Integrative Cognitive Therapy for Depression: A Preliminary Investigation.

Abstract

This study is a preliminary investigation of an integrative treatment aimed atimproving the efficacy of cognitive therapy (CT) for depression. The devel-opment of the treatment protocol was based on process findings, whichsuggested that strategies used in CT to resolve alliance ruptures may actuallyexacerbate problems in the therapeutic relationship. The protocol integrates,within the traditional CT treatment manual, procedures to repair allianceruptures that are derived from or consistent with humanistic and interper-sonal therapies. Although conducted by inexperienced therapists, the inte-grative treatment led to greater improvement than a waiting-list condition.The results also compare favorably to previous findings for CT.