Cognitive Therapy and Research

, Volume 17, Issue 2, pp 123–137 | Cite as

The process of change in cognitive therapy: Schema change or acquisition of compensatory skills?

  • Jacqueline B. Persons


This article compares two competing models of the process of change in cognitive therapy: the schema changemodel and the compensatory skillsmodel. There are two key differences between the models: They differ in their predictions about the timingof schema change, and in their statements about the generalityof the lessons learned in cognitive therapy. Experiments that test these two differences between the models are suggested.

Key words

schema change compensatory skills 


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  1. Barber, J. P., & DeRubeis, R. J. (1987, November).A measure of compensatory skills for cognitive therapy of depression. Paper presented at the meetings of the Association for Advancement of Behavior Therapy, Boston.Google Scholar
  2. Barber, J. P., & DeRubeis, R. J. (1989). On second thought: Where the action is in cognitive therapy for depression.Cognitive Therapy and Research, 13 441–457.Google Scholar
  3. Barlow, D. H., Mavissakalian, M. R., & Schofield, L. D. (1980). Patterns of desynchrony in agoraphobia: A preliminary report.Behaviour Research and Therapy, 18 441–448.Google Scholar
  4. Baron, J., Baron, J. H., Barber, J. P., & Nolen-Hoeksema, S. (1990). Rational thinking as a goal of therapy.Journal of Cognitive Psychotherapy: An International Quarterly, 4 293–302.Google Scholar
  5. Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton & J. E. Barrett (Eds.),Treatment of depression: Old controversies and new approaches. New York: Raven Press.Google Scholar
  6. Beck, A. T., Freeman, A., & Associates. (1990).Cognitive therapy of personality disorders. New York: Guilford Press.Google Scholar
  7. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford Press.Google Scholar
  8. Beckham, E. E., Boyer, J. L., Cook, J. B., Leber, W. R., & Watkins, J. T. (1984, June).Development of instrumentation for process research in cognitive therapy of depression. Paper presented at the meetings of the Society for Psychotherapy Research, Lake Louise, Ontario, Canada.Google Scholar
  9. Butler, G., Cullington, A., Munby, M., Amies, P., & Gelder, M. (1984). Exposure and anxiety management in the treatment of social phobia.Journal of Consulting and Clinical Psychology, 52 642–650.Google Scholar
  10. Caston, J. (1986). The reliability of the diagnosis of the patient's unconscious plan. In J. Weiss, H. Sampson & the Mount Zion Psychotherapy Research Group (Eds.),The psychoanalytic process: Theory, clinical observation and empirical research. (pp. 241–255). New York: Guilford Press.Google Scholar
  11. Crits-Christoph, P., Cooper, A., & Luborsky, L. (1988). The accuracy of therapists' interpretations and the outcome of dynamic psychotherapy.Journal of Consulting and Clinical Psychology, 56 490–495.Google Scholar
  12. Curtis, J. T., & Silberschatz, G. (1991).The plan formulation method: A reliable procedure for case formulation. Unpublished manuscript.Google Scholar
  13. Davison, G. C., Haaga, D. A. F., Rosenbaum, J., Dolezal, S. L., & Weinstein, K. A. (1991). Assessment of self-efficacy in articulated thoughts: “States of mind” analysis and association with speech-anxious behavior.Journal of Cognitive Psychotherapy: An International Quarterly, 5 83–92.Google Scholar
  14. DeRubeis, R. J. (1991, August).The change process in cognitive therapy: Schema change or skill acquisition? Paper presented at the meetings of the American Psychological Association, San Francisco.Google Scholar
  15. Dobson, K. S. (1989). A meta-analysis of the efficacy of cognitive therapy for depression.Journal of Consulting and Clinical Psychology, 57 414–419.Google Scholar
