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 5: Cognitive Interventions in CBT
Cognitive Interventions in CBT
People are generally better persuaded by the reasons that they themselves have discovered than by those which have come into the minds of others. (Paschal, 1670/1995:10)
Identifying and modifying negative thinking are keystone activities in CBT. The changes brought about by cognitive interventions lie at the heart of the CBT enterprise. This chapter will begin by considering why such work is therapeutic and will emphasise the importance of ‘emotionally felt’ cognitive change.
The chapter will identify three distinct stages in cognitive interventions directed at changing negative thoughts and images: identifying, evaluating and modifying (Beck, 1995). Each stage has two phases: verbal and written (Sanders & Wills, 2005). The stages and phases can be used separately at different times but ...