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Draft SIGN non-pharmacological depression treatments guideline, 8th post: therapeutic alliance in the treatment of depression

There was some discussion at the SIGN "Non-pharmacological management of depression" seminar about the possible importance of the therapeutic alliance in depression treatment.  Profe

Depression, CBASP & neuroscience

“ Doctors came to see her singly and in consultation, talked much in French, German, and Latin, blamed one another, and prescribed a great variety of medicines for all the diseases known to them, but the simple idea never occurred to any of them that they could not know the disease Natasha was suffering from, as no disease suffered by a live man can be known, for every living person has his own peculiarities and always has his own peculiar, personal, novel, complicated disease, unknown to medicine. ” - Leo Tolstoy

Here is a mixed bag of handouts and questionnaires.  Most are spin-offs from CBASP (pronounced 'seebasp') - the awkwardly named cognitive behavioral analysis system of psychotherapy.  There are also a few handouts which are adapted downloads from the neurosciences site "The brain from top to bottom".   When in 2000, Keller et al reported on the very impressive results obtained by treating chronic depression with a mixture of CBASP and antidepressants, it seemed likely that a big step forward had been taken in improving the lot of chronic depression sufferers.  The "CBASP research results" handout (below) gives the abstracts for 14 research papers that are both relevant to CBASP and also highlight other important related themes like th

Introduction & monitoring

“ Today we can walk around together, talk, eat, and be silent together. Later I believe we'll have the opportunity to act and suffer together. All that is necessary to 'make someone's acquaintance' as they say. ” - Rene Daumal

Here are a series of forms that I use almost every session with clients, or for screening and orientation at the start of therapy:

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