In their established introduction to contemporary CBT theory and practice, Diana Sanders and Frank Wills show how therapeutic change takes place across a network of cognitive, emotional and behavioral functioning. They explain the central concepts of CBT and illustrate - with numerous case examples - how these can effectively be put into practice at each stage of the therapeutic process. The revised book now includes: • Recent developments in CBT, i.e., new settings and applications including guided self-help, computerized CBT, IAPT & stepped care • Two brand new chapters on mindfulness and increasing access to CBT • Extra case studies, chapter previews, exercises and further reading, plus an appendix of further resources • Coverage of a wider range of client issues This continues to be the ideal companion for those working - or training to work - in the psychological therapies and mental health.
Chapter 4: Beginning and Structuring CBT
Beginning and Structuring CBT
CBT is, by reputation, characterised by methods and techniques. As well as the essential therapy tools of comfy chairs and tissues, CB therapists are armed with whiteboards, audio recorders, pens and paper, thought diaries, activity schedules, questionnaires and, in the case of the client with phobias, esoteric items in pots such as spiders or wasps. Perhaps the technical aspects of CBT led to the characteristic criticisms: that it is mechanistic, stressing techniques at the expense of emotions, concentrates methods rather than therapeutic processes.
Some of the early models of CBT did stress the verbal and rational at the expense of the emotional and interpersonal (Safran, 1998; Wills, 2008a), yet the more rational, verbal and behavioural techniques of CBT ...