Integrating cognitive behavioral and humanistic approaches Original Research Article

This response to the case of Ryan integrates the basic elements of a humanistic approach with trauma-focused cognitive behavior therapy (CBT). Within a humanistic perspective, a trusting therapeutic relationship, a safe and secure therapeutic environment, and unconditional positive regard and respect from the therapist are emphasized as important factors in contributing to a positive outcome for a child sexual abuse victim and his family. Additionally, a number of CBT interventions are reviewed, including psychoeducation and behavioral contingencies related to inappropriate sexual behaviors, cognitive reframing for both the child and parents to address self-blame for the abuse and other inappropriate attributions and distorted cognitions, gradual exposure for the child, and behavior management with parents. Family treatment is also described in terms of its importance in helping Ryan and his family recover from the sexual abuse trauma and other related events.