Discuss some of the criticisms of cognitive behavioural therapy? Cognitive behavioural therapy is one of the youngest of todays popular psychotherapies that teaches clients to be their own therapist. It is a cognitive approach to modifying human behaviour, developed by A. Beck and A. Ellis. The ultimate goal of cognitive therapy is therefore the client becoming their own therapist, without the help of a trained therapist, and for them to subsequently deal with their illness using the techniques they have been taught (Beck 1985). It includes self help techniques that focus on the problems of the individual and symptoms that they experience, it requires structured sessions with a psychologist and it involves confronting emotions. This therapy …show more content…
Although cognitive behavioural therapy has been proven to be effective, no therapy is without its flaws, In this essay I will attempt to explore the criticisms of this therapy and effects these flaws can have on the patient. A general criticism of cognitive behavioural therapy is the decision of when to terminate the process, the cognitive view of termination is that clients see ending therapy as a loss. The average amount of sessions recommended for depression is twelve to twenty sessions (Beck 1980). Limited sessions provide limited time for schema work, schema work includes... If a client has a complex illness or has been suffering for a long time it will require a long process, by limiting the therapy this will take away its effectiveness, meaning this therapy is not ideal for people suffering from complex illness’. Ending the therapy can be harmful to the patient, during the process patients often develop a relationship with the doctor. If a client is not ready to terminate, this is a indication that the client relies on the therapist e.g. for reassurance (Wessler and Wessler 1980:182). During their time together the doctor will …show more content…
the depression has won. Most people have trouble accepting their feelings, especially feelings related to grief (Davidson and Neale 2001) the individuals emotional state of being must be considered when taking part in cognitive behavioural therapy. In some cases of stress where a patient has suffered a loss which has left them devastated, asking the patient to be rational under such circumstances would be inappropriate and also difficult for them to do. This is similar to addiction denial, some clients may deny that they have an addiction and are only attending therapy due to pressure from family friends etc. Refusing acceptance can reinforce difficulties and intensify negative feelings, if the client doesn’t choose to accept their illness it can be hard to move, not accepting their illness means they will be reluctant to try and find solutions. A similar issue to this is the Pollyanna problem, can you learn to think ‘healthfully’. Does cognitive behavioural therapy focus on forgetting the problems rather than treating them, If a client doesn’t believe the therapy will work they will be less inclined to try. Cognitive behavioural therapy is very time consuming and requires commitment and cooperation to increase the probability of success. In relation to this research has reported therapy didn’t reduce
In this article the authors used data from 66 participants between the ages of 21-65 years-of-age who were suffering from major depressive symptoms only. They participated in a comparative treatment study where they received 16 sessions once a week of either CBT or PET. In the study 13 masters/doctorial candidates and 2 psychologists with 1-15 years of experience administered the therapy. Eight implemented the CBT focusing on cognitive schemas to facilitate change by using various homework sheets such as thought records and mood schedules. While the other seven implemented PET, which focused on attitudes to facilitate change. They used various treatment tasks to resolve cognitive-effective problems.
Cognitive-behavioural theory can be used on a one to one basis or in a group setting. It is said that in order for cognitive-behavioural therapy to be effective, the client
Cognitive behavioral therapy is a theory that deals with depression and ways to relieve the depression. The theory is based on the assumption that events happen and affect the behavior and emotions of an individual. When a positive event happens, there are three things that get to the depressed individual. First, the depressed child or adult think about the event. The depressed person selectively chose the negative aspect of the event and sees themselves as failure. Second, the emotions of the child or individual go down. Third, what the person does is withdrawal, de-activation,
of the therapy, the client meets the therapist to describe specific problems and to set goals they
Unlike Person-Centred therapy Cognitive behavioural therapy (CBT) is a scientific model founded in the 1960’s by Aaron Beck. It joins the theories of both Cognitive therapy and behavioural. He noticed that many of his counselling clients had an “Internal dialogue” (Beck, 1979) that was often negative and self-defeating and influenced behaviour. He realised that by working on these internal dialogues and making them positive it could effectively lead to positive changes in the behaviour of the clients. CBT focuses on the images, self-belief and attitudes held by the client and how these things can affect the client’s
There are multiple components of cognitive behavioral therapy. People develop faulty beliefs throughout trials in life. Thoughts and feelings can become a dysfunctional part of a person’s character. Faulty belief systems can affect a person’s life in a multitude of ways. Faulty belief systems can develop into problematic behaviors that negatively affect a person’s relationships with family, friends as well a person’s work relationships. One example, if a person thinks they are unattractive, that person may develop a low self esteem. A person with a low self esteem can make choices regarding relationships that may be detrimental to the person.
In research conducted by Hollon et al (2005), it was stated that while there was evidence for the enduring effects of cognitive therapy, there was a lack of extensive research comparing the effects to the use of antidepressant medication after terminating the treatment.
Cognitive Behavioural Therapy – is concerned with helping people form realistic expectations and challenging negative assumptions that have been accepted too readily. Work is given to service users so they can test elements of this intervention themselves between sessions, practice their skills and test out conclusions in their real life situations. This model of intervention is also mixed with client centred counselling, which operates on the thinking that people tend to move towards healing on their own especially if the counsellor;
Cognitive Behavioral Therapy in contrast to many other therapeutic frameworks has both an explicit rationale and an empirically demonstrable success rate. In addition to the wealth of published case histories there are a plethora of controlled studies attesting to the efficacy of CBT interventions with an equally diverse range of psychological and behavioral conditions. (Emmelkamp et al 1992).
Cognitive behavioral therapy (CBT) is a form of psychotherapy. The effectiveness has been researched extensively over the years (Dobson, 2001). There are over three hundred published studies about the outcomes of cognitive behavioral therapy interventions. The main reason for this is that an ongoing adaptation of this form of psychotherapy makes it applicable to a vast amount of disorders and related problems (Rounsaville & Caroll, 2002). Despite the relatively great amount of studies on the effectiveness of cognitive behavioral therapy, questions still remain about the levels of effectiveness for different disorders, about the effects of
Most contemporary psychological treatment approaches are predecessors of the ancient and medieval philosophies and theories. Cognitive behavioural therapy as one of the modern treatment method in not an independently formed treatment, different theories have contributed to its present shape and application.
Cognitive therapy is one of the few theories that have been extensively scientifically tested and found to be highly effective in over 300 clinical trials. It focuses on the immediate or automatic thoughts the client has and how these thoughts affect their feelings and behaviors. The goal of cognitive therapy is to identify these thoughts that are poorly affecting the client. Then teach the client how to identify these automatic thoughts and how they can effectively change them. Through the very structured sessions of cognitive therapy, a client should essentially learn the tools to be their own cognitive therapist for future problems they may encounter. The therapy session will not make them an expert but they will be better prepared to
Today Cognitive behavioral Therapy has been influenced by two major therapeutic approaches: firstly, Behaviorism as developed by Skinner, Pavlov and others in the 1950s and 1960s, where the main research was related to rewards and punishments, or stimuli’ and their response. Second is Cognitive therapy which was introduced or made popular by Beck and Ellis in the 1960s. CBT by definition is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors. By exploring the patterns of thinking that lead to negative actions and the beliefs that dictate these thoughts, families can identify and change the patterns in order to
Cognitive-behavioral therapy was developed by Aaron Beck (Hammen 141). It assumes that the patient's faulty thinking is causing the current depression and focuses on changing the depressed patient's thought patterns and perceptions. The therapist helps the patient identify negative or distorted thought patterns and the emotions and behavior that accompany them, and then retrains the depressed individual to recognize the thinking