Talk:Cognitive behavioral therapy: Difference between revisions
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Treating depression with CBA |
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I added a paragraph on teaching ABC's which is the same technique. ([[User:Deanbender|Deanbender]] 01:29, 19 May 2006 (UTC)) |
I added a paragraph on teaching ABC's which is the same technique. ([[User:Deanbender|Deanbender]] 01:29, 19 May 2006 (UTC)) |
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== Treating depression with CBA == |
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This section is confusing. What is CBA? And what is cognitive behavioral-analysis system of psychotherapy (CBASP)? And what are the implications of the study on combined Serzone-CBASP treatment? Does anyone use the technique as a result or is it just another study? --- [[User:Barrylb|Barrylb]] 16:59, 10 June 2006 (UTC) |
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Revision as of 16:59, 10 June 2006
Cognitive Therapy versus Cognitive Behaviour Therapy
Why does this article treat "cognitive therapy" and "cognitive therapy" as synonyms? I have always understood that cognitive behaviour therapy is a means of behaviour modification which takes cognizance of underlying cognitions, whereas cognitive therapy is a more purely "cognitive" approach to therapy. A. Carl 19:49, 25 January 2006 (UTC)
I think you mean "cognitive behavior therapy" and "cognitive therapy." Yes, one was developed beginning in the 60s by Aaron Beck, and it essentially deals with the underlying beliefs that cause thoughts, which lead to (among other things) observable behavior. While I don't know about CBT as much as I do cognitive therapy, I do know that they are different, and should therefore be discussed as different topics. In fact, it would be beneficial to have some sort of tree indicating the development of the many different theories which came about as a result of modifications to Beck's original Cognitive Therapy (referred to as a proper noun for clarity.) Strangely enough, the two disciplines are frequently confused in various web publications. Just try a search for "cognitive therapy" and see how many references you get for CBT. --Iamlima 07:15, 28 April 2006 (UTC)
Cognitive Analytic Therapy
I have added a wiki-link to Cognitive Analytic Therapy. There is empirical evidence in favour of this, which stands in marked contrast to Rational Emotive Behavioural Counselling (there may be a journal devoted to Rational Emotive Therapy, but as Yankura and Dryden point out in their book on Albert Ellis (published by Sage), few papers in this journal are actually reports of empirical research projects.
Rational Emotive Therapy
Cognitive therapy is broken down into many branches. Of two of those, Beck and Ellis, Ellis has his Rational Emotive Therapy and Beck has his Cognitive Behavioral Therapy. Cognitive Behavioral Therapy is redirected here, but this page doesn't give much information about it.
I think some of these need to be seperated out, because I can't find information on Beck's therapy in itself.
Terminology
I have seen this kind of therapy referred to as REBT (Rational-Emotive Behavioural Therapy) and RET (Rational-Emotive Therapy); I initially tried searching using 'REBT' and failed to find anything, only finding this later after trying 'therapy'. It would be nice to include these terms in the article (or perhaps put redirects to it; I'm new to Wikipedia so I don't know what's best) so it can be found via those names.
- I'm not sure on the guidelines for redirecting acronyms, best thing I think would be to ask and then do it. Or just add a bit in the introduction mentioning the other names. Are they exactly the same? - Xgkkp 20:55, 2 Jun 2004 (UTC)
- The thing that concerns me is that CBT and CT are lumped together as somehow being one in the same, which they are not. CT, which is what Beck devised, is slightly different than CBT, a more recent innovation. REBT, on the other hand, has numerous things in common with CBT and CT, but also differs somewhat. Namely, the theorist who developed it. Without getting too divisive, RET and REBT are also slightly different. It would be beneficial, in an academic sense, to at least include an explanation of how they differ, and discuss how these differences came about. At its most primitive, CBT includes elements of behavioral modification. That's also how RET and REBT differ, if memory serves. I'll end my rambling now, except to say that it's rare to find a Beck-centric clinician that employs straightup CT. Most use CBT. And studies involving the efficacy of cognitive approaches for the treatment of depression typically examine CBT.
Article Flow?
I found it difficult to read this article, it reads like many short paragraphs stuck together without any sense of flow or direction. I don't think that it could be easily solved without a complete re-write though, something that I'm certainly not knowledgeble enough about the subject to do.
