Use of Self in Relational CBT: A Synthesized Approach for Disadvantaged Emerging Adults with Relational Trauma
摘要
Relational trauma, a type of psychological maltreatment or emotional abuse, is widespread and has the most enduring impact of all types of adverse childhood experiences, including disruptions in development and psychological effects such as depression, anxiety, and suicidal behaviors. A relational approach to therapy is fitting for young adults with relational trauma, but it is not comprehensive. I hypothesize that integrating cognitive behavioral therapy (CBT) through a relational lens is a more complete approach, which addresses the negative beliefs that have developed as a result of the trauma, the specific thoughts that sustain the challenging emotions, and the maladaptive behaviors that follow. The field of social work has yet to fully explore the potential of this particular integrative therapy with minoritized emerging adults with relational trauma. This paper presents two case vignettes with a demonstration of therapist use of self through two approaches: (a) the sole use of relational therapy and (b) a synthesized relational CBT approach. Treatment outcomes from the two case analyses demonstrated that integrative relational CBT was more thorough in terms of (a) healing relational trauma and (b) altering maladaptive beliefs and enhancing coping skills. This article provides an important step in examining the healing potential of therapist use of self through the combination of these therapies, an approach that could go some length in closing the gap for social workers engaged in direct practice with vulnerable youth. These observations highlight the necessity of customized interventions and specialized training to adequately address the needs of historically marginalized populations.