My preferred theoretical orientation is Cognitive Behavioral Therapy (CBT). The main assumption of CBT is that events and situations in life do not cause emotional problems (e.g., guilt or depression); rather problems are a by-product irrational beliefs and perceptions about the situations (Corey, 2009). The goals of CBT focus on correcting the client’s automatic and self-defeating thoughts, which should ultimately help them to develop a more adaptive philosophy of life (Corey, 2009). CBT focuses on putting insight into action, so by creating insight and changing thoughts the client should be able to understand and modify their behaviors and emotions. I like that this approach focuses on challenging and changing the client’s cognitive …show more content…
In general, there is a lot of empirical support for cognitive behavior therapy, since it is very structured and fits well with the scientific method. CBT has many testable techniques and the outcomes (e.g., behavior changes) are easily measured. Nevertheless, the most common criticism of CBT is that the empirically validated experiments and treatment outcomes cannot generalize into actual use in clinical practice (Craske & Zucker, 2001). Practicing clinicians often indicate that the stringent controls involved in the empirical research are not present in the real world accounts. However, due to the empirically validated techniques, CBT is more readily accepted and reimbursed via managed care and insurance companies (Hopko & Hopko, 1999). Additionally, opponents of CBT argue against manualized techniques because clients do not come into therapy with only one problem that allows for a straightforward diagnosis and treatment. Often treatments need to be adapted to fit the client, given that the client likely has several problems or diagnoses that need to be taken into account. However, CBT has been found to be successful with different types of disorders, which may allow for the successful treatment of individuals with comorbid problems (Beck, 1993). CBT is criticized for being too simplistic and superficial by downplaying
According to Thoma, Pilecki, and McKay (2015), CBT is a result of the evolution and the intertwining of cognitive therapy and behavior therapy. Many of the early behavior theories and therapy techniques are combine with cognitive theories and techniques to form CBT
Cognitive-behavioral therapy is considered among the most rapid in terms of results obtained. The average number of sessions clients receive is only about 16. CBT is structured, directive, and time-limited in that clients are helped to understand at the very beginning of the therapy process that there will be a point when the formal therapy will end. The ending of the formal therapy is a decision made by the therapist and client. Therefore, CBT is not an open-ended, never-ending process.
An important feature of behavioural therapy is its focus on current problems and behaviour, and on attempts to remove behaviour the patient finds troublesome. This contrasts greatly with psychodynamic therapy, where the focus is much more on trying to uncover unresolved conflicts from childhood (i.e. the cause of abnormal behaviour). Examples of behaviour therapy are aversion therapy and flooding. Aversion therapy is used when there are stimulus situations and associated behaviour patterns that are attractive to the client, but which the therapist and the client both regard as undesirable. This therapy involves associating such stimuli and behaviour with a very unpleasant unconditioned stimulus, such as an electric shock.
From what I have read, there are a few researchers that have found cognitive-behavioral therapy to be effective in treating these offenders and reducing their likelihood of reoffending (Moster, Wnuk, & Jeglic, 2008), (Lipsey, Landenberger, & Wilson, 2007), & (Schaffer, Jeglic, Moster, & Wnuk, 2010). All of these researchers agree that the primary and most common method used to treat these offenders is cognitive-behavioral therapy. Moster, Wnuk, and Jeglic (2008) disclose that their findings suggest that cognitive-behavioral therapy is used to treat all offenders including sex offenders, and produces very modest effects. In the study they analyzed they not that there are differences in the recidivism rates for those who complete treatment and those who do not, with those who do not complete treatment having higher rates of recidivism, overall. Therefore, implying that though the effects are modest they exist, and are likely the reason that
CBT is a relatively young model and theory. What we know as CBT, began in the 1950's with Albert Ellis's Rational Emotive Behavioral approach to therapy (Dobson, 2001). Later in the 1960's, Aaron Beck began using Cognitive Therapy in treating depression. (Barlow, 2001. 230) The origins of what we now know as cognitive behavioral theory is said to come from earlier theories and concepts. Credit can be given to early philosophers such as Kant (1782), theorists such as Alfred Adler (Individual Psychology), and behaviorists such as Joseph Wolpe and George Kelly . Frued can also be mentioned, albeit indirectly, for his theory was quite distressing to Adler who stated, “I am convinced that a person's behaviors springs from his ideas.” (pg 306. Milkman and Sunderwirth, 2010). Pavlov and Skinner can also be acknowledged, for their work in learned behavior and conditioning, which directly correlates to the concepts of cognitive behavioral therapy. More recently, A.
