Criticism Of Cognitive Behavioral Therapy

Improved Essays
Within a cognitive behavioral framework, emotions are viewed as a consequence of cognitive change, where the etiological significance of emotions has largely been lowered to a secondary status (Courbasson, Nishikawa & Shapira, 2011). Cognitive behavior therapy has the distinct advantage of helping clients to develop coping skills deemed useful for the present and future. As such, substance abuse clients through cognitive behavioral therapy can practice new coping skills taught and rehearse ways for avoiding or dealing with social situations that could potentially initiate a relapse.
Criticism of Cognitive Behavioral Therapy Cognitive behavioral therapy has been criticized for downplaying emotions, failure to focus on the role of the unconscious
…show more content…
Motivational interviewing has been successfully applied by therapists and social workers without a background in addictions treatment to aid in the recovery of substance abusing parents (Hohman, 1998). Short term motivational therapy types have resulted in successful treatment outcomes of substance abuse through incorporating the elements of feedback, responsibility, advice, menu, empathy and self efficacy (Hohman, 1998). Similarly, the relational elements governing motivational interviewing has been incorporated in interpersonal therapy and are considered suitable for addressing the social isolation component of substance abuse thought to be “a promoter and consequence of the progression of drug dependence” (Brache, 2012, p. 295). Controlled studies have revealed that motivational interviewing is significantly more useful than no treatment for a wide variety of addictive problems including alcohol use, drug use and gambling (Burke, …show more content…
Motivational interviewing however appears to be compatible with cognitive behavior therapy and has successfully been applied in combination to the treatment of substance abuse (Ouimette, Finney & Moos, 1997). The effectiveness of cognitive behavioral therapy is dependent on individuals’ readiness and willingness to invest time and effort into analyzing their thoughts and feelings as this will provide them with an opportunity to learn more about how their outward behaviors are inevitably impacted by their internal states. Likewise, the success of motivational interviewing is largely based on the therapists’ ability to facilitate therapeutic relationships which are viewed as partnerships indicative of respect of clients’ autonomy. Future studies on the usefulness of both motivational interviewing and cognitive behavioral therapy on substance abuse is needed as present studies have been inadequate in obtaining sound empirical evidence for supporting the use of the therapeutic techniques alluded to

Related Documents

  • Improved Essays

    Family Substance Abuse

    • 1759 Words
    • 8 Pages

    Often times, the counselor meets with their patient on a regular basis to talk about their use, their relationships, setting boundaries, and relapse prevention. Another area of focus is on the patient’s cognitive thoughts. Cognitive Behavioral Therapy (CBT) is a form of counseling that is often used to evaluate one’s mind frame. When working with addiction, CBT is how one works to fight the thoughts that their addiction might give as they work on sobriety as well as their own thoughts about why they need to use (Liddle, et al., 2013). Through this evaluation, one learns how to continue without the use of substances.…

    • 1759 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    If addiction were to arise in counseling, I will be prepared by using a combination of perspectives, techniques, and skills. One of the main perspectives I will be implementing is the strengths perspective, which helps clients see their problems in a positive and light (Van Wormer & Davis, 2013). Clients will be able to grow in counseling and become empowered and resilient (Van Wormer & Davis, 2013). Another main perspective I will use as an addictions counselor is cognitive based treatments. This treatment will allow me to focus on the issues in ones life that could trigger relapse (Van Wormer & Davis,…

    • 726 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Susan, you mentioned that both of your models included group therapy. I am a strong advocate of group therapy for substance abuse users. Group therapy can be the glue that keeps them held together as a unit. The same principle is applied with support groups such as AA, however a person is generally assigned a sponsor that they can call when they feel their sobriety is being threatened. Lewis (2014) explains the correlation between group therapy and recovery.…

    • 110 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Social Learning Model

    • 559 Words
    • 3 Pages

    Conclusion When a person chooses to take control of their addiction they have several types of therapy that may assist them. Two model of relapse approach this problem in different ways. Some similarities between them include, “that substance abuse is a learned behavior” (Stevens & Smith, pg. 271). One difference is that while one approached harm reduction from a “legal standpoint the cognitive behavioral looks at a lapse in recovery as a teaching moment” (Stevens & Smith, pg.…

    • 559 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    PO learned the definition of addiction, the addiction process, and the different types of substance(s) withdrawal symptoms. PO shared his substance use experience with peers, and identified reasons to stay clean and sober. PO completed the weekly treatment progress, which indicated he did not attend any sober meeting last week. Stated that he was “busy working”, and that he “didn’t have time to go”. The importance to comply with the treatment recommendations was reviewed and enforced.…

    • 763 Words
    • 4 Pages
    Decent Essays
  • Great Essays

    Introduction A substance abuse counselor is in place to encourage and support clients who are addicted to alcohol and drugs. When alcohol and drug abuse client come to an agency to receive treatment, as a counselor it’s important that to encourage the client to receive the help to that the client can be rehabilitated. There are four core function of a counselor that will be discussed in this paper is client education, case management, crisis intervention, and referral. Each of these functions allows the counselor to assist the client to help them overcome their addiction.…

