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The basic assumptions of cognitive behavior therapy
Underlying theories of cognitive behavioral therapy
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Introduction
Assuming the importance of cognitive behavior therapy and Bowen’s family systems theory as two both distinct counseling techniques, and my desire to understand them better, I thought it useful to explore how they differ from each other and how they are similar. In this paper I will be describing the basic theoretic assumptions about the findings of human behavior in which CBT and the family systems theory rest and briefly look at how these assumptions guide the therapist in their approach to symptoms.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented therapy treatment that takes a hands-on, approach to problem-solving. The core foundation of this treatment approach, as pioneered by Beck (1970) and Ellis (1962),
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Murray Bowen that suggests that individuals cannot be understood in isolation from one another, but rather as a part of their family, as the family is an emotional unit. Bowen family systems theory is a theory of human behavior that views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit. It is the nature of a family that its members are intensely connected emotionally. Often people feel distant or disconnected from their families, but this is more feeling than fact. Families so profoundly affect their member’s thoughts, feelings, and actions that it often seems as if people are living under the same “emotional skin.” People solicit each other’s attention, approval, and support and react to each other’s needs, expectations, and upsets. The connectedness and reactivity make the functioning of family members interdependent. A change in one person’s functioning is predictably followed by reciprocal changes in the functioning of others. Families differ somewhat in the degree of interdependence, but it is always present to some …show more content…
However, the basic concepts of these theories, associated interventions, and even basic assumptions about dysfunction and the nature of change are quite dissimilar, as are their respective approaches in the therapeutic session. Bowenian therapy, for example, is designed for the long term, with treatment sometimes taking years to successfully complete. A well-known example of such a long-term process is seen in The Family Crucible, wherein two psychologists use many elements of Bowen’s theory in a series of family therapy sessions that lasts for almost two years (Napier & Whitaker,
According to Napier and Whitaker (1978), In the Brice family, many problems were resolved since they decided to go on to therapy; however, the main problem that the therapists have not been able to solve was to convince the
The CBT theoretical formulation focuses on the whole family. “As behavior therapist shifted their attention from individuals to family relationships, they came to rely on Thibaut and Kelley’s theory of social exchange, according to which people strive to maximize rewards and minimize costs in relationships” (Nichols,
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
In the industrial age before World War II, when individual psychotherapy was born and thrived, human beings were essentially seen as machines, with broken parts—including the mind—that could be repaired; after World War II, the dawning information technology age brought a paradigm shift in the view of human life from mechanical to relational, and communication and systems theories provided family therapy with increased validity and prominence. (White, 2009, pp. 200-201). The modern family systems theories that grew out of this paradigm viewed families narrowly as functional or dysfunctional according to the delineation of each theory. Today, postmodern theory suggests that no absolute truth governs individuals or families; instead, people are
Cognitive behavioral therapy commonly known as CBT is a systematic process by which we learn to change our negative thoughts into more positive ones. CBT is a combination of two types of therapy, Cognitive Therapy and Behavioral Therapy. Cognition is our thoughts, so cognitive behavioral therapy combines working with our thought process and changing our behavior at the same time. Cognitive behavioral therapists believe that our behavior and our feelings are influenced by the way we think; also our mood is affected by our behavior and thought process. So CBT tries to tackle our thoughts, feelings and behavior. Scientific research has shown that cognitive behavioral therapy is affective for a wide range of mental health problems. The purpose is to bring positive change by alleviating emotional distress such as depression. CBT starts by breaking down your problems into smaller components, often trying to identify particular problematic thoughts or behavior. Once these problems are broken down it is then suggested a straightforward plan in which the patient and therapist can intervene to promote recovery.
Duty, G. (2010, December 10). Family Systems Therapy. Lecture presented at Principles of Counseling Class Notes, Bethany.
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.
Cognitive is defined as a mental process; it refers to everything going on in your mind including your thought processes and the way you are thinking and feeling. Behaviour refers to everything that you may do; this includes any action that you may present or act out, this can also be an indirect action that is caused by other underlying behaviours. Therapy is a systematic approach to try and resolve a problem, illness, actions, irregular thought patterns or anything that may be a disturbance that distracts you from your everyday functioning. Cognitive Behavioural Therapy (CBT) is a dynamic mode of holistic intervention that seeks to change thought processes that are linked with emotions through a goal-orientated process (Freeman and Ronen, 2007). Individuals have a three-step thought process; inferences, evaluations and core beliefs. Cognitive Behavioural Therapy looks into the dysfunctional thinking a client may have, which influences their thoughts, mood and behaviour. This theory is kept very loose and non-structured; depending on the client different theories will have to be applied depending on their needs and emotions.
Cognitive behavioural therapy (CBT) is a counselling model based greatly on talking therapy. It focuses on peoples underlying thoughts and past experiences, and how they influence current habits and behaviours. CBT tries to correct these and learn alternative ways of processing information to alter the undesired behaviour and/or habits. This is done through a combination of cognitive therapy (looking at the ways and things you think) and behavioural therapy (looking at the things you do).
The family structure is made up of individuals living together in intimate groups with the purpose of caring and supporting each other. Rules and boundaries, spoken and unspoken, are developed by the family members. Family rules and boundaries change and shift over time in order to evolve and grow as a family unit. Some changes are subtle, but some events force major change within the family system. This paper applies the concepts of systems theory to the family system in the movie Sweet Home Alabama. Reese Witherspoon (Melanie Smooter) and Josh Lucas (Jake Perry) star in this heart-warming film telling a story of a young woman who flees from Alabama to reinvent herself in New York City as a high fashion designer. She leaves behind her redneck husband and white-trash upbringing. Melanie finds herself engaged to the cities most eligible bachelor and has to return to Alabama to request a divorce from her first love and confront her past ("Alabama," 2002).
According to Richard Charles (2001) “the effectiveness of family systems theory rests not much on empirical research but on clinical reports of positive treatment outcomes, the personal benefits experienced by the families that underwent this kind of treatment, and the elegance of Bowen’s theory” (p. 279). Bowen’s family systems theory views the family as an emotional unit and is a theory of human behavior. Systems thinking are used to describe the complex interactions in the unit. However, the client’s ability to differentiate himself/herself from the family of origin is the basis for Bowen’s family systems theory. In addition, the primary focus for growth within the emotional system is differentiation of self. Differentiation of self will be explored as well as how it relates to a church congregation.
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
Structural family therapist have exemplified within the context relational therapies that uncovers stressors in relationship between individuals (Vetere, 2001). Structural family therapy has been known to be called “interventive approach” because of the “intensity” to encourage clients to change (Hammond & Nichols, 2014).
The Family Systems Theory, a brain child of Murray Bowen is designed around the idea that no human exists alone, ether as a person or biological entity (McCune, 2009). The basis of the theory is that relationships are triangular. When this system is within equilibria limits two lines on the sides of each triangle are in harmony and one line is in conflict. This is the basis for what Fine and Fincham refer to as the triadic relationship. The triadic relationship, most commonly involves a father, mother, and child, with traditional division of labor roles. In this type of relationship interaction is at the most, but equilibrium is not achievable when one member is removed and the relationship becomes dyadic. In the normal family systems theory, the triadic relationship often exists at equilibrium when the mother and father are in conflict with each other, so