|
Cognitive-Behavioral Therapy...
is a form of psychotherapy that emphasizes the important role of thinking in
how we feel and what we do.
Cognitive-behavioral therapy does not exist
as a distinct therapeutic technique. The
term "cognitive-behavioral therapy (CBT)" is a very general term for a
classification of therapies with similarities. There are several
approaches to cognitive-behavioral therapy, including Rational Emotive
Behavior Therapy, Rational Behavior Therapy, Rational Living Therapy,
Cognitive Therapy, and Dialectic Behavior Therapy.
However, most cognitive-behavioral therapies have the following
characteristics:
1. CBT is based on the
Cognitive Model of Emotional Response.
Cognitive-behavioral
therapy is based on the idea that our thoughts cause
our feelings and behaviors, not external things, like people, situations,
and events. The benefit of this fact is that we can change the way we
think to feel / act better even if the situation does not change.
2. CBT
is Briefer and
Time-Limited.
Cognitive-behavioral
therapy is considered among the most rapid in terms of results obtained.
The average number of sessions clients receive (across all types of problems and
approaches to CBT) is only 16. Other forms of therapy, like
psychoanalysis, can take years. What enables CBT to be briefer is its
highly instructive nature and the fact that
it makes use of homework assignments. CBT is time-limited in that we
help clients 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.
3. A
sound therapeutic relationship is necessary for effective therapy, but not
the focus.
Some
forms of therapy assume that the main reason people get better in therapy is
because of the positive relationship between the therapist and client.
Cognitive-behavioral therapists
believe it is important to have a good, trusting relationship, but that is
not enough. CBT therapists believe that the clients change because
they learn how to think differently
and they act on that learning. Therefore, CBT therapists focus on
teaching rational self-counseling skills.
4. CBT
is a collaborative effort between the therapist and the client.
Cognitive-behavioral
therapists seek to learn what their clients want out of life (their goals)
and then help their clients achieve those goals. The therapist's role
is to listen, teach, and
encourage, while the client's roles is to express concerns, learn, and
implement that learning.
5. CBT
is based on aspects of stoic philosophy.
Not all approaches to CBT
emphasize stoicism. Rational Emotive Behavior Therapy, Rational
Behavior Therapy, and Rational Living Therapy emphasize aspects of
stoicism. Beck's Cognitive
Therapy is not based on stoicism.
Cognitive-behavioral therapy does not tell people how they should feel.
However, most people seeking therapy do not want to feel they way they have
been feeling. The approaches that
emphasize stoicism teach the benefits of feeling, at worst, calm when
confronted with undesirable situations. They also emphasize the fact
that we have our undesirable
situations whether we are upset about them or not. If we are upset
about our problems, we have two problems -- the problem, and our upset about
it. Most people
want to have the fewest number of problems possible. So when we learn
how to more calmly accept a personal problem, not only do we feel better,
but we usually put ourselves in a better position to make use of our
intelligence, knowledge, energy, and resources to resolve the problem.
6. CBT
uses the Socratic Method.
Cognitive-behavioral
therapists want to gain a very good understanding of their clients'
concerns. That's why they often ask questions. They
also encourage their clients to ask questions of themselves, like, "How do I
really know that those people are laughing at me?" "Could they be
laughing about something else?"
7. CBT
is structured and directive.
Cognitive-behavioral
therapists have a specific agenda for each session. Specific
techniques / concepts are taught during each session. CBT focuses on
the client's goals.
We do not tell our clients what their goals "should" be, or
what they "should" tolerate. We are directive in the sense that we
show our clients how to think and behave in ways to
obtain what they want. Therefore, CBT therapists do not tell their clients what to
do -- rather, they teach their clients how to
do.
8. CBT
is based on an educational model.
CBT is based on the
scientifically supported assumption that most emotional and behavioral
reactions are learned. Therefore, the goal of therapy is to help
clients unlearn their
unwanted reactions and to learn a new way of reacting.
Therefore, CBT has nothing to do with "just talking".
People can "just talk" with anyone.
The educational emphasis of CBT has an additional benefit --
it leads to long term results. When people understand how
and why they are doing well,
they know what to do to continue doing well.
9. CBT
theory and techniques rely on the Inductive Method.
A central aspect of Rational thinking
is that it is based on fact. Often,
we upset ourselves about things when, in fact, the situation isn't like we
think it is. If we knew that, we would
not waste our time upsetting ourselves.
Therefore, the inductive method encourages us to look at our
thoughts as being hypotheses or guesses that can be questioned and tested.
If we find that our hypotheses are incorrect
(because we have new information), then we can change our thinking to
be in line with how the situation really is.
10. Homework is a central
feature of CBT.
If when you attempted
to learn your multiplication tables you spent only one hour per week
studying them, you might still be wondering what 5 X 5 equals. You
very likely spent a great deal of
time at home studying your multiplication tables, maybe with
flashcards.
The same is the case with psychotherapy.
Goal achievement (if obtained) could take a very long time if all a person
were only to think about the techniques and topics taught was for one hour
per week. That's why CBT therapists assign reading assignments and
encourage their clients to practice the techniques learned.
|