[Establishment of a therapeutic alliance in smoking cessation within the framework of behavioral and cognitive therapies].
The therapeutic alliance that is created within the framework of behavioural and cognitive therapy is called the collaborative relationship. The active participation of the patient is fundamental. This initial stage is indispensible but insufficient for treatment. As a first step we have developed the notion of a collaborative relationship requiring empathy, truthfulness, warmth and professionalism and the technique of discussion of the 4 R. The four techniques to increase motivation are discussed. The notions of reaction and resistance as well as the pitfalls of this therapy are explored. Finally a practical example of therapeutic alliance is presented.
Centre de Tabacologie, Centre Hospitalier, Espace Pérreal, Béziers, France. philippe.guichenez@ch-beziers.fr
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D015928:Cognitive Behavioral Therapy; D006801:Humans; D009042:Motivation; D016540:Smoking Cessation / Q000379:methods*