The therapeutic relationship is crucial to the ethical and effective practice of any psychotherapy. In Cognitive Behavior Therapy (CBT) as formulated by Aaron T. Beck, the generic elements of the relationship including expressed empathy, expressions of positive regard, agreement on goals, and agreement on tasks within a therapeutic bond were considered a necessary condition for change. Alliance ruptures can therefore have a detrimental effect on therapy if left unrepaired. This article contributes to the In‐Session issue on rupture repairs by outlining the role of the alliance as a component of the therapeutic relationship in CBT and illustrates how ruptures can be identified and effectively resolved through detailed case examples. Given the central importance of using collaborative empiricism and Socratic dialogue for the therapeutic relationship in CBT, we demonstrate the distinctive role of these elements in repairing ruptures.

中文翻译：

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认知行为疗法中的联盟破裂：认知概念化

治疗关系对于任何心理治疗的伦理和有效实践都至关重要。在 Aaron T. Beck 制定的认知行为疗法 (CBT) 中，关系的一般元素，包括表达的同理心、积极关注的表达、对目标的同意以及对治疗关系内的任务的同意被认为是改变的必要条件。因此，如果不加以修复，联盟破裂会对治疗产生不利影响。这篇文章有助于会议中通过概述联盟作为 CBT 治疗关系组成部分的作用，并说明如何通过详细的案例来识别和有效解决破裂，从而解决了破裂修复问题。鉴于在 CBT 治疗关系中使用协作经验主义和苏格拉底对话的核心重要性，我们证明了这些元素在修复破裂中的独特作用。