    • 1326 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    It is undeniable that the question “What are success rates of various abstinence recovery programs that drug/alcohol/smoking addicts go through?” is far from its conclusion. This is evident from the fact that there are numerous arguments raised by both opponents and proponents based on varied opinions. Proponents support the idea that many substance addicts have been able to recover through these abstinence programs while opponents do not support this idea. Some of the reasons claimed by proponents include the fact that addiction affects the functioning of the brain and an individual’s behavior hence require treatment offered by the programs. Based on studies so far conducted, these programs ensure that addicts remain in treatment for adequate…

    • 1418 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Smashed Movie Analysis

    • 1239 Words
    • 5 Pages

    Addiction is a disease where the recovery process can be life long and addicts get the support of people who assists them with building relationships, and strength. Although, the recovery process is hard, it is rewarding. The client, with the self-determination, focus on the resources, capabilities, and paying attention to stages of readiness, tries to accomplish the goals (Wormer & Davis, 2013, p. 445).…

    • 1239 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    (Those who have schizophrenia have a higher chance of co-occurring substance use disorders. This is connected to increased depression and suicide, as well as frequent relapses, rehospitalizations and legal problems than those who only have schizophrenia) (The Family Intervention for Dual Diagnosis (FIDD) program works on building communication, goal setting, psychoeducation, as well as problem-solving skills in the family system in order to eliminate stress that comes with being close to someone with a dual disorder.) (This article examines a man’s psychosis as well as his dependence on marijuana, and explains how FIDD helped resolve his substance use, while also build certain skills, such as empathy, and reduce stress.) (Schizophrenia…

    • 1829 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Schaler believes this psychotherapy misleads the patient into believing that addiction is a disease and, as a result, they cannot control their behavior. In fact, “psychotherapy, or ‘talk therapy’, is a way to treat people with a mental disease by helping them understand their illness” (NIH). Such therapy gives patients strategies and tools to manage their own stress and unhealthy behaviors. It teaches them that making healthy life-style changes helps to manage the symptoms of their disease and successfully function in everyday life. Because addiction has the classification of a mental disease in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), many doctors applied the use of psychotherapy and other types of individual and group therapy and reported great achievements in treating addiction.…

    • 970 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Relapse does not have to be a part of the recovery process, but it is a reality that many will encounter. The necessity to hit a painful bottom has proven to be a very effective motivator toward a successful recovery. “when the pain of remaining the same becomes greater than the pain of changing, we will change” (Narcotics Anonymous, 1992, pg. 173). There is hope, as the substance user will discover, through the necessary treatment of change. Yet many do not understand relapse and are often left with shame, fear, and distorted perceptions of its ability to oppose positive change.…

    • 1160 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Motivational interviewing (MI) is defined as ‘client-centered ' which means that it focus on the one’s needs, hopes, and aspirations. Miller and Rollnick (2002), has labeled MI as ‘directive '; however, McNamara (2009), uses the term ‘guided ' to reflect this element of MI. Motivational interviewing is directive, in the logic that it targets to help the client become aware of the discrepancies inherent in their existing behaviors and to guide them toward allowing for the change. The evasion of arguing for change is viewed as critical in successful counseling (Miller & Rollnick, 1991). Miller and Rollnick applied motivational interviewing to those who abuse substances.…

    • 1669 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    With new drugs and substances being produced every year, Substance Use Disorder (SUD) is becoming more common in our society every day. SUD is a common comorbidity with many mental health disorders, which can, in turn, make the management of SUD challenging, however still treatable. Because of this, it is not uncommon for a mental health clinician to use multiple techniques during a consumer’s treatment to limit or cease the use of substances altogether (Jones, Barrowclough, Allott, Day, Earnshaw, & Wilson, 2011). This literature review will compare Cognitive Behaviour Therapy and Motivational Interviewing, and determine which technique is best used in daily practice while treating a consumer with SUD and dual diagnoses. MI & CBT Davis, Kaiser,…

    • 1106 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Cbt Theoretical Framework

    • 389 Words
    • 2 Pages

    We chose to focus our study using a Cognitive Behavior Therapy (CBT) as our theoretical framework. Cognitive behavioral therapy was developed in the 1960’s by Aaron Beck and combines cognitive and behavioral therapies. In CBT, an individual's thoughts, feelings, and behavior are all interrelated. CBT helps an individual build a set of skills to be aware of their thoughts and emotions. An individual will learn to how recognize a situation, thought or behavior that may be influencing their emotions as well as reduce their dysfunctional thoughts or behavior (Cully & Teten, 2008)…

    • 389 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Life is not without problems and as such, humanity share’s stories of struggles and for many these struggles are merely a part of the cycle of this life. Yet there are those that cannot cope with these struggles in terms of a positive solution and there for seek the guidance of a therapist to provide an unbiased view of the whole picture and train the client to get back on track, managing life once again. Therapists are trained in the field of mental health and provide experience in identifying key stressors within the client that may lead to unmanageability. Common place in society is substance use as a maladaptive behavior as well as a range of other mental and behavioral disorders. Often found that co-occurring disorders and substance use disorder (SUD) go hand in hand, the necessity for properly trained clinicians to assess and screen clients in order to achieve successful treatment plans.…

    • 1126 Words
    • 5 Pages
    Improved Essays