scholarly journals Mental Imagery in the Science and Practice of Cognitive Behaviour Therapy: Past, Present, and Future Perspectives

2021 ◽  
Vol 14 (1) ◽  
pp. 160-181 ◽  
Author(s):  
Simon E. Blackwell

AbstractMental imagery has a long history in the science and practice of cognitive behaviour therapy (CBT), stemming from both behavioural and cognitive traditions. The past decade or so has seen a marked increase in both scientific and clinical interest in mental imagery, from basic questions about the processes underpinning mental imagery and its roles in everyday healthy functioning, to clinical questions about how dysfunctions in mental imagery can cause distress and impairment, and how mental imagery can be used within CBT to effect therapeutic change. This article reflects on the current state of mental imagery in the science and practice of CBT, in the context of past developments and with a view to future challenges and opportunities. An ongoing interplay between the various strands of imagery research and the many clinical innovations in this area is recommended in order to realise the full therapeutic potential of mental imagery in CBT.

2013 ◽  
Vol 30 (1) ◽  
pp. 12-23 ◽  
Author(s):  
Barry Tolchard ◽  
Malcolm W. Battersby

Cognitive-Behaviour Therapy (CBT) is considered the number one non-pharmacological treatment for a number of mental and psychological disorders (Tolin, 2010; Stuhlmiller & Tolchard, 2009). While CBT with problem gamblers has shown promise, the quality of the research in this area is lacking. One area of concern is that across the many trials and reports using CBT with gamblers no single unified approach has been used and so comparison across studies is limited. Similarly, translation of the CBT research into clinical practice is almost entirely absent (Walker, 2005). This article will explore the concepts of CBT with problem gamblers and identify common elements across all reported approaches. A unified model of CBT with problem gamblers will be suggested and the direct clinical application of this model described from a state-wide gambling service in Australia (Flinders Approach) with 205 problem gamblers. The results indicate that the Flinders Approach is successful in treating gamblers considered to be at the severest end of the experience, with a 69% completion rate. Implications for future research in which this model may be tested against other therapies and pharmacological treatments will be discussed.


Author(s):  
Rebecca Murphy ◽  
Simona Calugi ◽  
Zafra Cooper ◽  
Riccardo Dalle Grave

Abstract In the past few weeks, coronavirus disease 2019 (COVID-19) has dramatically expanded across the world. To limit the spread of COVID-19 and its negative consequences, many countries have applied strict social distancing rules. In this dramatic situation, people with eating disorders are at risk of their disorder becoming more severe or relapsing. The risk comes from multiple sources including fears of infection and the effects of social isolation, as well as the limited availability of adequate psychological and psychiatric treatments. A potential practical solution to address some of these problems is to deliver enhanced cognitive behaviour therapy (CBT-E), an evidence-based treatment for all eating disorders, remotely. In this guidance we address three main topics. First, we suggest that CBT-E is suitable for remote delivery and we consider the challenges and advantages of delivering it in this way. Second, we discuss new problems that patients with eating disorders may face in this period. We also highlight potential opportunities for adapting some aspects of CBT-E to address them. Finally, we provide guidelines about how to adapt the various stages, strategies and procedures of CBT-E for teletherapy use in the particular circumstances of COVID-19. Key learning aims (1) To appreciate that CBT-E is suitable for remote delivery, and to consider the main challenges and potential advantages of this way of working. (2) To identify and discuss the additional eating disorder-related problems that may arise as a result of COVID-19, as well as potential opportunities for adapting some aspects of CBT-E to address them. (3) To learn how to adapt CBT-E for remote delivery to address the consequences of COVID-19. Specifically, to consider adaptations to the assessment and preparation phase, the four stages of treatment and its use with underweight patients and adolescents.


1994 ◽  
Vol 22 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Myra Cooper

It is not clear from the literature whether successful outcomes can be obtained with CBT in chronic, drug refractory patients who require admission to hospital and whose problems date back to childhood. Anecdotal evidence suggests that they can be treated with CBT (e.g. Beck and Freeman, 1990; Young, 1990). However, no detailed reports of successful treatment in this group have been published. The present report will describe the treatment and outcome of one patient, Alison, who was suffering from depression and who was treated with CBT. She had failed to respond to medication and required admission to hospital. She had chronic difficulties that dated back to childhood and had most of the features described by Scott (1992). Her treatment illustrates how the many different aspects of her complex problems could be examined and treated using CBT techniques as these provided a simple way of understanding and dealing with the difficulties she faced.