  16. Elkin, I. (1991, August). Comments presented in a symposium at the meetings of the American Psychological Association, San Francisco.Google Scholar
  17. Emmelkamp, P. M. G., & Mersch, P. P. (1982). Cognition and exposure in vivo in the treatment of agoraphobia: Short-term and delayed effects.Cognitive Therapy and Research, 6 77–88.Google Scholar
  18. Foa, E. B., Feske, U., Murdock, T. B., Kozak, M. J., & McCarthy, P. R. (1991). Processing of threat-related information in rape victims.Journal of Abnormal Psychology, 100 156–162.Google Scholar
  19. Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information.Psychological Bulletin, 99 20–35.Google Scholar
  20. Foa, E. B., & McNally, R. J. (1986). Sensitivity to feared stimuli in obsessive-compulsives: A dichotic listening analysis.Cognitive Therapy and Research, 10 477–485.Google Scholar
  21. Grey, S. J., Rachman, S., & Sartory, G. (1981). Return of fear: The role of inhibition.Behaviour Research and Therapy, 19 135–143.Google Scholar
  22. Hollon, S. D., Evans, M. D., & DeRubeis, R. J. (1988). Preventing relapse following treatment for depression: The cognitive pharmacotherapy project. In T. M. Field, P. M. McCabe, & N. Schneiderman (Eds.),Stress and coping across development. Hillsdale, NJ: Erlbaum.Google Scholar
  23. Hollon, S. D., & Kendall, P. C. (1980). Cognitive Self-statements in depression: Development of an Automatic Thoughts Questionnaire.Cognitive Therapy and Research, 4 383–395.Google Scholar
  24. Hollon, S. D., Shelton, R. C., & Loosen, P. T. (1991). Cognitive therapy and pharmacotherapy for depression.Journal of Consulting and Clinical Psychology, 59 88–99.Google Scholar
  25. Hope, D. A., Rapee, R. M., Heimberg, R. G., & Dombeck, M. J. (1990). Representations of the self in social phobia: Vulnerability to social threat.Cognitive Therapy and Research, 14 177–189.Google Scholar
  26. Horowitz, L. M., Rosenberg, S. E., Ureno, G., Kalehzan, B. M., & O'Halloran, P. (1989). Psychodynamic formulation, consensual response method, and interpersonal problems.Journal of Consulting and Clinical Psychology, 57 599–606.Google Scholar
  27. Ingram, R. E. (1984). Toward an information-processing analysis of depression.Cognitive Therapy and Research, 8 443–477.Google Scholar
  28. Ingram, R. E., Johnson, B. R., & Bernet, C. Z. (November, 1990).Cognitive processing in vulnerable individuals. Paper presented at meetings of Association for Advancement of Behavior Therapy, San Francisco.Google Scholar
  29. Kuiper, N. A., Olinger, L. J., & MacDonald, M. R. (1988). Vulnerability and episodic cognitions in a self-worth contingency model of depression. In L. B. Alloy (Ed.),Cognitive processes in depression (pp. 289–309). New York: Guilford Press.Google Scholar
  30. Lazarus, R. S. (1966).Psychological stress and the coping process. New York: McGraw-Hill.Google Scholar
  31. Mathews, A., & MacLeod, C. (1985). Selective processing of threat cues in anxiety states.Behavior Research and Therapy, 23 563–569.Google Scholar
  32. Mavissakalian, M., Michelson, L., Greenwald, D., Kornblith, S., & Greenwald, M. (1983). Cognitive-behavioral treatment of agoraphobia: Paradoxical intention vs. self-statement training.Behaviour Research and Therapy, 21 75–86.Google Scholar
  33. Miranda, J., & Persons, J. B. (1988). Dysfunctional attitudes are mood-state dependent.Journal of Abnormal Psychology, 97 76–79.Google Scholar
  34. Miranda, J., Persons, J. B., & Byers, C. N. (1990). Endorsement of dysfunctional beliefs depends on current mood state.Journal of Abnormal Psychology, 99 237–241.Google Scholar
  35. Muran, J. C., Segal, Z. V., & Samstag, L. W. (1991, July).The use of self-scenarios as an idiographic measure of self-schemas. Paper presented at the meetings of the Society for Psychotherapy Research, Lyon, France.Google Scholar
