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Unresolved Issues Regarding the Research and Practice of Cognitive Behavior Therapy: The Case of Guided Discovery Using Socratic Questioning

Published online by Cambridge University Press:  27 February 2014

Nikolaos Kazantzis ,
Christopher G. Fairburn ,
Christine A. Padesky ,
Mark Reinecke  and
Maree Teesson
Nikolaos Kazantzis*
Affiliation:
Cognitive Behavior Therapy Research Unit, La Trobe University, Victoria, Australia
Christopher G. Fairburn
Affiliation:
Centre for Research on Eating Disorders at Oxford, University of Oxford, England, UK
Christine A. Padesky
Affiliation:
Center for Cognitive Therapy, Huntington Beach, California, USA
Mark Reinecke
Affiliation:
Northwestern University, Chicago, Illinois, USA
Maree Teesson
Affiliation:
National Drug and Alcohol Research Centre, University of New South Wales, New South Wales, Australia
*
Address for correspondence: Nikolaos Kazantzis, Cognitive Behaviour Therapy Research Unit, School of Psychological Science, La Trobe University VIC 3086, Australia. Email: [email protected]
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Abstract

This article presents a panel discussion on the integration of collaborative empiricism, specifically Socratic Questioning, into cognitive behaviour therapy. The panel comprised experts in research and practice who had been invited as keynote presenters for the 34th National Conference for the Australian Association of Cognitive and Behaviour Therapy, held in Sydney, Australia. Experts responded to questions regarding (a) the definition of Socratic dialogue, and (b) whether the purpose of Guided Discovery using Socratic Questioning is to impart information, correct, or dispute patient cognitions. The session was well attended by mental health professionals from around the globe and the panel enjoyed the opportunity to discuss questions and comments from those in attendance. This article presents this exchange so that the broader AACBT membership may benefit from the ideas and comments generated.

Keywords

Socratic dialoguecognitive behaviour therapytherapeutic processquestioning
Type
Standard Papers
Information
Behaviour Change , Volume 31 , Issue 1 , April 2014 , pp. 1 - 17
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

