Unit 6: Cognitive-Behavioral Therapy Cognitive-behavioral therapy (CBT) is one of the more recent and frequently used therapy styles. It combines important findings from cognitive and behavioral research and uses it to diagnose and treat patients. As noted above, behavioral therapy focuses on observable behaviors while ignoring cognitions; cognitive theory, on the other hand, understands cognitions as the basis for behavior. Accordingly, CBT attempts to change both the maladaptive cognitions and maladaptive behaviors, as both may contribute simultaneously to a patient’s problem. CBT is also highly scientific in its approach, drawing from the significant research that both behaviorist and cognitive psychology fields have produced in order to justifying its therapeutic techniques. In this unit, we will learn the basics of CBT, learning how the approach makes use of cognitive and behavioral principles and identifying the techniques it frequently deploys.
Unit 6 Time Advisory
This unit will take you approximately 4.5 hours to complete.
☐ Subunit 6.1: 3.5 hours
☐ Subunit 6.2: 1 hour
Unit6 Learning Outcomes
Upon successful completion of this unit, the student will be able to:
- describe the historical and theoretical background of cognitive-behavioral therapy;
- describe the major tenets of this theory, including how cognitive-behavioral therapists generally conceptualize a) human nature, b) psychopathology, and c) the change process; and
- compare and contrast this theory/therapy with the previous theories/therapies presented (i.e., psychoanalytic therapy, existential therapy, client-centered therapy, and behavioral therapy).
6.1 Cognitive-Behavioral Therapy
- Reading: Boundless: “Cognitive-Behavioral Therapy”
Link: Boundless: “Cognitive-Behavioral
Instructions: Read this article to learn about cognitive-behavioral therapy. Note what cognitive and behavioral therapies seek to accomplish individually and combined, as well as various psychologists’ – Beck, Skinner, and Pavlov – influence on the field.
Reading this article should take approximately 1 hour.
Lecture: iTunes Social Work Podcast: Jonathan B. Singer, PhD’s “Cognitive-Behavioral Therapy” Link: iTunes Social Work Podcast: Jonathan B. Singer, PhD’s “Cognitive-Behavioral Therapy” (iTunes)
Instructions: Listen to the lecture on cognitive-behavioral therapy, Number 59 on the page. As you listen to this lecture, pay special attention to Singer’s description of the structure of a Cognitive-Behavioral Therapy Session, and the similarities and differences between the different types of Cognitive-Behavioral Therapy. This lecture is 47 minutes long and there is a break in the middle. It may be helpful for you to take a break at this point in order to give yourself a chance to absorb all of the information included. Also, take notes and do a thorough review once the lecture is complete. Note that this lecture applies to subunits 6.1.1 through 6.2.8.
Listening to this lecture and pausing to take notes should take approximately 1 hour.
6.1.1 Change Thinking to Change Behavior
6.1.2 Reciprocal Relationship of Behavior, Mood and Thoughts
6.1.3 Thinking and Acting Cycle
6.1.4 Common Aspects to all Types of Cognitive Behavioral Therapy
6.1.5 Targeting Core Beliefs
6.1.6 The Importance of Psycho-Education
6.1.7 Transparency in CBT
6.1.8 A-B-C Technique
6.1.9 Structuring A CBT Session
6.2 Interventions in Behavior Cognitive Behavioral Therapies
6.2.1 Rational Emotive Behavior Therapy
- Reading: alevelpsychology.co.uk: “Albert Ellis–Rational
Link: alevelpsychology.co.uk: “Albert Ellis–Rational Emotive–Gloria
Instructions: After clicking on the above link, please watch the associated video for an example of Albert Ellis, a famous psychologist, engaging in Rational Emotive Behavior Therapy with a client named Gloria. Try to recognize and identify the various techniques that Dr. Ellis employs to create therapeutic movement/change. This is intended to supplement the lecture above.
6.2.2 Irrational Thoughts 6.2.3 D-E-F Technique 6.2.4 Changing Language 6.2.5 Aaron Beck’s Cognitive Therapy 6.2.6 Problems with Rigidity, Breadth, and Extremity of Thoughts 6.2.7 Automatic Thoughts and Core Beliefs 6.2.8 Downward Arrow Technique