Perhaps it should be changed to more resemble the style of the Clinical depression page, given how the two are linked - Xgkkp 01:30, 19 May 2004 (UTC)
Another Idea - Categorisation? - Xgkkp 20:56, 2 Jun 2004 (UTC)
Bad edits
68.54.45.35 made some bad edits. Does any know how to revert them?
I tried CBT. I didn't get on with it. I'm now with a therapist who is largely humanist in approach. Much better. I looked at some of the links from this page - they read like advertising copy for CBT. The first problem with CBT is that it starts off by telling the client that s/he is having 'irrational thoughts'. (Contrast Laing's thesis that however bizarre the patient's beliefs and behaviour seem, everything is perfectly rational from the perspective of the patient.) Sensitive clients are liable to be just a little bit insulted by being told they have irrational thoughts before the analysis has even begun, and so the relationship with the therapist starts in a bad way. Secondly, cognitivism and behaviourism don't really fit together that easily, since the first asserts the existence and accessibility of thoughts and feelings in the subject - something which the latter denies. The approach is therefore eclectic to the point of inconsistency - perhaps then it is the therapist who is not quite rational? Third, the cognitive part of CBT asserts that feelings follow thoughts, and thoughts are propositional attitudes which conform to Brentano's thesis: i.e. thoughts are essentially about things. Actually, I think the disposition to anxiety often comes first, and the thoughts and the 'aboutness' is more-or-less an epiphenomenon. Once I realised this, I have found it slightly easier to manage my anxiety. (Brentano's thesis is also part of the existentialist-humanist tradition - I think Sartre mentions it in Sketch for a Theory of the Emotions, but it turns out that the thing that thoughts and feelings are about can be 'everything in general and nothing in particular', which is as good as saying that the thoughts and feelings don't really have any content at all. I guess I must read Sketch in its entirety - it is not a long book - that is if I can keep myself calm enough for long enough to do so.)
claims of critics
- This is arguably the primary type of psychological treatment being studied in research today, a fact that critics of CBT claim is due in part to its very rational, "scientific" methodology, rather than because it is more effective than any other modality.
I tend to be fairly loose about whether you need to cite sources in order to include a criticism in an article; too much stringency plays into the hands of POV warriors who feel they can deny their enemies the chance to be heard if they simply be unreasonable about demanding sources for the obvious. However, the above criticism is not obvious at all; I find it in fact very odd. Is it trying to say that CBT is not the most effective of the modalities? If so, that's a claim that needs some supporting evidence -- not necessarily proof, but at least indication of why someone would believe that. If it's trying to say "CBT would be popular even if it wasn't the most effective modality because it appeals to researcher personalities", well, that's a difficult statement to support since it's based on a counter-factual. I think we need to get some source for this criticism, find out who's saying it and exactly how they're saying it. -- Antaeus Feldspar 17:06, 8 Mar 2005 (UTC)
- In fact, to support supporters of CBT is this article: http://www.medicalnewstoday.com/medicalnews.php?newsid=22319# "Cognitive therapy as good as antidepressants, effects last longer" 12.126.65.246 09:26, 6 Apr 2005 (UTC)
CBT is effective for treating depression, anxiety and also the delusional symptoms in schizophrenia. CBT does not treat treat the cognitive deficits nor the social cogntive deficits associated with schizophrenia. For this a cognitive rememdiation or a cogntive enhancement therapy is indicated. Hogarty and Flesher et al have published a report on Cogntive Enhancement Therapy in the 2004 Archives of General Psychiatry. Alice Medalia hosts an annual conference in Cognitive Remediation on the first weekend in June in New York. Those interested can check out the following link http://www.cognitive-remediation.org
- these are very sweeping statements. The brain is the most complicated known entity in the universe. Individuals vary in larger degree than known therapies for mental illness. CBT may work for one population, but be a complete waste of time for another. Practitioners would do well to think a little about what they don't know.
Clinical trial discussed in article is pretty out of date
The antidepressant chosen for the study has been withdrawn from the market.
How much of cognitive therapy has been investigated with PET scans?
