Dr melanie fennell


Why cognitive behavior therapy?



Download 158.63 Kb.
View original pdf
Page4/19
Date12.02.2018
Size158.63 Kb.
1   2   3   4   5   6   7   8   9   ...   19
Why cognitive behavior therapy?
Over the past two or three decades, there has been something of a revolution in the field of psychological treatment.
Freud and his followers had a major impact on the way in which psychological therapy was conceptualized, and psychoanalysis and psychodynamic psychotherapy dominated the field for the first half of this century. So, long-term treatments were offered which were designed to uncover the childhood roots of personal problems – offered,
that is, to those who could afford it. There was some attempt by a few health service practitioners with a public conscience to modify this form of treatment (by, for example,
offering short-term treatment or group therapy, but the demand for help was so great that this had little impact.
Also, whilst numerous case histories can be found of people who are convinced that psychotherapy did help them practitioners of this form of therapy showed remarkably little interest in demonstrating that what they were offering their patients was, in fact, helpful.
CR034 – overcoming low self-esteem prel:CR006 18/3/09 16:14 Page vii

As a reaction to the exclusivity of psychodynamic therapies and the slender evidence for their usefulness, in the
1950s and s a set of techniques was developed, broadly collectively termed behavior therapy. These techniques shared two basic features. First, they aimed to remove symptoms (such as anxiety) by dealing with those symptoms themselves, rather than their deep-seated underlying historical causes. Second, they were techniques, loosely related to what laboratory psychologists were finding out about the mechanisms of learning, which were formulated in testable terms. Indeed, practitioners of behavior therapy were committed to using techniques of proven value or, at worst, of a form which could potentially be put to the test.
The area where these techniques proved of most value was in the treatment of anxiety disorders, especially specific phobias (such as fear of animals or of heights) and agoraphobia, both notoriously difficult to treat using conventional psychotherapies.
After an initial flush of enthusiasm, discontent with behavior therapy grew. There were a number of reasons for this, an important one of which was the fact that behavior therapy did not deal with the internal thoughts which were so obviously central to the distress that patients were experiencing. In this context, the fact that behavior therapy proved so inadequate when it came to the treatment of depression highlighted the need for major revision.
In the late sand early s a treatment was developed specifically for depression called cognitive therapy’.
The pioneer in this enterprise was an American psychiatrist, Professor Aaron T. Beck, who developed a theory of viii
OVERCOMING LOW SELF
-
ESTEEM
CR034 – overcoming low self-esteem prel:CR006 18/3/09 16:14 Page viii

depression which emphasized the importance of people’s depressed styles of thinking. He also specified anew form of therapy. It would not bean exaggeration to say that Beck’s work has changed the nature of psychotherapy, not just for depressions but fora range of psychological problems.
In recent years the cognitive techniques introduced by
Beck have been merged with the techniques developed earlier by the behavior therapists to produce a body of theory and practice which has come to be known as cognitive behavior therapy. There are two reasons why this form of treatment has come to be so important within the field of psychotherapy. First, cognitive therapy for depression, as originally described by Beck and developed by his successors, has been subjected to the strictest scientific testing and it has been found to be a highly successful treatment fora significant proportion of cases of depression. Not only has it proved to be as effective as the best alternative treatments (except in the most severe cases, where medication is required, but some studies suggest that people treated successfully with cognitive behavior therapy are less likely to experience a later recurrence of their depression than people treated successfully with other forms of therapy
(such as antidepressant medication. Second, it has become clear that specific patterns of thinking are associated with a range of psychological problems and that treatments which deal with these styles of thinking are highly effective. So,
specific cognitive behavioral treatments have been developed for anxiety disorders, like panic disorder, generalized anxiety disorder, specific phobias and social phobia, obsessive compulsive disorders, and hypochondriasis (health
Foreword ix
CR034 – overcoming low self-esteem prel:CR006 18/3/09 16:14 Page ix

