Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-25T20:11:27.141Z Has data issue: false hasContentIssue false

Cognitive behaviour therapy for whom?

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In many ways cognitive and behavioural therapies represent the acceptable face of psychotherapy for the general psychiatrist. They are brief, focused, problem-oriented treatments, which take symptoms seriously. They show an affinity for the medical model in their acceptance of diagnostic categories and their commitment to effective evaluation of treatments through randomised controlled trials. The wide applicability of these therapies is also attractive to the general psychiatrist. Cognitive and behavioural techniques are of major importance in the treatment of anxiety disorders, depression, eating disorders, and sexual dysfunctions, and beyond this core group the methods can be applied to enhance coping and change unwanted behaviours in conditions as diverse as cancer, chronic pain, substance abuse, anger control, schizophrenia, and challenging behaviours in people with learning disabilities.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1996 

References

Baer, B. L., Minichiello, W. E. & Jenike, M. A. (1985) Behavioural treatment in two cases of OCD with concomitant bipolar affective disorder. American Journal of Psychiatry, 142, 358360.Google Scholar
Beck, A. T. (1976) Cognitive Therapy and the Emotional Disorders. New York: International Universities Press.Google Scholar
Beck, A. T., Rush, A. J., Shaw, B. F. et al (1979) Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Beck, A. T., Freeman, A. et al (1991) Cognitive Therapy of Personality Disorders. New York: Guilford Press.Google Scholar
Beck, A. T., Eunson, K. M. & Bishop, S. (1986) A two-year naturalistic follow-up of depressed patients treated with cognitive therapy, pharmacotherapy and a combination of both. Journal of Affective Disorders, 10, 6775.Google Scholar
Burns, D. D. & Holen-Hoeksema, S. (1991) Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 59, 305311.Google Scholar
Butler, G., Cullington, A., Munby, M. et al (1984) Exposure and anxiety management in the treatment of social phobia. Journal of Consulting and Clinical Psychology, 52, 642650.Google Scholar
Clark, D. M., Salkovskis, P. M., Hackmann, A. et al (1994) A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder. British Journal of Psychiatry, 164, 759769.CrossRefGoogle ScholarPubMed
Cobb, J. P., Mathews, A. M., Childs-Clark, A. et al (1984) The spouse as co-therapist in the treatment of agoraphobia. British Journal of Psychiatry, 144, 282287.Google Scholar
Dobson, K. S. (1989) A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57, 414419.Google Scholar
Elkin, I., Shea, T., Watkins, J. T. et al (1989) NIMH Treatment of depression collaborative research program. I. General effectiveness of treatments. Archives of General Psychiatry, 46, 971982.CrossRefGoogle ScholarPubMed
Ellis, A. (1962) Reason and Emotion in Psychotherapy. New York: Lyle Stuart.Google Scholar
Emmelkamp, P. M. G. & Wessels, H. (1975) Flooding in imagination versus flooding in vivo for agoraphobics. Behaviour Research and Therapy, 13, 715.CrossRefGoogle Scholar
Fairburn, C. G., Cooper, Z. & Cooper, P. J. (1986) The clinical features and maintenance of anorexia nervosa. In Handbook of Eating Disorders: Physiology, Psychology and Treatment of Obesity, Anorexia and Bulimia, (eds Brownell, K. D. & Foreyt, J. P.) New York: Basic Books.Google Scholar
Fairburn, C. G., Jones, R., Peveler, R. C. et al (1991) Three psychological treatments for bulimia nervosa. Archives of General Psychiatry, 48, 453469.CrossRefGoogle ScholarPubMed
Falloon, I. R. H. (1988) Handbook of Behavioural Family Therapy. London: Unwin Hyman.Google Scholar
Fava, G. A., Zielezny, M., Savron, G. et al (1995) Long-term effects for behavioural treatment of panic disorder with agoraphobia. British Journal of Psychiatry, 166, 8792.CrossRefGoogle ScholarPubMed
Fennell, M. J. V. & Teasdale, J. D. (1987) Cognitive therapy for depression: individual differences and the process of change. Cognitive Therapy and Research, 11, 253271.CrossRefGoogle Scholar
Frank, J. (1973) Persuasion and Healing: A Comparative Study of Psychotherapy (2nd edn). Baltimore, MD: Johns Hopkins University Press.Google Scholar
Garvey, M. J., Hollon, S. D. & DeRubeis, R. J. (1994) Do depressed patients with higher pre-treatment stress levels respond better to cognitive therapy than imipramine? Journal of Affective Disorders, 32, 4550.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R. et al (1982) A controlled trial of intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121134.Google Scholar
Linehan, M. M. (1993) Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: The Guilford Press.Google Scholar
McDonald, R., Sartory, G., Grey, S. J. et al (1978) Effects of self-exposure instructions on agoraphobic out-patients. Behaviour Research and Therapy, 17, 8385.CrossRefGoogle Scholar
Marks, I. M. (1987) Fears, Phobias and Rituals: Panic, Anxiety, and their Disorders. New York: Oxford University Press.Google Scholar
Mitchell, J. E., Pyle, R. L., Eckert, E. D. et al (1990) A comparison study of antidepressants and structured group therapy in the treatment of bulimia nervosa. Archives of General Psychiatry, 47, 149157.CrossRefGoogle ScholarPubMed
Moorey, S. (1989) Cognitive therapy of depression: patient factors related to outcome. In Cognitive Psychotherapy: Stasis and Change (eds Dryden, W. & Trower, P.) London: Cassell.Google Scholar
Munby, M. & Johnston, G. W. (1980) Agoraphobia: the long-term follow-up of behavioural treatment. British Journal of Psychiatry, 137, 418427.CrossRefGoogle ScholarPubMed
Noyes, R. J., Reich, J., Christiansen, J. et al (1990) Outcome of panic disorder. Archives of General Psychiatry, 47, 809818.Google Scholar
Rossiter, E. M., Agras, W. S., Teich, C. F. et al (1993) Cluster B personality disorder characteristics predict outcome in the treatment of bulimia nervosa. International Journal of Eating Disorders, 13, 349357.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Salkovskis, P. M. (1989) Somatic disorders. In Cognitive Behaviour Therapy for Psychiatric Problems: A Practical Guide. (eds Hawton, K., Salkovskis, P. M., Kirk, J. W. et al). Oxford:Oxford University Press.Google Scholar
Salkovskis, P. M. & Warwick, H. M. (1986) Morbid preoccupations, health anxiety and reassurance: a cognitive behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24, 597602.CrossRefGoogle ScholarPubMed
Sanderson, W. C., Beck, A. T. & McGinn, L. K. (1994) Cognitive therapy for generalised anxiety disorder: significance of co-morbid personality disorders. Journal of Cognitive Psychotherapy: An International Quarterly, 8, 1318.Google Scholar
Simons, A. D., Lustman, P. J., Wetzel, R. D. et al (1985) Predicting response to cognitive therapy of depression: The role of learned resourcefulness. Cognitive Therapy and Research, 9, 7989.Google Scholar
Stern, R. & Marks, I. M. (1973) Brief and prolonged flooding: a comparison in agoraphobic patients. Archives of General Psychiatry, 28, 270276.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.