Abstract
This research examined modifying specific maladaptive covert language patterns in depression-prone psychiatric outpatients. Five cognitive processes that seemed to activate depressive covert and overt language patterns were defined. These processes were (1) self-evaluation, (2) self-reporting of affect, (3) reaction to stress, (4) choice making, and (5) assuming nonpunitive responsibility for behavior. Patients were taught to reduce maladaptive covert language patterns related to the five target cognitive processes, while learning more adaptive covert patterns. Twenty moderately depressed adult psychiatric outpatients were randomly assigned either to a cognitive modification condition or to a waiting condition consisting of medication and support. Subsequent to treatment and at 6-month follow-up, patients receiving cognitive modification treatment were rated as less depressed, saw themselves as less depressed, and elicited more adaptive, nondepressive verbalizations concerning their own mental status than did patients receiving medication and support only. Implications of the results for the assessment and treatment of depression are discussed.
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References
Abramson, L., & Sacheim, H. A paradox in depression: Uncontrollability and self-blame.Psychological Bulletin 1977,84 838–851.
Bandura, A.Principles of behavior modification. New York: Holt, Rinehart & Winston, 1969.
Beck, A., Ward, C., Mendelson, M., Mock, J., & Erbaugh, J. An inventory for measuring depression.Archives of General Psychiatry 1961,4 561–571.
Beck, A.Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press, 1967.
Beck, A.Cognitive therapy and the emotional disorders. New York: International Universities Press, 1976.
Cautela, J. Covert sensitization.Psychological Reports 1967,20 459–468.
Ellis, A.Humanistic psychotherapy: The rational-emotive approach. New York: Julian Press, 1973.
Fuchs, C., & Rehm, L. A self-control behavior therapy for depression.Journal of Consulting and Clinical Psychology 1977,45 206–215.
Kelly, G.The psychology of personal constructs. New York: Norton, 1955.
Kovacs, M., & Beck, A. Maladaptive cognitive structure in depression.American Journal of Psychiatry 1978,135(5), 525–533.
Mahoney, M.Cognition and behavior modification. Cambridge, Massachusetts: Ballinger, 1974.
Mahoney, M. Reflections on the cognitive-learning trend in psychotherapy.American Psychologist 1977,32(1), 5–13.
Meichenbaum, D.Cognitive behavior modification. Morristown, New Jersey. General Learning Press, 1974.
Meichenbaum, D.Cognitive-behavior modification: An integrative approach. New York: Plenum, 1977.
Nelson, R., & Craighead, W. Selective recall of positive and negative feedback, self-control behaviors, and depression.Journal of Abnormal Psychology 1977,86 379–388.
Rotter, J.Social learning and clinical psychology. Englewood Cliffs, New Jersey: Prentice-Hall, 1954.
Rush, A., Beck, A., Kovacs, M., & Hollon, S. Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients.Cognitive Therapy and Research 1977,1 17–37.
Seligman, M.Helplessness. San Francisco: W. H. Freeman, 1975.
Shapiro, D.Neurotic styles. New York: Basic Books, 1965.
Thoresen, C., & Mahoney, M.Behavioral self-control. New York: Holt, Rinehart & Winston, 1974.
Wolpe, J.Psychotherapy by reciprocal inhibition. Stanford: Stanford University Press, 1958.
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Dunn, R.J. Cognitive modification with depression-prone psychiatric patients. Cogn Ther Res 3, 307–317 (1979). https://doi.org/10.1007/BF01185971
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DOI: https://doi.org/10.1007/BF01185971