Abstract
Several recent variants of cognitive therapy (CT) for depression attempt to improve treatment with an increased focus on the occurrence of problems in the context of the therapy setting, the therapeutic process, and the therapeutic relationship. These processes are referred to as in vivo work. However, it is possible that cognitive therapists already incorporate in vivo work. One study compared standard CT to a version that emphasized in vivo work according to the guidelines outlined in functional analytic psychotherapy (FAP). The resulting treatment was called FAP-enhanced cognitive therapy (FECT). Using a turn-by-turn process-coding method, the authors examined therapist behavior in every session of this study to determine the frequency of in vivo work. Results indicated that cognitive therapists only occasionally engaged in such work, but rates increased in FECT and related to several weekly client-reported variables, including progress in treatment but not depressive symptoms.
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