This article argues for the benefits of a revision of cognitive therapy for
depression around two main points. First, compared to recently developeded
models for other disorders, our knowledge of cognitive content in
depression is out of date and attracting little research, as if there is no more
to be learned about what depressed people think and feel. Recent trends
to challenge cognitive processes, without addressing the relevant content,
might therefore meet with limited success, depending on how the content and
processes are linked. Second, re-reading Beck et al. (1979) suggests the importance
of exploring the meanings attached
to precipitating events, a cognitive strategy that has fallen into the
background, is probably used in an ad hoc fashion, and needs to be used
more systematically to improve clinical effectiveness.