伯恩斯--------T.E.A.M Therapy (T.E.A.M治疗)

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TEAM疗法是认知行为治疗（CBT）,非常注重四个方面的新形式：测试，同情，议程设置和方法。大卫·伯恩斯博士，医学博士，美国斯坦福大学医学院的教授和畅销书Feeling Good(

伯恩斯新情绪疗法

) 的作者，确定这四个方面的疗效。

T.E.A.M 代表：
T测试 - 评估和衡量在治疗中进步的工具
E同情 - 有帮助的方式来应对客户，并通过他们的眼睛认识世界
A议程设置 - 技能，增加的承诺和动机
M方法 - 技术帮助客户改变

T.E.A.M治疗强调至少两个xiao时以及强化治疗在很短的时间。开始变化（称为方法）的活跃期之前，团队治疗师花了显著的时间对议程设置，以确保您承诺采取行动，做功课，你知道的原因，你想改变。

在操作阶段，团队治疗使用许多不同的方法来驱动的认知，行为和情绪的变化。伯恩斯博士已经确定了“50技术，以解开你的思维”，他认为是最有效的。较长的会话，治疗师有机会引导你深入了解如何使用所有的技术，做角色扮演与你甚至可以带你走出办公室，实行风险。



TEAM Therapy is a new form of cognitive behavior therapy (CBT) that places emphasis on four areas: Testing, Empathy, Agenda Setting and Methods.  Dr. David Burns, MD, professor at Stanford University School of Medicine and author of the best-selling Feeling Good book series, identified these four areas as the keys to therapeutic effectiveness based on his many years of clinical experience and research at Stanford University and the University of Pennsylvania.

TEAM stands for:

• Testing - tools for assessing and measuring progress in therapy
• Empathy - helpful ways to respond to clients and understand the world through their eyes
• Agenda Setting - skills to increase commitment and motivation
• Methods - techniques to help clients change
  

In addition to a strong therapy focus on the four TEAM factors, TEAM Therapy emphasizes longer sessions of a minimum of two hours each as well as intensive therapy over a short period of time. Before starting the active phase of change (called Methods), TEAM therapists spend a significant amount of time on Agenda Setting to make sure you are committed to taking action and doing homework and that you know the reasons why you want to change.


In the action phase, TEAM Therapy uses many different Methods to drive cognitive, behavioral and emotional change. Dr. Burns has identified"50 Techniques to Untwist Your Thinking" that he has found to be the most effective. With longer sessions, the therapist has the opportunity to guide you in depth on how to use all the techniques, do role plays with you and can even take you out of the office to practice exposures.

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T = Testing

We test all patients at the start and end of every therapy session so we can see exactly how much the patient has improved, or failed to improve, in several different dimensions. We can also see precisely how empathic and helpful we’ve been—or failed to be, as described below. This process makes therapists and patients alike accountable for making tangible, rapid progress, and takes the mystery out of therapy. Therapists can no longer claim they are helping patients when the assessments clearly indicate that no meaningful change is occurring. This puts therapists under pressure to learn and implement therapy techniques that actually DO work, as opposed to non-specific chatting behind closed doors for years and years.

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E = Empathy

I train therapists in sophisticated empathy skills that are challenging to learn, because they require the death of the therapist’s ego. The idea is to see the world through the patient’s eyes, and to find the profound truth in what the patient is saying, even when the patient feels totally demoralized, angry or critical of the therapist. And although empathy alone will not be powerful enough to cure most patients, empathy and compassion are absolutely necessary to meaningful and effective treatment.

Research studies have revealed something fairly startling–namely, that therapists’ perception of how empathic and helpful they are can differ greatly from their patients’ perceptions. In fact, therapists’ perceptions of how their patients feel, and how their patients feel about the therapist, are usually less than 10% accurate. This means that a patient will often see his or her therapist very differently from the way the therapist sees himself or herself.

For example, the patient may not feel the therapist is particularly warm, understanding or helpful, but the therapist is simply not aware of this and thinks that he or she is exceptionally warm, understanding, and helpful. This disconnect contributes to slow recovery and even therapeutic failure.

To solve this problem, we require patients to rate the therapist in the waiting room at the end of every therapy session, using brief but exceptionally sensitive and accurate scales, and they leave these assessments for their therapists before going home. This information can be disturbing to the therapist, since most therapists initially receive failing grades from nearly every patient at nearly every therapy session. But those therapists who have the courage to use these assessments, and to review them with patients in a kindly way at the start of the next session, discover that their effectiveness can quickly soar.

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A = (Paradoxical) Agenda Setting

When we are suffering, we all want to feel better. That’s for sure! No one wants to feel worthless, or anxious, or angry and at odds with the people we care about. But at the same time, there is a side to us that may resist change and cling to the status quo. And sometimes we resist change for very good reasons that reflect our deepest values and beliefs. This resistance to change is the cause of nearly all therapeutic failures. Sadly, many therapists do not have the skills to deal with resistance, so the patient and therapist may struggle for years with little or no noticeable change. Or the patient may simply give up and drop out of therapy.

Along with my colleagues, I have developed 15 powerful and innovative techniques to melt away the resistance and boost motivation quickly, before trying any methods or interventions. This nearly always accelerates recovery. In fact, we are now seeing many patients recover at speeds I would have thought impossible as little as ten years ago.

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M = Methods

I have developed more than 50 powerful techniques to help individuals who are struggling with depression, anxiety, relationship problems, and habits and addictions. These include the Daily Mood Log, Identify the Distortions, the Externalization of Voices, the Acceptance Paradox, the Paradoxical Double Standard Technique, the Hidden Emotion Technique, Cognitive Flooding, the Feared Fantasy, the Relationship Journal, the Interpersonal Downward Arrow, the Intimacy Exercise (one minute drill), the Addiction / Habit Log, the Devil’s Advocate Technique, and more.

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Goals

There are two goals of T.E.A.M. Therapy. The first goal is to help you develop intimacy, confidence, and self-esteem as rapidly as possible, along with a crystal clear understanding of why you’ve had to struggle with these problems in the first place. That’s called feeling better.

The second goal is to help you master powerful relapse prevention techniques so you won’t have to struggle with months or years of despair, loneliness and self-doubt in the future. Of course, no one is entitled to feel happy all the time, and we all fall into black holes of misery from time to time. But if you have the proper tools, you can quickly climb back out of that hole and experience joy again. And that’s called getting better.