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References

Barber, J.P., Liese, B.S., & Abrams, M.J. (2003). Development of the Cognitive Therapy Adherence and Competence Scale. Psychotherapy Research, 13, 205–221.Google Scholar
Beck, A.T., Emery, G., & Greenberg, R.L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.Google Scholar
Beck, A.T., Freeman, , Davis, A., Associates, D.D. (2004). Cognitive therapy of personality disorders (2nd ed.). New York: Guilford Press.Google Scholar
Beck, A.T., Rector, N.A., Stolar, N., & Grant, P. (2009). Schizophrenia: Cognitive theory, research, and therapy. New York: Guilford Press.Google Scholar
Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.Google Scholar
Beck, A.T., Wright, F.D., Newman, C.F., & Liese, B.S. (1993). Cognitive therapy of substance abuse. New York: Guilford Press.Google Scholar
Beck, J.S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.Google Scholar
Beck, J.S. (2005). Cognitive therapy for challenging problems: What to do when the basics don't work. New York: Guilford.Google Scholar
Beck, J.S. (2011). Cognitive therapy: Basics and beyond (2nd ed.). New York: Guilford Press.Google Scholar
Bishop, W., & Fish, J.M. (1999). Questions as interventions: Perceptions of Socratic, solution-focused, and diagnostic questioning styles. Journal of Rational-Emotive and Cognitive Behavior Therapy, 17, 115–140.Google Scholar
Blackburn, I.M., James, I.A., Milne, D.L., Baker, C., Standart, S., Garland, A., & Reichelt, F.K. (2001). The revised Cognitive Therapy Scale (CTS-R): Psychometric properties. Behavioral and Cognitive Psychotherapy, 29, 431–446.CrossRefGoogle Scholar
Blackburn, I.M., Twaddle, V., & Associates. (1996). Cognitive therapy in action: A practitioner's casebook. London: Souvenir Press.Google Scholar
Calvert, P., & Palmer, C. (2003). Application of the cognitive therapy model to initial crisis assessment. International Journal of Mental Health Nursing, 12, 30–38.Google Scholar
Carey, T.A., & Mullan, R.J. (2004). What is Socratic questioning? Psychotherapy: Theory, Research, Practice, Training, 41 (3), 217–226.Google Scholar
Claiborn, C.D., & Dixon, D.N. (1982). The acquisition of conceptual skills: An exploratory study. Counselor Education and Supervision, 21 (3), 274–281.Google Scholar
Clark, D.A., & Beck, A.T. (2010). Cognitive therapy of anxiety disorders: Science and practice. New York: Guilford Press.Google Scholar
Dattilio, F.M. (2000). Cognitive–behavioral strategies. In Carlson, J. & Sperry, L. (Eds.), Brief therapy with individuals & couples (pp. 33–70). Phoenix, AZ: Zeig, Tucker & Thiesen.Google Scholar
Dattilio, F.M., & Padesky, C.A. (1990). Cognitive therapy with couples. Sarasota, FL: Professional Resource Exchange.Google Scholar
DeRubeis, R.J., Brotman, M.A., & Gibbons, C.J. (2005). A conceptual and methodological analysis of the non-specifics argument. Clinical Psychology: Science and Practice, 12, 174–183.Google Scholar
DeRubeis, R.J., Tang, T.Z., & Beck, A.T. (2001). Cognitive therapy. In Dobson, K.S. (Ed.), Handbook of cognitive–behavioral therapies (pp. 349–392). London: Guilford Press.Google Scholar
Diaz-Guerrera, R. (1959). Socratic therapy. In Standal, S.W. & Corsini, R.J. (Eds.), Critical incidents in psychotherapy (pp. 76–87). Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
DiGiuseppe, R. (1991). Comprehensive cognitive disputirg in RET. In Bernard, M. (Ed.), Using rational-emotive therapy effectively: A practitioner's guide. New York: Plenum.Google Scholar
Fairburn, C.G. (2008). Cognitive behavior therapy and eating disorders. New York: Guilford Press.Google ScholarPubMed
Freeman, A. (2005). Socratic dialogue. In Freeman, A., Felgoise, S.H., Nezu, C.M., Nezu, A.M., & Reinecke, M.A. (Eds.), Encyclopedia of cognitive behavior therapy (pp. 380–384). New York: Springer.Google Scholar
French, P., & Morrison, A.P. (2004). Early detection and cognitive therapy for people at high risk of developing psychosis: A treatment approach. West Sussex: John Wiley & Sons.Google Scholar
Friedberg, R.D., & McClure, J.M. (2002). Clinical practice of cognitive therapy with children and adolescents. New York: Guilford.Google Scholar
Greenberger, D., & Padesky, C.A. (1995). Mind over mood: Change how you feel by changing the way you think. New York: Guilford.Google Scholar
Horvath, A.O., & Greenberg, L.S. (1994). The working alliance: Theory, research, and practice. New York: Wiley.Google Scholar
James, I.A., Morse, R., & Howarth, A. (2010). The science and art of asking questions in cognitive therapy. Behavioral and Cognitive Psychotherapy, 38 (1), 83–93.Google Scholar
Kazantzis, N., Beck, J.S., Dattilio, F.M., Dobson, K.S., & Rapee, R. (2013). Collaborative empiricism as the central therapeutic relationship element in cognitive behavior therapy: An expert panel discussion at the 7th International Congress of Cognitive Psychotherapy. International Journal of Cognitive Therapy, 6 (4), 386–400.CrossRefGoogle Scholar
