Bringing the Inside Out and the Outside in: The Therapeutic Relationship in Compassion Focused Therapy Chairwork

Abstract

Chairwork is a central component in Compassion Focused Therapy (CFT). Despite its importance, there has been no prior research on the relational factors underpinning the application of chairwork in CFT. There is also a general paucity of research on the role of the therapeutic relationship in chairwork across modalities. This paper analyses data from interviews with 21 clients following a CFT chairwork intervention to ascertain how relational factors influenced their experience of this method. An Interpretative Phenomenological Analysis (IPA) found three main themes: 1) direction and coaching during enactment; 2) externalisation: bringing the inside out and outside in; 3) regulation and trust: the relational requirements to ‘let go’. The implications of these findings, both for the delivery and training of chairwork, are then discussed in the context of CFT.