The Cognitive Revolution: New Way Forward, Backward Somersault or Full Circle?

1986 ◽  
Vol 14 (4) ◽  
pp. 278-282 ◽  
Author(s):  
Paul M. Salkovskis
Keyword(s):  
Clinical Practice ◽  
Cognitive Behaviour Therapy ◽  
Cognitive Models ◽  
Behaviour Therapy ◽  
Full Circle ◽  
Cognitive Behaviour ◽  
Widespread Acceptance ◽  
New Ideas ◽  
Cognitive Revolution ◽  
Cognitive Orientations

The “Cognitive Revolution” has involved substantial changes in the emphasis of clinical practice and research interests of behaviour therapists. Work carried out in this area suggests that earlier fears about the potentially damaging effects of cognitive-behaviour therapy were unfounded. It can be argued that cognitive orientations have gained such widespread acceptance amongst behaviour therapists because the approaches are highly compatible at clinical and research levels, and because behaviour therapy had already started to incorporate similar concepts. Furthermore, cognitive models have also provided a wealth of new ideas and methods which considerably enhance behavioural approaches whilst leaving the fundamentals intact.

Manual-assisted cognitive-behaviour therapy (MACT): a randomized controlled trial of a brief intervention with bibliotherapy in the treatment of recurrent deliberate self-harm

1999 ◽  
Vol 29 (1) ◽  
pp. 19-25 ◽  
Author(s):  
K. EVANS ◽  
P. TYRER ◽  
J. CATALAN ◽  
U. SCHMIDT ◽  
K. DAVIDSON ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cognitive Behaviour Therapy ◽  
Controlled Trial ◽  
Small Sample ◽  
Cost Of Care ◽  
Behaviour Therapy ◽  
Deliberate Self Harm ◽  
Dialectical Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Self Harm

Background. The treatment of deliberate self-harm (parasuicide) remains limited in efficacy. Despite a range of psychosocial, educational and pharmacological interventions only one approach, dialectical behaviour therapy, a form of cognitive-behaviour therapy (CBT), has been shown to reduce repeat episodes, but this is lengthy and intensive and difficult to extrapolate to busy clinical practice. We investigated the effectiveness of a new manual-based treatment varying from bibliotherapy (six self-help booklets) alone to six sessions of cognitive therapy linked to the booklets, which contained elements of dialectical behaviour therapy.Methods. Thirty-four patients, aged between 16 and 50, seen after an episode of deliberate self-harm, with personality disturbance within the flamboyant cluster and a previous parasuicide episode within the past 12 months, were randomly assigned to treatment with manual-assisted cognitive-behaviour therapy (MACT N=18) or treatment as usual (TAU N=16). Assessment of clinical symptoms and social function were made at baseline and repeated by an independent assessor masked to treatment allocation at 6 months. The number and rate of all parasuicide attempts, time to next episode and costs of care were also determined.Results. Thirty-two patients (18 MACT; 14 TAU) were seen at follow-up and 10 patients in each group (56% MACT and 71% TAU) had a suicidal act during the 6 months. The rate of suicidal acts per month was lower with MACT (median 0·17/month MACT; 0·37/month TAU; P=0·11) and self-rated depressive symptoms also improved (P=0·03). The treatment involved a mean of 2·7 sessions and the observed average cost of care was 46% less with MACT (P=0·22).Conclusions. Although limited by the small sample, the results of this pilot study suggest that this new form of cognitive-behaviour therapy is promising in its efficacy and feasible in clinical practice.

Cognitive Behaviour Therapy for Eating Disorders

2008 ◽  
Vol 36 (6) ◽  
pp. 713-722 ◽  
Author(s):  
Zafra Cooper ◽  
Roz Shafran
Keyword(s):  
Eating Disorders ◽  
Bulimia Nervosa ◽  
Future Development ◽  
Cognitive Behaviour Therapy ◽  
Cognitive Disorders ◽  
Behaviour Therapy ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Widespread Acceptance ◽  
Bold Claim

AbstractThe eating disorders provide one of the strongest indications for cognitive behaviour therapy (CBT). This bold claim arises from two sources: first, the fact that eating disorders are essentially cognitive disorders and second, the demonstrated effectiveness of CBT in the treatment of bulimia nervosa, which has led to the widespread acceptance that CBT is the treatment of choice. In this paper the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. A brief summary of the evidence for this account and of the data supporting the efficacy and effectiveness of this form of treatment will be provided. Challenges for the future development and dissemination of the treatment will be identified.

Towards a Unified Worry Exposure Protocol for Generalised Anxiety Disorder: A Pilot Study

2013 ◽  
Vol 30 (3) ◽  
pp. 210-225
Author(s):  
Cameron McIntosh ◽  
Rocco Crino
Keyword(s):  
Clinical Practice ◽  
Anxiety Disorder ◽  
Pilot Study ◽  
University Students ◽  
Cognitive Behaviour Therapy ◽  
Generalised Anxiety Disorder ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Dependent Variables

Background: Worry exposure is a cognitive–behaviour therapy (CBT) technique frequently used to treat GAD, yet there are only a few studies on its effectiveness. Aim: To compare two worry exposure protocols developed for GAD to make a preliminary determination about the most effective way in which to present the feared stimuli to participants. Method: Nine university students suffering from GAD were administered four 1-hour treatment sessions. Exposure was conducted by either directly imagining (DI) or via audio-recording/playback (AR) exposure to their feared event. General worry and intolerance of uncertainty (IOU) were the primary dependent variables. Results: All participants in the DI and half of the AR condition reported subclinical GAD at post-treatment, with results being maintained at 3-month follow-up and the treatment responders also reported decreased depression, anxiety and stress. Conclusions: The DI protocol was more effective than the AR methodology in this sample, and may be an appropriate standard for worry exposure research and clinical practice.

THE EFFICACY AND COGNITIVE PROCESSES OF COGNITIVE BEHAVIOUR THERAPY IN THE TREATMENT OF PANIC DISORDER WITH AGORAPHOBIA

1999 ◽  
Vol 27 (1) ◽  
pp. 63-88 ◽  
Author(s):  
Tian P. S. Oei ◽  
Michael Llamas ◽  
Grant J. Devilly
Keyword(s):  
Literature Review ◽  
Cognitive Processes ◽  
Cognitive Behaviour Therapy ◽  
Empirical Investigation ◽  
Meta Analysis ◽  
Cognitive Models ◽  
Successful Outcome ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Limited Support

The present paper aimed (1) to review the literature to examine the effectiveness of CBT as treatment for PDA and (2) to evaluate whether the efficacy of CBT treatments is related to the change to cognitive processes that are postulated to be important in the cognitive models of PDA. A literature review of CBT studies in the area of PDA was conducted using both descriptive and quantitative (meta-analysis) procedures. In all, 35 studies published between 1969 and 1996 were included. The results show that CBT is an effective treatment for PDA. However, the contribution of cognitive processes to this disorder and the role that they play in the successful outcome of CBT remain unclear and in need of further empirical investigation. At present, CBT treatment provides limited support to validate the cognitive models of PDA.

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