Cognitive-behavior Therapy

Basic Characteristics


Theory and Practice of Counseling and Psychotherapy (Chapter 10)


輔導與心理治療

  • a collaborative relationship between client and therapist
  • the premise that psychological distress is often maintained by cognitive processes
  • a focus on changing cognitions to produce desired changes in affect and behavior,
  • a present-centered, time-limited focus,
  • an active and directive stance by the therapist,
  • an educational treatment focusing on specific and structured target problems

(A. Beck & Weishaar, 2014)

Aaron Beck’s Cognitive Therapy

Albert Ellis’s
Rational Emotive Behavior Therapy

Christine Padesky and Kathleen Mooney’s
Strengths-Based Cognitive Behavioral Therapy

Donald Meichenbaum’s
Cognitive Behavior Modification

basic assumption

basic assumption

basic assumption

basic assumption

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People contribute to their own psychological problems by the rigid and extreme beliefs they hold about events and situations.


Cognitions, emotions and behaviors interact significantly and have a reciprocal cause and effect relationship


Focus on working with thinking and acting rather than primarily with expressing feelings.

Specific tasks

encourage clients to be less emotionally reactive


teach clients to feel sadness and disappointment about life’s adversities rather that by feeling anxiety, depression and shame.


Blame = core of emotional disturbances, stop blaming ourselves and others


learn to fully and unconditionally accept ourselves despite our imperfections

show clients how they have incorporated many irrational absolute “shoulds,” “oughts,” and “musts.”


demonstrate how clients are keeping their emotional disturbances active by continuing to think illogically and unrealistically.


helping clients modify their thinking and minimize their irrational ideas


challenge clients to develop a rational philosophy of life so that in the future they can avoid becoming the victim of other irrational beliefs


Homework is carefully designed and agreed upon and is aimed at getting clients to carry out productive actions that contribute to emotional and attitudinal change.

Behavioral Approach/ Learning theory Approach

Belief: behavior from learning

Counseling process:

  1. Defining the problem
  2. Understand the development of the case
  3. Determine the counseling goal
  4. Choose the method that will be applied

Skill
1.Responding learning
2.Operant learning

  1. AssertiveTraining
  2. Desensitization
    5.Relaxation
    6.Modeling

(1) People’s thought processes are accessible to introspection


(2) People’s beliefs have highly personal meanings, and


(3) People can discover these meanings themselves rather than being taught or having them interpreted by the therapist