Cognitive-Behavior Therapy (CBT)

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The central foundations of Cognitive-Behavior Therapy (CBT) can be observed in early literature authored by a variety of scholars and philosophers who observed existing relationships between emotion and thought (Wright, Basco, and Thase, 2006). These earlier contributors include the Stoic philosopher Epictetus. Epictetus’ documented teachings exalted the need for personal responsibility in choosing one’s actions through self-control and logic (Wright, Basco, and Thase, 2006). Essentially, Epictetus introduced the tenets of many current mantras and philosophies that acknowledge human incapacity to control circumstances while also supporting how choosing one’s reaction to uncontrolled circumstances is omnipresent. Within the last century, …show more content…
Essentially, our thoughts affect our emotions. Our emotions influence our behavior. The outcome of our behavior cyclically influences our thoughts and subsequent emotional and behavioral responses. Two elements in this cyclical human experience are especially vulnerable to contaminating this chain reaction, automatic thoughts and schemas (Wright, Basco, and Thase, 2006). Automatic thoughts occur just beneath one’s consciousness, are often rooted in past perceptions of experience and are vulnerable to cognitive errors. Cognitive errors, or cognitive distortions, are flawed and illogical thoughts; the influences of rationale and logic have been limited. Automatic thoughts, especially after practiced retention, can lead to an efficient pattern of thinking and processing one’s environment. Such a pattern of processing is regarded as one’s schema. Healthy schemas allow for efficient interpretation and accurate categorization of one’s experiences. However, schemas contaminated by cognitive errors, or distortions, are prone to misperceptions, heightened and erroneously elicited emotions and maladaptive behavioral responses (Wright, Basco, & Thase, …show more content…
Persons advocates for the adaptation of ESTs and case formulation structure with an idiographic perspective. Persons (2006) essentially advocates for the use of evidence-based practices through developing a strong therapeutic alliance with one’s client. Evidence-based practices are considered “informed by evidence about interventions, clinical expertise, and patient needs, values, and preferences and their integration in decision making about individual care (Kazdin, 2008, p. 147).” Evidence-based interventions provide a more comprehensive approach towards treatment decisions and are initiated by addressing a patient’s unique needs prior to exploring research-based therapeutic interventions (Kazdin, 2008). In contrast, EST approaches match treatment to a presenting need on the basis of what interventions have produced statistically significant change during controlled studies (Kazdin,

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