Postmodern counseling approaches have begun to challenge the paradigms of modernistic counseling theories. Modern theories emphasize the use of empirically validated treatment approaches to psychotherapy. The modernistic therapy perspective endorses the premise that psychological problems are the result of disturbances in cognitive processes. The focus of cognitive behavior therapy (CBT) is on helping clients to examine and restructure their core beliefs in order to reorganize one’s behavior. Postmodern approaches to therapy, however, stress the importance of context in people’s social and interpersonal world.
In this paper I will be comparing and contrasting the Psychoanalytic formulations of addiction and the Cognitive models of addiction. According to Dennis L. Thombs, “people tend to get psychoanalysis and psychotherapy mixed up. Psychotherapy is a more general term describing professional services aimed at helping individuals or groups overcome emotional, behavioral or relationship problem” (119). According to Thombs and Osborn, “Cognitive refers to the covert mental process that are described by a number of diverse terms, including thinking, self-talk, internal dialogue, expectations , beliefs, schemas and so much more” (160). I believe these two factors play a major part in an individual’s life that has an addiction.
Consequently, cognitive behavioral therapies are seen to be developed to address specific contents in mind which means they are ‘disorder specific’. Therapeutic approach In order to work effectively, cognitive behavioral therapies as the term suggests combine both the cognitive and the behavioral strategies in helping people with psychological distress. The cognitive part of the therapy helps the affected person become aware of distortions in their thoughts that cause psychological distress while the behavioral part helps the affected person realize the patterns that are used in reinforcing as well as treating them. The most significant insight of cognitive therapy as originally formulated by Dr. Beck over three decades ago is that thoughts act as a go-between between stimuli, such as external events as well as emotions. From the illustration in the figure below, it is stimulus that elicits a thought, which might be an evaluative decision of some kind which in turn results to an
Fourth, DBT structures the treatment environment in the ways essential to support client and therapist capabilities. Finally, DBT enhances therapist capabilities and motivation to treat clients effectively. In standard DBT, these functions are divided into modes for treatment (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001). Historical Development/Current use of groups Linehan addressed the need for effective and empirically supported psychotherapeutic treatment for borderline personality disorder. She discovered important shortcomings in standard cognitive and behavioral (CBT) treatments (Chapman & Robins, 2004).
It focuses on the interrelated relationships between thoughts, feelings and behavior. While looking at the idea that these are interrelated a key assumption is that changes in thought patterns will affect thoughts and moods. Cognitive Behavioral Therapy is used to treat children, adolescents and the elderly. It is most effective in helping conditions like depression, eating disorders, substance abuse, and anxiety disorders. The goal of this therapy is to control and change distorted perceptions and create accurate perceptions of self, others and events for a client.
Additionally, the authors claim the discipline of psychology, clinicians practicing psychotherapy, and clients in therapy would all benefit from integration. However, the need for such a formal presentation of this argument remains in question. In proposing the integration of psychotherapy into psychology, the authors propose that “psychotherapy is the practice of psychology” (Sechrest & Smith, 2012, p. 170). This is a logical ascertain. Psychotherapy is an attempt to improve the psychic condition of a client experiencing some form of mental distress.
Counseling Approaches Thought- Focused, Psychoanalytical, and Psychodynamic Approaches Thought- Focused treatment requires the client to be aware of their thoughts so they can change their notion in order to alter past and current behaviors. The treatment focuses solely on awareness of thoughts and behaviors of the client. The client is approached with a current or past situation and asked to percent their conception. The therapist then provides the client with solutions to produce a robust outcome. However the client can also state a productive belief towards the outcome.
My personal theoretical orientation to counseling is Cognitive-Behavioral therapy. Cognitive-Behavioral therapy helps the client to uncover and alter distortions of thought or perceptions which may be causing or prolonging psychological distress. The theoretical foundations of CBT are essentially those of the behavioral and cognitive approaches. CBT leads to a clear, persuasive, and evidence-based description of how normal and abnormal behavior develops and changes (Kramer 293). The term “cognitive-behavioral therapy” or CBT is a term for therapies with many similarities.
The Clinical Application of Cognitive-Behavioral Therapy Cognitive-behavioral therapy (CBT) is based on the concept that behavior change may be achieved through altering cognitive processes. The assumption underlying the cognitively based therapeutic techniques is that maladaptive cognitive processes lead to maladaptive behaviors and changing these processes can lead to behavior modification. According to Mahoney (1995), an individual's cognitions are viewed as covert behaviors, subject to the same laws of learning as overt behaviors. Since its inception, cognitive-behavior modification has attempted to integrate the clinical concerns of psychodynamic psychotherapists with the technology of behavior therapists (Mahoney, 1995). Cognitive-behaviorists have demonstrated an interrelationship among cognitive processes, environmental events, and behavior, which is conveyed in the context of one's social behavior.
To listen and try to decode what the clients wants out of their life and therefore, encourage them to stay focused on positive changes. The approach that a CBT therapist takes is to teach the client to unlearn the unwanted behavior and focus on the desire behavior (Leahy, 2008). It is important for the CBT therapist to build a therapeutic relationship however, it is equally critical that the relationship has mutual respect to allow for the process to be effective. The therapist and client therapeutic relationship is crucial in order to guide individuals towards understanding their faulty perceptions to become aware of their thoughts in hopes to make healthy