1977 ◽  
Vol 5 (4) ◽  
pp. 97-102
Author(s):  
M. J. V. Fennell

Data on the results of cognitive therapies and theoretical models to explain them are proliferating. Yet from the current state of the evidence it is clear that we have as yet been furnished far more richly with questions than answers. Watts (1977) has indicated some of the issues remaining. What relationship has cognitive behaviour therapy to cognitive psychology as a whole? What kind of cognitive processes is it concerned with? How should these be formulated and investigated? Can covert stimuli and behaviours be equated with overt, both functionally and formally? How far must the individual be aware of (able explicitly to discriminate and describe) covert processes? What is the use of imaginal stimuli in cognitive behaviour therapy? What kind of changes take place during it? The achievement of answers to these and related questions is more than likely to have been hindered than helped by the vituperative nature of the arguments raging between the radical behaviourist and cognitive fields.


2008 ◽  
Vol 36 (6) ◽  
pp. 641-649 ◽  
Author(s):  
Warren Mansell

AbstractCBT is now considered to be a “family” of related therapies. Seven future challenges for CBT are defined and their relationships with one another considered. They are: clarity (shared definitions of CBT and its terminology), coherence (shared therapeutic principles and theory), cohesion (integration of individuals and subgroups using CBT), competence (assessing standards during training and personal development), convenience (accessibility and public awareness), comprehensiveness (applicability to a wide range of problems) and connectivity (links to other disciplines). Key issues concerning the fragmentation of the discipline and difficulties in judging competence are discussed. It is proposed that through improving the clarity, coherence and cohesion of CBT, there would be improvements in the remaining four domains, which would enhance its overarching efficacy and influence on improving public health.


2019 ◽  
Vol 54 (4) ◽  
pp. 237-244 ◽  
Author(s):  
Lisa M. Saulsman ◽  
Julie L. Ji ◽  
Peter M. McEvoy

Author(s):  
Nick Grey ◽  
Suzanne Byrne ◽  
Tracey Taylor ◽  
Avi Shmueli ◽  
Cathy Troupp ◽  
...  

This chapter explores goal-oriented practice across therapies: cognitive behaviour therapy (CBT), psychoanalytic psychotherapy, psychoanalytic child psychotherapy, interpersonal psychotherapy (IPT), humanistic and existential therapies, systemic family therapy, and online therapy. Each section gives an overview of the approach and sets out ways that goals are conceptualized, negotiated, and embedded. Examples are given to illustrate how goals are used. Differences are found across these approaches in the methods used to negotiate goals, and the extent that these are made explicit and embedded in the work. Greater similarities are found in the use of goals in CBT and IPT, compared with the less directive modalities of humanistic, psychodynamic, and systemic psychotherapies. Differences are also found within modalities (e.g. psychoanalytic psychotherapy for adults versus psychoanalytic child psychotherapy). However, the chapter demonstrates the many similarities in the use of goals as a common factor across these different therapeutic approaches.


2008 ◽  
Vol 36 (6) ◽  
pp. 695-704 ◽  
Author(s):  
Freda McManus ◽  
Nick Grey ◽  
Roz Shafran

AbstractThis paper reviews recent theoretical, conceptual and practice developments in cognitive-behaviour therapy (CBT) for anxiety disorders. The empirical status of CBT for anxiety disorders is reviewed and recent advances in the field are outlined. Challenges for the future development of CBT for the anxiety disorders are examined in relation to the efficacy, effectiveness and cost-effectiveness of the approach. It is concluded that the major challenge currently facing CBT for anxiety disorders in the UK is how to meet the increased demand for provision whilst maintaining high levels of efficacy and effectiveness. It is suggested that the creation of an evidence base for the dissemination of CBT needs to become a priority for empirical investigation in order effectively to expand the provision of CBT for anxiety disorders.


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