66
Eg. perfectionism, sociotrophy
CBT most useful for those with good communication skills + capable of rational thought
Limitations
Self-report data to test effectiveness: not valid as client please therapist
Many techniques in CBT: more effective if know which aspects had most benefit
Hawthorne effect: benefits of CBT not from role plays + HW, but from warm +
supportive relationship with therapist (“somebody cares” = improvement); but doesn’t
explain why continues improving after therapy ends
Reductionist: too much emphasis on cognitions
Depressed has relationships + social env that don’t seem bad to them, but are
objectively bad
Bio factors can’t be changed just by thinking differently
Doesn’t seek to explore past issues influencing onset, but aims to change how person
thinks
Too simplistic to deal with complex issues: psychoanalytic techniques better approach
to investigate root cause of disorder
Ethics
No side effects
Blames person for their disorder as their thoughts cause it: ethical implications for how
person feels abt themselves
Aims to give tools to deal with disorder themselves rather than passively taking drugs
CONTEMPORARY STUDY
WILLIAMS ET AL. (2013): Combining imagination and reason in
treatment of depression : randomised control trial of internet based
cognitive bias modification and internet-CBT for depression
Eg. perfectionism, sociotrophy
CBT most useful for those with good communication skills + capable of rational thought
Limitations
Self-report data to test effectiveness: not valid as client please therapist
Many techniques in CBT: more effective if know which aspects had most benefit
Hawthorne effect: benefits of CBT not from role plays + HW, but from warm +
supportive relationship with therapist (“somebody cares” = improvement); but doesn’t
explain why continues improving after therapy ends
Reductionist: too much emphasis on cognitions
Depressed has relationships + social env that don’t seem bad to them, but are
objectively bad
Bio factors can’t be changed just by thinking differently
Doesn’t seek to explore past issues influencing onset, but aims to change how person
thinks
Too simplistic to deal with complex issues: psychoanalytic techniques better approach
to investigate root cause of disorder
Ethics
No side effects
Blames person for their disorder as their thoughts cause it: ethical implications for how
person feels abt themselves
Aims to give tools to deal with disorder themselves rather than passively taking drugs
CONTEMPORARY STUDY
WILLIAMS ET AL. (2013): Combining imagination and reason in
treatment of depression : randomised control trial of internet based
cognitive bias modification and internet-CBT for depression
