Integrating between-session interventions (homework) in therapy: the importance of the therapeutic relationship and cognitive case conceptualization

Timothy Cronin, Katherine Lawrence, Kathryn Bliss Taylor, Peter Joseph Norton, Nikolaos Kazantzis

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)


Between-session interventions, or homework, are crucial to a range of psychological therapies, including cognitive behavior therapy (CBT). Therapeutic interventions often involve experiencing emotions and situations, or examining strongly held views about their problems, that clients can find distressing. Hence, the clinician faces a particular challenge in collaborating with the client to carry out these interventions between sessions. In this article, we convey how this process in CBT requires not only a consideration of the theoretically meaningful determinants of adherence behavior but also a sophisticated cognitive case conceptualization. Using case material, we illustrate the interplay between in-session design, planning, and review of between-session interventions and the conceptualization. We also include a distinction between generic elements of the therapeutic relationship and CBT-specific elements. The case material also attends to the person of the therapist, and his or her own cognitive and emotional reactions occurring throughout the process of discussing between-session interventions
Original languageEnglish
Pages (from-to)439-450
Number of pages12
JournalJournal of Clinical Psychology
Issue number5
Publication statusPublished - 2015


  • homework
  • cognitive behavior therapy
  • therapeutic relationship
  • case formulation
  • cognitive change

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