Abstract
Cognitive–behavioral therapy (CBT) is one of the most popular intervention models used by social workers and other mental health professionals. CBT stems from two very distinct and unique theoretical paradigms with rich histories. Yet, in practice, the full potential of the model is not realized as behavioral theories are applied as secondary to cognitive theories. In this paper, we present a brief overview of the histories of both cognitive and behavioral theories, a summary of their explanatory and intervention theories, and describe how they have been merged to date to create an intervention model. We argue that if CBT truly acknowledged the contributions of behavioral theory, the social work perspective of the person in environment would be more closely represented by balancing the internal mental process of cognitive theory with the determining contingencies of the external environment central to behavioral theory.
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References
Alford, B. A., & Beck, A. T. (1997). The integrative power of cognitive therapy. New York, NY: Guilford.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York, NY: Guilford Press.
Beck, A., Ruch, A., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press.
Berlin, S. (2002a). Clinical social work practice: A cognitive-integrative perspective. New York, NY: Oxford University Press.
Berlin, S. (2002b). Remembering the self and social sources of information. Clinical social work practice: A cognitive-integrative perspective (pp. 94–174). New York, NY: Oxford University Press.
Bledsoe, S. E., Weissman, M. M., Mullen, E. J., Ponniah, K., Gameroff, M. J., Verdeli, H., et al. (2007). Empirically supported psychotherapies in social work training programs: Does the definition of evidence matter? Research on Social Work Practice, 17, 449–455.
Corcoran, J. (2008). Cognitive–behavioral methods for social workers: A workbook. New York, NY: Pearson.
Ellis, A. (1995). Changing rational-emotive therapy (RET) to rational emotive behavior therapy (REBT). Journal of Rational Emotive & Cognitive-Behavior Therapy, 13(2), 85–89.
Ellis, A., & Dryden, W. (1997). The practice of Rational Emotive Behavioral Therapy (2nd ed.). New York, NY: Springer.
Gambrill, E. (1995). Behavioral social work: Past, present and future. Research on Social Work Practice, 5, 460–484.
Gambrill, E. (2004). Concepts and methods of behavioral treatment. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 32–62). Pacific Grove, CA: Brooks/Cole Publishing Company.
Guba, E., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 105–117). Newbury Park, CA: Sage.
Hayes, S. C., & Strosahl, K. D. (2011). Acceptance and commitment therapy (2nd ed.). New York, NY: Guilford Press.
Hofmann, S. G., & Asmundson, G. J. G. (2008). Acceptance and mindfulness-based therapy: New wave or old hat? Clinical Psychology Review, 28, 1–6.
Linehan, M. (1993). Cognitive–behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
Lyddon, W. (1995). Cognitive therapy and theories of knowing: A social constructionist view. Journal of Counseling & Development, 73, 579–585.
Mahoney, M. J. (1974). Cognition and behavior modification. Cambridge, MA: Ballinger.
Nurius, P., & Macy, R. J. (2008). Cognitive–behavioral theory. In B. Thyer (Ed.), Comprehensive handbook of social work and social welfare: Human behavior in the social environment (pp. 101–134). Hoboken, NJ: Wiley.
Pavlov, I. P. (1927). Conditioned reflexes. New York, NY: Live-right.
Popper, K. (1985). The problem of induction (1953, 1974). In D. Miller (Ed.), Popper selections (pp. 101–117). Princeton, NJ: Princeton University Press.
Ronen, T. (2007). Clinical social work and its commonalities with cognitive behavior therapy. In T. Ronen & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 3–24). New York, NY: Springer Publishing Company, LLC.
Segal, Z. V., Williams, J. M. G., & Teasdate, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.
Skinner, B. F. (1974). About behaviorism. New York, NY: Knopf.
Spiegler, M., & Guevremont, D. (2010). The process of behavior therapy. In Contemporary behavior therapy (pp. 47–76). Belmont, CA: Thompson/Wadsworth.
Stallard, P. (2002). Think good-feel good: A cognitive behavioral therapy workbook for children and young people. West Sussex, England: Wiley.
Stuart, R. B. (1974). Behavior modification: A technology of social change. In F. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (pp. 400–419). New York, NY: Free Press.
Thorndike, E. L. (1911). Animal intelligence: Experimental studies. New York, NY: Macmillan.
Thyer, B. (Ed.). (2008). Comprehensive handbook of social work and social welfare: Human behavior in the social environment. Hoboken, NJ: Wiley.
Tolson, E. R. (1988). The metamodel and clinical social work. New York, NY: Columbia University Press.
Wampold, B. E. (2010). The basics of psychotherapy: An introduction to theory and practice. Washington, DC: American Psychological Association.
Watson, J. B. (1913). Psychology as the behaviorist views it. Psychological Review, 20(2), 158–177.
Wright, J. H., Basco, M. R., & Thase, M. E. (2006). Learning cognitive–behavior therapy: An illustrated guide. Washington, DC: American Psychiatric Publishing Inc.
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Barbara Early and Melissa Grady declares that they have no conflict of interest.
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Early, B.P., Grady, M.D. Embracing the Contribution of Both Behavioral and Cognitive Theories to Cognitive Behavioral Therapy: Maximizing the Richness. Clin Soc Work J 45, 39–48 (2017). https://doi.org/10.1007/s10615-016-0590-5
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DOI: https://doi.org/10.1007/s10615-016-0590-5
Keywords
- Cognitive and behavioral theories
- CBT
- Clinical theory
- Clinical practice