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International Journal of Cognitive Therapy

, Volume 11, Issue 2, pp 140–157 | Cite as

Socratic Dialogue and Guided Discovery in Cognitive Behavioral Therapy: A Modified Delphi Panel

  • Nikolaos Kazantzis
  • Judith S. Beck
  • David A. Clark
  • Keith S. Dobson
  • Stefan G. Hofmann
  • Robert L. Leahy
  • C. Wing Wong
Special Issue on Socratic Dialogue

Abstract

Published guides for the practice of cognitive behavioral therapy (CBT) include a range of recommendations for the use of Socratic dialogue (or Socratic questioning) and guided discovery. While it is accepted that a specific dialogue process can be useful to support the way a therapist develops a cognitive case conceptualization (or case formulation), structures a session, or uses techniques, the stylistic aspects of Socratic dialogue remain unclear. In particular, the role of collaboration in the dialogue process has not been clearly articulated in the literature to date. Reaching expert consensus on the ideal conditions for the use of Socratic dialogue can guide further empirical study, including the design of a much needed complete and accurate assessment of therapist skill in its use. This article summarizes the findings, conclusions, and recommendations of a second expert panel on these specific features of Socratic dialogue in order to guide further empirical study.

Keywords

Cognitive behavioral therapy Socratic dialogue Socratic questioning Delphi panel 

References

  1. Beck, J. S. (2011). Cognitive behavior therapy: basics and beyond (2nd ed.). New York: Guilford.Google Scholar
  2. Braun, J. D., Strunk, D. R., Sasso, K. E., & Cooper, A. A. (2015). Therapist use of Socratic questioning predicts session-to-session symptom change in cognitive therapy for depression. Behaviour Research & Therapy, 70, 32–37.  https://doi.org/10.1016/j.brat.2015.05.004.CrossRefGoogle Scholar
  3. Castonguay, L. G., & Beutler, L. E. (2006). Common and unique principles of therapeutic change: what do we know and what do we need to know? In L. G. Castonguay & L. E. Beutler (Eds.), Principles of therapeutic change that work (pp. 353–369). New York: Oxford University Press.Google Scholar
  4. Clark, D. A., & Beck, A. T. (2011). Cognitive therapy of anxiety disorders: science and practice. New York: Guilford.Google Scholar
  5. Dattilio, F. M., & Hanna, M. (2012). Collaboration in cognitive-behavioral therapy. J Clin Psychol, 68(2), 146–158.CrossRefPubMedGoogle Scholar
  6. Dobson, D., & Dobson, K. S. (2016). Evidence-based practice of cognitive-behavioral therapy (2nd ed.). New York: Guilford.Google Scholar
  7. Froján-Parga, M. X., Calero-Elvira, A., & Montaño-Fidalgo, M. (2011). Study of the Socratic method during cognitive restructuring. Clinical Psychology and Psychotherapy, 18, 110–123.CrossRefPubMedGoogle Scholar
  8. Hayes, S. C., & Hofmann, S. G. (2018). Process-based CBT: the science and core clinical competencies of cognitive behavioral therapy. New Harbinger: Oakland CA.Google Scholar
  9. Hofmann, S. G. (2011). An introduction to modern CBT: psychological solutions to mental health problems. Oxford: Wiley-Blackwell.Google Scholar
  10. Heyes, M. E., Schnitzen, L., et al. (2018). Recertification and reentry to practice for nurse anesthetists: determining core competencies and evaluating performance via high-fidelity simulation technology. Journal of Nursing Regulation, 8(4), 43–55.  https://doi.org/10.1016/S2155-8256(17)30181-3.CrossRefGoogle Scholar
  11. Kazantzis, N. (2018). Introduction to the special issue on processes of cognitive behavioral therapy: does “necessary, but not sufficient” still capture it? Cognitive Therapy & Research, 42(2), 115–120.  https://doi.org/10.1007/s10608-018-9891-z.CrossRefGoogle Scholar
  12. Kazantzis, N., Dattilio, F. M., & Dobson, K. S. (2017). The therapeutic relationship in cognitive behavior therapy: a clinician’s guide. New York: Guilford.Google Scholar
  13. Kazantzis, N., Fairburn, C. G., Padesky, C. A., Reinecke, M., & Teeson, M. (2014). Unresolved issues regarding the research and practice of cognitive behavior therapy: the case of guided discovery using Socratic questioning. Behav Chang, 31, 1–17.CrossRefGoogle Scholar
  14. Leahy, R. L. (2017). Cognitive therapy techniques: a practitioner’s guide (2nd ed.). New York: Guilford.Google Scholar
  15. Overholser, J. C. (2010). Psychotherapy according to the Socratic method: integrating ancient philosophy with contemporary cognitive therapy. Journal of Cognitive Psychotherapy, 24(4), 354–363.CrossRefGoogle Scholar
  16. Padesky, C. A. (1993). Socratic questioning: changing minds or guiding discovery? Keynote address to European Congress of Behavioural and Cognitive Therapies, London.Google Scholar
  17. Petersen, R. C., Lopez, O., et al. (2018). Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology, 90(3), 126–135.  https://doi.org/10.1212/WNL.0000000000004826.CrossRefPubMedGoogle Scholar
  18. Petrik, A. M., Kazantzis, N., & Hofmann, S. G. (2013). Distinguishing integrative from eclectic practice in cognitive behavioral therapies. Psychotherapy: Theory, Research, Practice, Training, 50(3), 392–397.  https://doi.org/10.1037/a0032412.
  19. Stuckey, M. E., & Kazantzis, N. (2018). How can we reconcile the relational and technique functions of Socratic dialogue in CBT for depression? A review. Manuscript submitted for publication.Google Scholar
  20. Wong, C. W. (2013). Collaborative empiricism in culturally sensitive cognitive behavior therapy. Cogn Behav Pract, 20(4), 390–398.CrossRefGoogle Scholar

Copyright information

© International Association of Cognitive Psychotherapy 2018

Authors and Affiliations

  • Nikolaos Kazantzis
    • 1
  • Judith S. Beck
    • 2
  • David A. Clark
    • 3
  • Keith S. Dobson
    • 4
  • Stefan G. Hofmann
    • 5
  • Robert L. Leahy
    • 6
  • C. Wing Wong
    • 7
  1. 1.Cognitive Behavior Therapy Research Unit, School of Psychological Sciences and Monash Institute of Cognitive and Clinical NeurosciencesMonash UniversityMelbourneAustralia
  2. 2.Beck Institute for Cognitive Behavior TherapyUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.University of New BrunswickFrederictonCanada
  4. 4.University of CalgaryCalgaryCanada
  5. 5.Boston UniversityBostonUSA
  6. 6.American Institute for Cognitive TherapyNew YorkUSA
  7. 7.The Chinese University of Hong KongHong KongHong Kong

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