Kazantzis, N., Freeman, A., Fruzzetti, A.E., Persons, J.B., & Smucker, M. (2013). Unresolved issues regarding the therapeutic relationship element of collaborative empiricism in cognitive and behavioural therapies: An expert panel discussion at AACBT. Behaviour Change, 30, 1–11. doi: 10.1017/bec.2013.1.Google Scholar
Kazantzis, N., Tee, J.M., Dattilio, F.M., & Dobson, K.S. (2013). How to develop collaborative empiricism in cognitive behavior therapy: Conclusions from the C&BP special series. Cognitive & Behavioral Practice, 4, 455–460.Google Scholar
Kingdon, D.G., & Turkington, D. (2005). Cognitive therapy of schizophrenia. New York: Guilford Press.Google Scholar
Legrenzi, P. (1971). Discovery as a means to understanding. Quarterly Journal of Experimental Psychology, 23, 417–422.Google Scholar
Ludgate, J.W., Wright, J.H., Bowers, W., & Camp, G.F. (1993). Individual cognitive therapy with inpatients. In Wright, J.H., Thase, M.E., Beck, A.T., & Ludgate, J.W. (Eds.), Cognitive therapy with inpatients: Developing a cognitive milieu (pp. 91–120). New York: Guilford Press.Google Scholar
McDaniel, M.A., & Schlager, M.S. (1990). Discovery learning and transfer of problem solving skills. Cognition and Instruction, 7 (2), 129–159.Google Scholar
Miller, W.R., Benefield, R.G., & Tonigan, J.S. (1993). Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61, 455–461.Google Scholar
Miller, W.R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford Press.Google Scholar
Mills, K., Teesson, M., Back, S., Brady, K., Baker, A., Hopwood, S., . . . Rosenfeld, J. (2012). Integrated exposure based therapy for co-occurring post traumatic stress disorder and substance dependence: A randomized controlled trial. Journal of the American Medical Association, 308 (7), 690–699.Google Scholar
Neimeyer, R.A., & Feixas, G. (1990). The role of homework and skill acquisition in the outcome of group cognitive therapy for depression. Behavior Therapy, 21, 281–292.CrossRefGoogle Scholar
Neimeyer, R.A., Kazantzis, N., Kassler, D.M., Baker, K.D., & Fletcher, R. (2008). Group cognitive behavioral therapy for depression outcomes predicted by willingness to engage in homework, compliance with homework, and cognitive restructuring skill acquisition. Cognitive Behavior Therapy, 37, 199–215. doi:10.1080/16506070801981240.Google Scholar
Overholser, J.C. (1992). Socrates in the classroom. College Teaching, 40, 14–19.Google Scholar
Overholser, J.C. (1993). Elements of the Socratic method: I. Systematic Questioning. Psychotherapy, 30, 67–74.Google Scholar
Padesky, C.A. (1993, September 24). Socratic questioning: Changing minds or guiding discovery? Keynote address to European Congress of Behavioral and Cognitive Therapies, London.Google Scholar
Padesky, C.A., & Greenberger, D. (1995). Clinician's guide to Mind Over Mood. New York: Guilford Press.Google Scholar
Patterson, G.R., & Forgatch, M.S. (1985). Therapist behavior as a determinant for client noncompliance: A paradox for the behavior modifier. Journal of Consulting and Clinical Psychology, 53 (6), 846–851.Google Scholar
Raue, P.J., & Goldfried, M.R. (1994). The therapeutic alliance in cognitive-behavioral therapy. In Horvath, A.O. & Greenberg, L.S. (Eds.), The working alliance: Theory, research and practice (pp. 131–152). New York: Wiley.Google Scholar
Renton, J. (2002). Cognitive therapy for paranoia. In Morrison, A.P. (Ed.), A casebook of cognitive therapy for psychosis (pp. 19–36). New York: Brunner-Routledge.Google Scholar
Rutter, J.G., & Friedberg, R.D. (1999). Guidelines for the effective use of Socratic dialogue in cognitive therapy. In VandeCreek, L. & Jackson, T.L. (Eds.), Innovations in clinical practice: A source book (vol. 17, pp. 481–490). Sarasota, FL: Professional Resource Press.Google Scholar
Scraper, R.L. (2000). The art and science of Maieutic questioning within the Socratic method. International Forum for Logotherapy, 23 (1), 14–16.Google Scholar
Tee, J., & Kazantzis, N. (2011). Collaborative empiricism in cognitive therapy: A definition and theory for the relationship construct. Clinical Psychology: Science & Practice, 18, 48–62.Google Scholar
Walen, S., DiGiuseppe, R., & Dryden, W. (1992). A practitioner's guide to rational-emotive therapy. New York: Oxford University Press.Google Scholar
Williams, G.C., McGregor, H.A., Sharp, D., Levesque, C., Kouides, R.W., Ryan, R.M., & Deci, E.L. (2006). Testing a self-determination theory intervention for motivating tobacco cessation: Supporting autonomy and competence in a clinical trial. Health Psychology, 25, 91–101.Google Scholar
Wills, F., & Sanders, D. (1997). Cognitive therapy: Transforming the image. London: Sage.Google Scholar
Yang, Y.-T.C., Newby, T.J., & Bill, R.L. (2005). Using Socratic questioning to promote critical thinking skills through asynchronous discussion forums in distance learning environments. American Journal of Distance Learning, 19 (3), 163–181.Google Scholar
Young, J., & Beck, A.T. (1980). Cognitive Therapy Scale: Rating manual. Unpublished manuscript, University of Pennsylvania, Philadelphia.Google Scholar
Zachry, W. (1985). How I kicked the lecture habit: Inquiry teaching in psychology. Teaching of Psychology, 12, 129–131.CrossRefGoogle Scholar