Why is it challenging to implement contingency procedures early in therapy?

The challenge of implementing contingency procedures early in therapy is primarily due to the yet-to-be-solidified relationship between the therapist and the client. In Dialectical Behavior Therapy, the therapeutic alliance is crucial for successful engagement in the treatment process. If this relationship lacks strength or trust, clients may be resistant to adhering to the contingency procedures, which often require openness, commitment to the process, and a willingness to engage in self-regulation.

Building a strong therapeutic alliance is essential for clients to feel safe and supported, making them more receptive to learning and applying new skills. When clients do not feel a strong connection with their therapist, they might not fully embrace the concepts or expectations laid out in the therapy, including contingency procedures that are designed to encourage positive change.

In early stages, the focus is typically on establishing rapport and understanding the client's unique needs, rather than immediately applying more structured interventions like contingency management. This foundation paves the way for more effective and engaged participation in therapeutic procedures as the therapy progresses.