For and Against CBT

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Leeds Metropolitan University Faculty of Health Semester 2 BSc Therapeutic Counselling Issues and Debates in Counselling and Psychotherapy Critically evaluate the arguments for and against one of the subject areas raised in the issues and debates sessions For and Against Cognitive Behavioural therapy Student number: C7017417 Tutor: Kay McFarlane Words: 3834 May 2013 Introduction The aims of this essay are to critically evaluate the arguments for and against Cognitive Behavioural Therapy (CBT). I will explore the theory of CBT comparing it to other approaches and the strengths and limits of the approach. I will then focus on the therapeutic relationship and issues of power. I will then critically…show more content…
John Bowlby who is from a psychodynamic model, would argue that the quality of the therapeutic relationship provides a secure base from which humans feel safe and supported and can develop self-esteem (Bowlby, 1988). A book titled ‘The Therapeutic relationship in the Cognitive behavioural Psychotherapies’ (Gilbert & Leahy, 2007), refers to Rogers core conditions (1951) and Bowlby’s secure base (1988) and they are both regarded as essential in CBT to promote change, which shows me the importance of the therapeutic conditions in therapy. A further study in the book also found empathy as central to change in CBT (Gilbert & Leahy, 2007) which confirms to me again a limit of CBT is the value placed on the thinking that is connected to the feeling, and not the feelings themselves. Both person-centred and psychodynamic models therefore argue that the role of the therapist is to create an environment that feels safe to explore issues and has a strong focus on the therapeutic relationship (McLeod, 1998), as opposed to CBT which is to mutually agree a treatment plan and to teach the clients different problem solving models where they can explore the meaning they have attached to events in life (Neenan & Dryden, 2004). A Limit of CBT is that clients are persuaded away from feelings and towards thinking about how they feel. This is confirmed by Greenberger & Padesky (1995) who
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