Skip to main content
SpringerLink
Log in

Combined Cognitive Therapy and Pharmacotherapy

  • Chapter
Comprehensive Handbook of Cognitive Therapy

Abstract

Cognitive therapy and pharmacotherapy have developed as separate, and at times, competitive entities. Theoretical constructs and treatment strategies of the two approaches are quite different. Cognitive therapists seek to correct faulty patterns of thinking and behavior with psychological procedures, whereas pharmacotherapists attempt to regulate brain biochemistry with medication. Cognitive therapy has found its largest audience among professionals who are not licensed to prescribe drugs. Pharmacotherapy is largely the province of the physician.

The clashing point of two subjects, two disciplines, two cultures . . . ought to produce creative chances.

C. P. Snow (1959)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Akiskal, H. S., and McKinney, W. T. (1975). Overview of recent research in depression: Integration of ten conceptual models into a comprehensive clinical frame. Archives of General Psychiatry, 32, 285–305.

    Article  Google Scholar 

  • Alper, J. (1986, May). Depression at an early age. Science, 86, 45–50.

    Google Scholar 

  • American Medical Association. (n. d.). Patient medication instruction sheets. Benzodiazepines; Lithium; Monoamine oxidase inhibitors; Neuroleptics; Tricyclic antidepressants.

    Google Scholar 

  • Andreason, N. C. (1984). The broken brain. New York: Harper and Row.

    Google Scholar 

  • Baldessarini, R. J. (1977). Chemotherapy in psychiatry. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Ballenger, J. C. (1984). Psychopharmacology of the anxiety disorders. Psychiatric Clinics of North America, 7, 757–771.

    Article  Google Scholar 

  • Barrett, C. L., Wright, J. H. (1984). Therapist variables. In M. Hersen, L. Michelson, and A. S. Bellack (Eds.), Issues in psychotherapy research (pp. 361–391 ). New York: Plenum Press.

    Chapter  Google Scholar 

  • Beck, A. T. (1985). Cognitive therapy, behavior therapy, psychoanalysis, and pharmacotherapy: A cognitive continuum. In M. J. Mahoney and A. Freeman (Eds.), Cognition and psychotherapy (pp. 325–347 ). New York: Plenum Press.

    Chapter  Google Scholar 

  • Beck, A. T., and Emery, G. (1985). Anxiety disorders and phobias. New York: Basic Books.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B., and Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.

    Google Scholar 

  • Blackburn, I. M., Bishop, S., Glen, A. I. M., Whalley, L. J., and Christie, J. E. (1981). The efficacy of cognitive therapy in depression: A treatment using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181–189.

    Article  Google Scholar 

  • Bums, D. D. (1980). The consumer’s guide to antidepressant drug therapy. In Feeling good (pp. 375–398 ). New York: Signet.

    Google Scholar 

  • Chase, S., Wright, J. H., and Ragade, R. (1981). The inpatient psychiatric unit as a system. Behavioral Science, 26, 197–205.

    Article  Google Scholar 

  • Cochran, S. D. (1982). Effectiveness of cognitive therapy in preventing noncompliance with lithium regimens. Paper presented at the annual meeting of the American Psychological Association, Washington, DC.

    Google Scholar 

  • Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.

    Article  Google Scholar 

  • Fieve, R. R. (1975). Moodswing. Toronto: Bantam Books.

    Google Scholar 

  • Frank, J. D. (1978). Psychotherapy and the human predicament: A psychosocial approach. New York: Schocken Books.

    Google Scholar 

  • Fuchs, C. Z., and Himmelhoch, J. M. (1980). Pseudomanic-depressive illness and cognitive-behavior therapy. Journal of Nervous and Mental Disease, 168, 382–384.

    Article  Google Scholar 

  • Gallagher, W. (1986, May). The dark affliction of mind and body. Discover, pp. 66–76.

    Google Scholar 

  • Goodwin, F. K. (1982). Depression and manic-depressive illness. NIH Publication No. 82–1940. Washington, D.C.: NIH.

    Google Scholar 

  • Goodwin, F. K., and Roy-Byrne, P. (1987). Treatment of bipolar disorders. In A. J. Francis and R. E. Hales (Eds.), American Psychiatric Press review of psychiatry (Vol. 6, pp. 81–107 ). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Group for the Advancement of Psychiatry. (1975). Pharmacotherapy and psychotherapy: Paradoxes, problems and progress, Vol. 9, Report No. 93. New York: Mental Health Materials Center.

    Google Scholar 

  • Hollon, S., and Beck, A. T. (1978). Psychotherapy and drug therapy: Comparisons and combinations. In S. L. Garfield and Bergin (Eds.), Handbook of psychotherapy and behavior change ( 2nd ed.; pp. 437–490 ). New York: Wiley.

    Google Scholar 

  • Kandel, E. R., and Schwartz, J. H. (1982). Molecular biology of learning: Modulation of transmitter release. Science, 218, 433–443.

    Article  Google Scholar 

  • Klein, D. F., Ross, D. C., and Cohen, P. (1987). Panic and avoidance in agoraphobia. Archives of General Psychiatry, 44, 377–385.

