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Cognitive Behavior Therapy Basic and Beyond Summary Chapter 1

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This is the summary of the first chapter of the book "COGNITIVE BEHAVIOR THERAPY: BASIC AND BEYOND" by Judith S. Beck (Second Edition 17. August 2011). I focused on summarizing the most important aspects of the chapter. Whenever I thought it might be worth to read a passage directly from the book I...

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Chapter 1

INTRODUCTION TO COGNITIVE BEHAVIOR THERAPY

What is cognitive behaviour therapy?

- Aaron Beck devised a structured, short-term, present-oriented psychotherapy for
depression, directed towards solving current problems and modifying dysfunctional
(inaccurate/or unhelpful) thinking and behaviour.
- In all forms of cognitive behaviour therapy that are derived from Beck’s model,
treatment is based on a cognitive formulation, the belief and behavioural strategies that
characterize a special disorder.
- Treatment is also based on a conceptualization, or understanding, of individual
patients (their specific beliefs and patterns of behaviour).
- The therapist seeks in a variety of ways to produce cognitive change – modification in
the patient’s thinking and belief system – to bring about enduring emotional and
behavioural change.

What is the theory underlying cognitive behavioural therapy?

- In a nutshell, the cognitive model proposes that dysfunctional thinking (which
influences the patient’s mood and behaviour) is common to all psychological
disturbances. When people learn to evaluate their thinking in a more realistic and
adaptive way, they experience improvement in their emotional state and in their
behaviour.
- For lasting improvements in patients’ mood and behaviour, cognitive therapists work
at a deeper level of cognition: patients’ basic beliefs about themselves, their world,
and other people.

What does the research say?

- At this point, more than 500 outcome studies have demonstrated the efficacy of
cognitive behaviour therapy for a wide range of psychiatric disorders, psychological
problems, and medical problems with psychological components (see table 1.1 on p. 4
for detailed information).

How was Beck’s cognitive behaviour therapy developed?

- Important components of cognitive behaviour therapy for depression include a focus
on helping patients solve problems; become behaviourally activated; and identify,

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