of a range of psychiatric disorders. There is a wealth of quantitative research attesting to the efficacy of CBT through randomised controlled trials; however, little is understood about how the treatment model of CBT, that is, the underlying theory and related techniques that inform the therapy, is put into practice in everyday clinical settings. In this thesis three crucial aspects of the treatment model are investigated. They are: negotiating the problem statement, homework-setting and termination (ending) of therapy. The analysis makes use of Candlin's concept of crucial sites and critical moments (Candlin, 2000) to focus on relevant parts of the transcript for further analysis. Theme-orientated DA is used as the method of analysis as it is specifically designed for health-related interactions and to connect professional concerns to the discourse analysis. In this case it enables connections to be drawn between aspects of the treatment model of CBT and discursive processes employed by the participants.
School/Discipline
School of Medicine
Dissertation Note
Thesis (Ph.D.) -- University of Adelaide, School of Medicine, 2014
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This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legals