    Article  Google Scholar 

  • Marks, I. M. (1987). Behavioral aspects of panic disorder. American Journal of Psychiatry, 144(9), 1160–1165.

    Google Scholar 

  • Marmor, J. (1976). Common operational factors in diverse approaches to behavior change. In A. Bunton (Ed.), What makes behavior change possible? (pp. 3–12 ). New York: Brunner/Mazel.

    Google Scholar 

  • Miller, J. G. (1978). Living systems. New York: McGraw-Hill.

    Google Scholar 

  • Mohl, P. C. (1987). Should psychotherapy be considered a biological treatment? Psychosomatics, 28(6), 320–326.

    Google Scholar 

  • Murphy, D. L., Sunderland, T., and Cohen, R. M. (1984). Monoamine oxidase-inhibiting antidepressants: A clinical update. Psychiatric Clinics of North America, 3, 549–562.

    Article  Google Scholar 

  • Murphy, G. E., Simons, A. D., and Wetzel, R. D. (1984). Cognitive therapy versus tricyclic antidepressants in major depression. Archives of General Psychiatry, 41, 33–41.

    Article  Google Scholar 

  • National Institute of Mental Health. (1981). Information on Lithium. DHHS Publication No. (ADM) 81–1078. Washington, DC: Author.

    Google Scholar 

  • Pope, H. G., Harrison, G., Hudson, J. I. (1984). New hope for binge eaters. New York: Harper and Row. Rush, A. J. ( 1988 ). Cognitive approaches to adherence. In A. J. Francis and R. E. Hales (Eds.), American

    Google Scholar 

  • Psychiatric Press review of psychiatry (Vol. 7, pp. 627–642). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Schwab, J. J., and Schwab, M. E. (1978). Sociocultural roots of mental illness. New York City: Plenum Medical Book Co.

    Book  Google Scholar 

  • Sheehan, D. V. (1983). The anxiety disease. Toronto: Bantam Books.

    Google Scholar 

  • Simons, A. D., Murphy, G. E., Levine, J. L., and Wetzel, R. D. (1986). Cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 43, 43–48.

    Article  Google Scholar 

  • Snow, C. P. (1959). The two cultures: And a second look. London: Cambridge University Press. Tavris, C. (1946, February). Coping with anxiety. Science Digest, 46, 46–81.

    Google Scholar 

  • Uhlenhuth, E. H., Lipman, R. S., and Covi, L. (1969). Combined pharmacotherapy and psychotherapy. Journal of Nervous and Mental Disease, 148, 52–64.

    Article  Google Scholar 

  • Weissman, M. M., Prusoff, B. A., DiMascio, A., Neu, C., Goklaney, M., and Klerman, G. L. (1979). The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. American Journal of Psychiatry, 136, 555–558.

    PubMed  Google Scholar 

  • Whybrow, P. C., Akiskal, H. S., and McKinney, W. T. (1984). Mood disorders: Toward a New Psychobiology. New York: Plenum Press.

    Book  Google Scholar 

  • Wright, J. H. (1985). The cognitive paradigm for treatment of depression. P. Pichot, P. Eenner, R. Wolf, and K. Thau (Eds.), in Psychiatry (Vol. 4, pp. 31–36 ). New York: Plenum Press.

    Google Scholar 

  • Wright, J. H. (1986). Nortriptyline effects on cognition in depression. Dissertation Abstracts International, 47 (6), 2667b.

    Google Scholar 

  • Wright, J. H. (1987). Cognitive therapy and medication as combined treatment. In A. Freeman and V. Greenwood (Eds.), Cognitive therapy (pp. 36–50 ). New York: Human Sciences Press.

    Google Scholar 

  • Wright, J. H. (1988). Cognitive therapy of depression. In A. J. Francis and R. E. Hales (Eds.), American Psychiatric Press review of psychiatry (Vol. 7, pp. 554–570 ). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Wright, J. H., and Beck, A. T. (1983). Cognitive therapy of depression: Theory and practice. Hospital Community Psychiatry, 34, 1119–1127.

    PubMed  Google Scholar 

  • Wright, J. H., and Lippmann, S. B. (1988). Use of antipsychotic drugs in depression: Problems and opportunities. Postgraduate Medical Journal, 82, 61–67.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, and Norton Psychiatric Clinic, Louisville, Kentucky, 40232-5070, USA

    Jesse H. Wright & G. Randolph Schrodt Jr.

Authors
  1. Jesse H. Wright
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Randolph Schrodt Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Center for Cognitive Therapy, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Arthur Freeman  & Karen M. Simon  & 

  2. Department of Psychiatry, College of Medicine, University of Arizona, Arizona Health Sciences Center, Tucson, Arizona, USA

    Larry E. Beutler

  3. Department of Psychology, University of Arizona, Tucson, Arizona, USA

    Hal Arkowitz

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer Science+Business Media New York

About this chapter

Cite this chapter

Wright, J.H., Schrodt, G.R. (1989). Combined Cognitive Therapy and Pharmacotherapy. In: Freeman, A., Simon, K.M., Beutler, L.E., Arkowitz, H. (eds) Comprehensive Handbook of Cognitive Therapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-9779-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9779-4_14

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-9781-7

  • Online ISBN: 978-1-4757-9779-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation