History of Cognitive Behavior Therapy (CBT)
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This Powerpoint presentation is part of a graduate course taught at NYU on Acceptance and Commitment Therapy (ACT).
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History of Cognitive Behavior Therapy (CBT)
- 1. History of CBT Therapy J. Ryan Fuller, Ph.D. New York Behavioral Health New York, NY
- 2. What is Psychotherapy? Mayo Clinic: General term for the treatment of a mental (behavioral) disorder while working with a mental health provider Corsini (2005): Formal process of interaction between two parties for the purpose of ameliorating distress with the therapist having some theory of personality’s origins, development, maintenance and change along with a method of treatment related to the theory, in the areas of: Cognitive Affective Behavioral
- 3. Which do we use? Many schools of psychotherapy exist Forms of therapy are based on various theories Clusters of techniques are often associated with different schools of psychotherapy Mechanisms of change are often provided by theory and some have received scientific attention
- 4. Psychotherapy Elements Interaction Domains Cognition Emotion Behavior Personality Theory Theory of Change Techniques related to theory
- 5. How do we decide?
- 6. First Wave
- 7. Second Wave
- 8. Third Wave
Editor's Notes
- History of Psychotherapy (15 mins) Wundt Darwin Freud William James Watson Thorndike Skinner Wolpe Exercise: PMR Did that work? Ellis Beck Linehan Hayes Etc.
- Will do history in a few slides. Can reference general history here, OR NOT, either way details come later, e.g., Pavlov, Watson, Skinner, Ellis, etc.
- Theory of Change = Mechanisms
- Which Psychotherapy Zeitgeist? What the client wants? It is his/her therapy? Clinical Utility? What kind of therapy do we like? Use? Same? Why? How should we decide? Role of Science in Psychotherapy (Empirically Based Treatments) What tools (techniques) do we use? Why? What is the rationale? What are the criteria
- Classical Pavlov – experiment, theory John B. Watson – Little Albert, , then what therapies (Prolonged exposure, Exposure plus response prevention, Systematic desensitization?) Operant Skinner – Questions: How many days would you work after your paychecks stop? How many times would you put a $1 into a vending machine if it wasn’t giving you a can? (if sensitive to contingencies, you stop) Social Learning Bandura ------ Based on these learning principles (classical, operant, social learning) could I get you scared of flying on an airplane without getting on the plane? Could watch your fearful parent, could put you on a plane with turbulence and reinforce screaming. Will you be afraid of a similar object? (like Little Albert) Yes by modeling: by watching your parent express a fear response Yes by classical: contact with it and then UCS Yes by operant??: at least train an avoidance response *Can I get a fear response without ever having contact with a primary property (direct experience)? [No, need language for that] Chomsky challenges Skinner – Skinner can’t explain a fear response to something which the organism (person) has never had direct contact with an aspect of the stimulus. Example, anyone afraid of Ebola? Ever seen an Ebola?
- Ellis Beck Exercise: Man in the Elevator Cognitive Distortion on the Board Exercise: Identify IB, Rehearse RB Did that work? Etc. Do a role play
- Acceptance Based MBCT DBT? Unclear if it is 3rd Wave or not ACT