Cognitive Behaviour Therapy (CBT) (Success may be due to therapist-patient…
Cognitive Behaviour Therapy (CBT)
Large source of evidence to support effectiveness of CBT.
March et al. (2007) compared effects of CBT with antidepressant drugs and combination of both in 327 depressed people.
After 36 weeks - 81% CBT group, 81% antidepressant group, 86% CBT + antidepressant group were significantly improved.
CBT seen as just as effective as medication and helpful alongside it.
Good case for making CBT first choice of treatment in public health care systems (NHS)
May not work for most severe cases of depression
In severe cases of depression patients can't motivate themselves to take on hard cognition work of CBT
Possible to treat them with antidepressants medication and start CBT when more alert and motivated
Shows CBT can't be used as sole treatment for all cases of depression.
Success may be due to therapist-patient relationships
Rosenzwieg (1936) suggested differences between various methods of psychotherapy might be quite small.
All psychotherapies have one same element - relationship between therapist and patient.
May be quality of this relationship that determines success rather than particular technique.
Many comparative reviews find very small differences between therapies
Suggests they share a common basis.
Some patients really want to explore their past
One basic principle of CBT is that therapy focuses on patients present and future, rather than their past.
In other forms of psychotherapies patients made links between childhood experiences and current depression
Present focus of CBT may ignore important aspects of depressed patient's experience
Overemphasis on cognition
CBT may end up minimising importance of living circumstances.
Patient in poverty or suffering abuse needs to change their circumstances
Any approach that emphasises what is in patients mind (cognition) rather than environment can prevent this.
CBT techniques used inappropriately can demotivate people to change situation.