How to Develop Collaborative Empiricism in Cognitive Behavior Therapy: Conclusions From the C&BP Special Series

In this concluding commentary, we reflect on the component parts of the special series (see , for the introductory article) in order to reconstitute the “whole” concept of collaborative empiricism in CBT. Each contribution of the special series clearly acknowledges that collaboration and empiricism are imperative for effective CBT, as well as to further elucidate these concepts in a range of central and timely therapeutic contexts. The articulation of the component elements of collaboration and empiricism is discussed as an important contribution, and one that assists in distinguishing central features and clarifying differences between collaboration as defined in CBT. A second important theme of the special series is the further specification of the construct of empiricism as it relates to the practice of CBT. The special series provides clarification for the role of collaborative empiricism in therapeutic processes of case formulation, in-session structure, and self-monitoring to assist in assessment, as well as in the use of core techniques such as exposure, work for specific clinical groups such as psychosis, and adaption of the work in a manner that is respectful and responsive to the client’s culture, preferences, and abilities. Case examples illustrate the importance of relying on the client’s experience, rather than general principles or logic, and the use of the client’s experience both specifically and explicitly, and as a measure for the evaluation of therapeutic interventions.