How much of an influence have recent findings in evolutionary psychology had on cognitive therapy? See: Mean Markets and Lizard Brains: How to Profit from the New Science of Irrationality by Terry Burnham
Were the developers of CBT proponents of Freud's theory?
Most of the therapists of the first two thirds of the twentieth century were of the psychodynamic persuasion. Almost all early psychotherapists were trained as Freudians and later spilt off. Behavioral therapists were some of the strongest detractors of Freud and split with him fairly early (i.e. the 1920s). Beck, the developer of CT said at the 108th American Psychological Association (2000) that he, like many of his generation, spent years as a psychoanalyst before developing cognitive therapy. As the name implies, cognitive-behavioral therapy uses techniques from both modalities. As a result of the blending, the majority of Freud's influence has been lost.
disambiguation line?
- This article is about the Cognitive Therapy. For the Behavioralist technique, see Behavior Modification.
Does anyone know what this is supposed to mean? I have never heard of "the Behavioralist technique" called "cognitive therapy"; the only thing I have ever heard called "cognitive therapy" is "the Cognitive Therapy [sic]" of that name. And yet if there is nothing else called "cognitive therapy" there is no need for a disambiguation line. -- Antaeus Feldspar 15:47, 28 September 2005 (UTC)
Ice Cream Ingestion therapy.
Anecdotal evidence suggests that Ice Cream ingestion is very effective in treating depression like symptoms. —The preceding unsigned comment was added by Gbleem (talk • contribs) 13:12, 18 October 2005 (UTC).
Small Edits
I've made some small changes to the second section, as it was extremely confusing, and did not flow well. It should improve readability.
Split into multiple articles
First of all, Beck's Cognitive Therapy (CT) and Cognitive Behaviour Therapy (CBT) are not the same damn thing (I can provide sources to support this if needed, don't have it on hand now). So I suggest that the CBT article describe the principles common to all CBT therapies (REBT, RET, CT, Cognitive Analytical), such as their belief that cognitions and emotions affect behaviour and psychopathology and that to relieve psychological problems cognitions are changed.
I'd be happy to do most of the work as I'm quite familiar with the literature behind Beck's CT
I have also noticed that behaviour therapy redirects to the CBT article. This is totally absurd considering that behavioural therapy and CBT are two very distinct therapies. I also think that the disambiguation should be removed and that a seperate behaviour therapy article needs to be started.
Split into three articles
I'm a psychiatrist. I agree with the last comment. "Cognitive behaviour therapy" should not redirect to "cognitive therapy". Have a separate page for each, plus a page on behaviour therapy. 62.6.139.11 16:18, 23 March 2006 (UTC)
- There's a similar post up above saying what you're saying. I agree, this should be split. Westfall 05:04, 21 February 2006 (UTC)
- Be bold Lumos3 09:04, 17 March 2006 (UTC)
- Going to be bold this week, expect two new articles by the end of the week :-) dr.alf 12:48, 19 March 2006 (UTC)
- Good luck. :) Gflores Talk 06:00, 20 March 2006 (UTC)
- Going to be bold this week, expect two new articles by the end of the week :-) dr.alf 12:48, 19 March 2006 (UTC)
As a social work student, I must agree that the article is confusing both in the way it is written and in what is included. The suggestion of three articles would be, in my opinion, the most viable solution to the ambiguity. In searching "behavioral therapy," I was taking directly to the cognitive page which is potentially very misleading.
Three Articles
As a social work student, I must agree that the article is confusing both in the way it is written and in what is included. The suggestion of three articles would be, in my opinion, the most viable solution to the ambiguity. In searching "behavioral therapy," I was taken directly to the cognitive page which is potentially very misleading.
amgrimm
The four column technique
Please expand the four column technique so it describes the techniques in a usable way.
I added a paragraph on teaching ABC's which is the same technique. (Deanbender 01:29, 19 May 2006 (UTC))
Treating depression with CBA
This section is confusing. What is CBA? And what is cognitive behavioral-analysis system of psychotherapy (CBASP)? And what are the implications of the study on combined Serzone-CBASP treatment? Does anyone use the technique as a result or is it just another study? --- Barrylb 16:59, 10 June 2006 (UTC)