anxiety, as well as for other conditions such as compulsive gambling, alcohol and drug addiction, and eating disorders like bulimia nervosa and binge-eating disorder.
Indeed, cognitive behavorial techniques have a wide application beyond the narrow categories of psychological disorders they have been applied effectively, for example,
to helping people with low self-esteem and those with marital difficulties.
At anyone time almost 10 percent of the general population is suffering from depression, and more than 10 percent has one or other of the anxiety disorders. Many others have a range of psychological problems and personal difficulties. It is of the greatest importance that treatments of proven effectiveness are developed. However, even when the armoury of therapies is, as it were, full, there remains a very great problem – namely that the delivery of treatment is expensive and the resources are not going to be available evermore. Whilst this shortfall could be met by lots of people helping themselves, commonly the natural inclination to make oneself feel better in the present is to do precisely those things which perpetuate or even exacerbate one’s problems. For example, the person with agoraphobia will stay at home to prevent the possibility of an anxiety attack and the person with bulimia nervosa will avoid eating all potentially fattening foods. Whilst such strategies might resolve some immediate crisis, they leave the underlying problem intact and provide no real help in dealing with future difficulties.
So, there is a twin problem here although effective treatments have been developed, they are not widely available;
x
OVERCOMING LOW SELF
-
ESTEEM
CR034 – overcoming low self-esteem prel:CR006 18/3/09 16:14 Page x

and when people try to help themselves they often make matters worse. In recent years the community of cognitive behavior therapists has responded to this situation. What they have done is to take the principles and techniques of specific cognitive behavior therapies for particular problems and represent them in self-help manuals. These manuals specify a systematic program of treatment which the individual sufferer is advised to work through to overcome their difficulties. In this way, the cognitive behavioral therapeutic techniques of proven value are being made available on the widest possible basis.
Self-help manuals are never going to replace therapists.
Many people will need individual treatment from a qualified therapist. It is also the case that, despite the widespread success of cognitive behavioral therapy, some people will not respond to it and will need one of the other treatments available. Nevertheless, although research on the use of cognitive behavioral self-help manuals is at an early stage,
the work done to date indicates that fora very great many people such a manual will prove sufficient for them to overcome their problems without professional help.
Many people suffer silently and secretly for years.
Sometimes appropriate help is not forthcoming despite their efforts to find it. Sometimes they feel too ashamed or guilty to reveal their problems to anyone. For many of these people the cognitive behavioral self-help manuals will provide a lifeline to recovery and a better future.
Professor Peter Cooper
The University of Reading
Foreword xi
CR034 – overcoming low self-esteem prel:CR006 18/3/09 16:14 Page xi

CR – overcoming low self-esteem prel:CR006 18/3/09 16:14 Page xii

PART ONE
What is Low
Self-Esteem?
An Introduction to This Book
CR034 – overcoming low self-esteem text:Layout 1 19/3/09 10:26 Page 1

CR – overcoming low self-esteem text:Layout 1 19/3/09 10:26 Page 2

What is low self-esteem?



Share with your friends:
1   2   3   4   5   6   7   8   9   ...   19


The database is protected by copyright ©psyessay.org 2017
send message

    Main page
mental health
health sciences
gandhi university
Rajiv gandhi
Chapter introduction
multiple choice
research methods
south africa
language acquisition
Relationship between
qualitative research
literature review
Curriculum vitae
early childhood
relationship between
Masaryk university
nervous system
Course title
young people
Multiple choice
bangalore karnataka
state university
Original article
academic performance
essay plans
social psychology
psychology chapter
Front matter
United states
Research proposal
sciences bangalore
Mental health
compassion publications
workplace bullying
publications sorted
comparative study
chapter outline
mental illness
Course outline
decision making
sciences karnataka
working memory
Literature review
clinical psychology
college students
systematic review
problem solving
research proposal
human rights
Learning objectives
karnataka proforma