  36. Nisbett, R. E., & Wilson, T. P. (1977). Telling more than we know: Verbal reports on mental processes.Psychological Review, 84 231–279.Google Scholar
  37. O'Leary, K. D., & Wilson, C. T. (1987).Behavior therapy: Application and outcome. (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  38. Ost, L.-G., Jerremalm, A., & Johansson, J. (1981). Individual response patterns and the effects of different behavioral methods in the treatment of social phobia.Behaviour Research and Therapy, 19 1–16.Google Scholar
  39. Persons, J. B. (1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy: A proposed remedy.American Psychologist, 46 99–106.Google Scholar
  40. Persons, J. B. (1989).Cognitive therapy in practice: A case formulation approach. New York: Norton.Google Scholar
  41. Persons, J. B. (1993). Outcome of psychotherapy for unipolar depression. In T. R. Giles (Ed.),Effective psychotherapy: A handbook of comparative research. New York: Plenum Press.Google Scholar
  42. Persons, J. B., Mooney, K., & Padesky, K. (1991, November).Reliability and validity of cognitive-behavioral case formulations. Paper presented at the meetings of the Association for Advancement of Behavior Therapy, New York, New York.Google Scholar
  43. Riskind, J. H., & Rholes, W. S. (1984). Cognitive accessibility and the capacity of cognition to predict future depression: A theoretical note.Cognitive Therapy and Research, 8 1–12.Google Scholar
  44. Segal, Z. V. (1988). Appraisal of the self-schema construct in cognitive models of depression.Psychological Bulletin, 103 147–162.Google Scholar
  45. Segal, Z. V., & Shaw, B. F. (1986). Cognition in depression: A reappraisal of Coyne and Gotlib's critique.Cognitive Therapy and Research, 10 671–693.Google Scholar
  46. Segal, Z. V., & Vella, D. D. (1990). Self-schema in major depression: Replication and extension of a priming methodology.Cognitive Therapy and Research, 14 161–176.Google Scholar
  47. Seligman, M. E. P., Abramson, L. Y., Semmel, A., & von Baeyer, C. (1979). Depressive attributional style.Journal of Abnormal Psychology, 88 242–247.Google Scholar
  48. Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression.Cognition and Emotion, 2 247–274.Google Scholar
  49. Teasdale, J. D., & Dent, J. (1987). Cognitive vulnerability to depression: An investigation of two hypotheses.British Journal of Clinical Psychology, 26 113–126.Google Scholar
  50. Velten, E. (1968). A laboratory task for induction of mood states.Behavior Research and Therapy, 6 473–482.Google Scholar
  51. Watts, F. N., McKenna, F. P., Sharrock, R., & Trezise, L. (1986). Colour naming of phobia-related words.British Journal of Psychology, 77 97–108.Google Scholar
  52. Weissman, A. (1979). The Dysfunctional Attitude Scale: A validation study.Dissertation Abstracts International, 40 1389–1390B. (University Microfilm No. 79-19, 533)Google Scholar
  53. White, J., Davison, G. C., Haaga, D. A. F., & White, K. (1992). Cognitive bias in the articulated thoughts of depressed and nondepressed psychiatric patients.Journal of Nervous and Mental Disease. 180 77–81Google Scholar
  54. Williams, J. M. G., & Nulty, D. D. (1986). Construct accessibility, depression and the emotional Stroop task: Transient mood or stable structure?Personality and Individual Differences, 7 485–491.Google Scholar
  55. Williams, J. M., Watts, F. N., MacLeod, C., & Mathews, A. (1988).Cognitive psychology and emotional disorders. New York: Wiley.Google Scholar
  56. Young, J. (1990).Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Practitioner's Resource Exchange, Inc.Google Scholar

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Jacqueline B. Persons
    • 1
  1. 1.University of CaliforniaSan FranciscoUSA

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