Dreams as an Unappreciated Therapeutic Avenue for Cognitive-Behavioral Therapists

2002 ◽  
Vol 16 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Harold E. Doweiko

Modern neurobiological findings demonstrate that the theaory at the heart of psychoanalysis is not viable; indeed, modern neurobiology argues that dreams are nothing more than “noise” created by the brain during the process of neuronal activation and suppression. Modern thinking, therefore, calls into question the utility of any dream theory that rests on psychoanalytic principles. Cognitive-behavior therapists can nonetheless build on contemporary neurobiological theories of dreams in their clinical work. This article argues that, while the dreaming process itself lies outside of the range of cognitive-behavior therapy, the dreamer’s recall and interpretation of the dream occurs in the normal waking state. The individual’s reported memories of the dream are therefore subject to the same cognitive distortions apparent in other dimensions of their cognitive lives.

Author(s):  
Graziele Zwielewski ◽  
Vânia Sant´ Anna

The paper presents details of sessions taken place for a mourning female patient case study with cognitive behavior theoretical basis. The main objective is to present the clinical intervention: the list of cognitive distortions linked to the mourning process, the challenge of dysfunctional thinking, inventory scores and the coping card built along with the patient. It describes the step by step in the care of a mourning patient and proves the effectiveness of the chosen protocol for this purpose. The results show that after the application of the focused and structured protocol there was significant improvement in the patient’s interpretations regarding her son’s death. The evidences towards such a conclusion are the greater capacity of the interpretation’s understanding and reassessing, the emission of functionally more effective behavior in producing more reinforcing consequences for the patient in face of missing her son, and more positive emotions.


2017 ◽  
Vol 41 (S1) ◽  
pp. S637-S637
Author(s):  
H. Ramy

Cognitive behavior therapy outcomes and the mechanism of change that are related to its effects have traditionally been investigated on the psychological abilities, personalities or social functioning. Many psychiatrists have also held the unfortunate dichotomized position that psychotherapy is a treatment for “psychologically based” disorders, while medication is for “biologically based” disorders. During the past several decades, it has become clear that all mental processes drive from mechanisms of the brain. This means that any change in our psychologically processes is reflected by changes in the functions or structures of the brain. Straightforward reductionist stances, however, are unfounded because there is clear evidence that our subjective experiences affect the brain. Plastic changes in the brain have been difficult to study in humans, but there has been more than one successful trial. Changes in the brain in relation to experience have been detected at the cellular and molecular level using different experimental approaches. The advent of functional neuro-imaging, including photon emission CT (SPECT), positron emission topography, and functional MRI, has made it possible to study changes at the brain systems level (by measuring changes in the brain blood flow or metabolism) associated with cognitive behavior changes. The presentation will shed light on the biological basis of CBT reviewing the evidence from a historical perspective. In addition the imaging studies will be reviewed with emphasis on future perspectives in the use of CBT in the treatment of various psychiatric disorders and the importance of clarifying the biological changes associated with improvement.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2010 ◽  
Vol 24 (4) ◽  
pp. 246-264 ◽  
Author(s):  
Jane Irvine ◽  
Jill Stanley ◽  
Lephuong Ong ◽  
Robert Cribbie ◽  
Paul Ritvo ◽  
...  

We aimed to assess cardiac patients, acceptance of cognitive behavior therapy (CBT); determine if gender was associated with treatment engagement (session attendance and utilization of intervention strategies); and relate engagement to outcome. Of 193 patients receiving an implantable cardioverter defibrillator (ICD) who agreed to participate in a randomized controlled trial, 96 were randomized to CBT. Measures of treatment acceptance indicated that most participants rated counseling as “very to extremely helpful.” Gender was associated with only one treatment engagement index. Symptoms of depression and post-traumatic stress improved from baseline to 6- and 12-month follow-up. Number of counseling session attendance was not associated with outcome. Reported utilization of two of the six CBT strategies (modifying faulty thinking, correcting cognitive distortions) was associated with a better treatment outcome. In conclusion, a CBT intervention was well received by ICD patients. There was some indication that treatment engagement related to better treatment outcomes.


2001 ◽  
Author(s):  
Z. Steel ◽  
J. Jones ◽  
S Adcock ◽  
R Clancy ◽  
L. Bridgford-West ◽  
...  

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