Cognitive Therapy for Challenging Problems
What is responsible for the meteoric rise of this approach over the past three decades? In this article, I briefly discuss the factors responsible for the current popularity of CBT, review some of the criticisms that have emerged about the treatment, and describe recent innovative work that may end up changing the very nature of CBT in the decades to come. CBT has become increasingly popular with clinicians and the general public alike over recent years. Surveys of therapists indicate the CBT is fast becoming the majority orientation of practicing psychologists [ 2 ]. Partly because of its commonsense and clear principles, self-help books based on CBT approaches also have come to dominate the market [ 3 ]. Even media articles frequently extol the virtues of this form of psychotherapy.
Cognitive Therapy and Research. Research over the last four decades on cognitive behavioral therapy CBT is leading to a more comprehensive understanding of the mechanisms that underpin its efficacy. This introduction to the next generation of research on process offers a brief account of the evolution in the scientific foundations of CBT, to our current focus on treatment and in-session processes. It also provides a generic model for linking techniques with their target, uses, and treatment processes. In addition, how each component can be adapted according to CBT-specific elements of the client-therapist relationship collaboration, empiricism, and Socratic dialogue in a manner that is guided by the case conceptualization provides a more complex and comprehensive understanding of treatment delivery. The various research studies included within this special issue make important contributions to our understanding of the different ways in which both treatment and in-session processes are important to CBT.