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Wednesday 6 October 2010
Why CBT often isn't what it seems
I would like to share with you today a piece of research that I recently came across.
Isn’t it interesting how stereotypes develop? Many practitioners and clients expect CBT to be prescriptive, directive and "top down". A recent study by Westra et al (2010) * certainly questions such stereotypes:
In the study, eighteen clients were interviewed following 8 sessions of CBT. 84% of them stated that their experience of CBT was not as they expected. Most related to the fact that therapy was more collaborative than expected and that they learnt more about themselves than anticipated. Even in instances where the outcome of therapy was negative, clients typically still remained positive towards their therapist and attributed lack of progress to other factors such as time constraints.
The gap between prejudice and reality is a common psychological and social phenomenon with pre-existing attitudes often leading to selective attention. CBT is not only a valuable approach and toolkit of strategies which therapists can use to help change emotions and behaviour – it also "bolts onto" other existing modalities of helping people to change.
If you are interested in exploring the reality behind the myth and the prejudices surrounding CBT, have a look at our Introductory CBT course: http://www.skillsdevelopment.co.uk/seminars.php?courseid=69
OR
if you have your own thoughts or experiences on the topic let us know by reply or commenting on our blog: .
As a "big tent" training organisation we are interested in all views on this subject... supportive or otherwise. :-)
Best Wishes
Paul Grantham
* Westra, H., Aviram, A., Barnes, M., & Angus, L. (2010). Therapy was not what I expected: A preliminary qualitative analysis of concordance between client expectations and experience of cognitive-behavioural therapy. Psychotherapy Research, 20 (4), 436-446
Isn’t it interesting how stereotypes develop? Many practitioners and clients expect CBT to be prescriptive, directive and "top down". A recent study by Westra et al (2010) * certainly questions such stereotypes:
In the study, eighteen clients were interviewed following 8 sessions of CBT. 84% of them stated that their experience of CBT was not as they expected. Most related to the fact that therapy was more collaborative than expected and that they learnt more about themselves than anticipated. Even in instances where the outcome of therapy was negative, clients typically still remained positive towards their therapist and attributed lack of progress to other factors such as time constraints.
The gap between prejudice and reality is a common psychological and social phenomenon with pre-existing attitudes often leading to selective attention. CBT is not only a valuable approach and toolkit of strategies which therapists can use to help change emotions and behaviour – it also "bolts onto" other existing modalities of helping people to change.
If you are interested in exploring the reality behind the myth and the prejudices surrounding CBT, have a look at our Introductory CBT course: http://www.skillsdevelopment.co.uk/seminars.php?courseid=69
OR
if you have your own thoughts or experiences on the topic let us know by reply or commenting on our blog: .
As a "big tent" training organisation we are interested in all views on this subject... supportive or otherwise. :-)
Best Wishes
Paul Grantham
* Westra, H., Aviram, A., Barnes, M., & Angus, L. (2010). Therapy was not what I expected: A preliminary qualitative analysis of concordance between client expectations and experience of cognitive-behavioural therapy. Psychotherapy Research, 20 (4), 436-446
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We are hoping to move our popular SDS Delegate Debate into this blogging format in the future and looking forward to lively discussions here with you. We are planning to start with publishing already existing SDS Delegate Debates — with comments received from you. Then we'll move to the current news as well as will run new delegate debates there.
Feel free to leave comments to any of the posts — whether they are old debates, the news or new debates. As you can guess — every blogger loves his readers and LIVES for the comments. :-) We are just the same. You don’t need to register in order to be able to comment. You can leave your feedback as “Anonymous”, however, may we ask you to sign you name (or nick) at the end of your comment (even if you are commenting without logging in) so that we know how to address you.
Another useful tool that SDS Blog provides us with is availability of Polls that enable us to find out your views about various subjects. Polls are located on the left panel of the page and updated regularly. Please feel free to vote. You can see the results of each poll by clicking the button "Results".
If you wish to register — nothing can be easier — you just open a Google account — most of you, surely, already use one.
Your comments are read by SDS Consultants regularly and — in many cases — replied to.
The blog is moderated — mainly to protect you and other readers from spam and irrelevant comments.
All posts are tagged — hopefully it'll help you to find your way around there.
Wish us luck and please join the list of our followers.
Dear Paul,
ReplyDeleteI like anything that helps me question a stereotype. I admit that my general view of the theory of CBT has been that is seems directive, and top down. This has been tempered by listening to individual therapists who use this approach. However, what intrigues me about this research is the comment, 'Even in instances where the outcome of therapy was negative, clients typically still remained positive towards their therapist ...' This leads me to ask the question: 'is this as much proof of the power of the counselling relationship, as evidence of the efficacy of CBT?'
Regards
A.S.
07974 388412
www.ashipcottcounselling.co.uk
Hi there,
ReplyDeleteI am open minded about all types of therapy. Seeing that people are so
unique I don't believe we can, as practioners , afford not to be. That
would just be too egotistical!
I would love to do your CBT course especially experiencing you on the course
in Newcastle. I like your style and your approach and openness.
I will not travel to London to do training these days. After years of
travelling for training and meetings and work related things I just find it
is too expensive with overnight stays and travel costs.
It's alright for those who have an employer to pay for them, but I lose
money by having to take my working time off, unpaid, and then the other
costs.
Put it on in Newcastle and I would almost certainly do it, but I know you
won't.
Looking forward to the next course on groups which I am about to book up.
Regards
J.