Abstract
This is a clinically‐oriented paper which seeks to describe the integration of narrative and cognitive‐behavioural approaches in working with children and adolescents. It is suggested that a CBT model can be augmented by typical narrative manoeuvres. For example, it is often helpful to relieve children as quickly as possible of the ‘problem‐saturated story’ with which they and their parents enter therapy. The narrative approach of ‘externalising the problem’ can achieve this within the first session, and helps the family to a) find a good working relationship with the therapist, b) clarify goals, and c) embrace the possibility of change. The use of CBT and narrative therapy in conjunction is illustrated by a case study of obsessive compulsive disorder in a young adolescent girl.
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