Theories play an important role in how a counselor serves their clients. Theories provide counselors with a foundation on which to build their counseling style. “Theories ground us as professional counselors. They provide a means to understand what we are doing, how we are serving clients, and how to explain counseling to clients” (Erford, 2010). Counselors are responsible for being aware of different theories in order to apply them appropriately within their practice. Established and new theories play an important and constant role in mental health counseling. Established theories in mental health counseling are based on “empirical or scientific foundations” (American Counseling Association, 2005). The best way to gain the most
Brief therapy helps people by focusing on solutions, instead of problems. The therapist asks questions thereby facilitates the client by helping formulates solutions. The client leads the meeting by actively formulating ideas in which he/she can serve to improve the client's negative circumstances. This is contrary to cognitive therapy, which focuses on a client's cognitive processes (how he or she thinks about people/places/things). The therapist collaborates with the client to help the client develop alternative solutions.
I believe that the art of psychotherapy is more important than empirically validated treatments (EVT). I feel that the art of psychotherapy lies in the common factors, which include the therapeutic relationship, client and therapist factors (e.g., personality), helping clients deal with problems, and hope or expectancy factors (Reisner, 2005). Although I do believe that empirically validated treatments may enhance the therapeutic process, the treatments themselves are by no means the most important or fundamental aspects of therapy. There appears, at least to me, to be much more of an art involved in developing the relationship with the client and understanding the client’s perspective. It takes art and skill of a therapist to examine,
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
Today, there is still much debate over the effectiveness of Cognitive Behavioral Therapy; however, most researchers agree that the therapy is effective. According to Beck Institute, “Cognitive behavior therapy is one of the few forms of psychotherapy that has been scientifically tested and found to be effective in hundreds of clinical trials for many different disorders”. The therapy is more of a long-term solution for the individual seeking treatment because it provides them with skills that they may apply to their daily lives. Throughout the therapy term and even after, the individuals learn to identify their dysfunctional thinking patterns, correct their way of thinking about the situation, and move on with a new outlook and more positive behavior.
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.
Gestalt therapy is a therapeutic approach in psychology that helped foster the humanistic theories of the 1950s and 1960s and that was, in turn, influenced by them. In Gestalt philosophy, the patient is seen as having better insight into himself or herself than the therapist does. Thus, the therapist guides the person on a self-directed path to awareness and refrains from interpreting the patient’s behaviors. Awareness comprises recognition of one’s responsibility for choices, self-knowledge, and ability to solve problems.
Today many people seek professional therapy or counseling for a limited amount of time in order to deal with different life crises. Others seek professional help for the majority of their lives in order to deal with a psychological disorder. After reading this chapter on Therapy, I learned that this was not always the case, and that the way our society views therapy, and the meaning of therapy, has changed dramatically of the years. This chapter not only explains the evolution of therapy, it explores the different therapeutic approaches.
Counselling session can facilitate the process of overcoming or working through personal issues from everyday hardship as well as potentially life threatening situations. This reflective essay will analyse a counselling session that I have attended with a professional counsellor. Her name was Hend. The session was to be recorded so I can refer to particular examples during the session. In this reflective essay I will give an overview of the counselling session as well as a discussion of my feelings before, during and after the session. Key skills used by the counsellor such as active listening, reflective skills and empathy will be explained, supported with verbatim examples from the session. Furthermore, the overall experiences and