The Concept Of Cognitive Behavioral Therapy

We have always wondered why things happen. Without getting an accurate answer from this. For this reason, many of the specialists in psychology in years ago, tried to create techniques and methods to understand the behavior of the human being, and it was through observations and experiments that they were able to give an answer as to why this behavior. There are a lot of self-help books that are easily available that contain behavioral strategies or solutions for some behavior disorders, but it is important to remember that their authors are selling books. Quick solutions for deep-rooted problems there is rarely such a solution. The behavior can be controlled, but it is still an emotional problem, which requires constant vigilance. There is a high rate of recidivism among individuals who simply try to subdue or control behavior by force since these interventions do not satisfy the underlying emotional needs of the impulses. It's like feeling stuck in struggles with unmet emotional needs, and they always win. Analytically, the cognitive therapy can be very useful, because it is about the access and the understanding of the emotional needs that lead to disconcerting symptomatic behavior. When our inner world of shopping is decoded and understood, it will find itself in a position to learn from its behavior and not simply to repeat it. We will analyze some therapies that psychologists use in different areas.

This therapy is a combination of the behavioral approach (human behavior), and the cognitive approach, which is being, how each human being understands the world around them, according to their experiences, beliefs, prejudices and mental states. For this reason, the cognitive behavioral model emphasizes the role of "meditation on learning" and especially the cognitive processes that influence behavior. Its purpose is to appreciate that a previous learning is currently producing maladaptive consequences in the subject and that its purpose is to reduce unwanted behavior, shedding what has been learned, providing the subject with more adaptive new experiences.

At the level of the theory, it was Albert Bandura who, in a visionary position, began to emphasize the processes of self-regulation and cognitive representation. On the clinical level, therapists like Ellis and Beck made contributions. Being Albert Ellis, who dared to develop a therapy that proposes to the patient to modify their negative and harmful emotions by new healthier behaviors? This therapy focuses on modifying behaviors and thoughts, rather than giving the patient the opportunity to simply download their feelings. It is oriented towards the present, the current operation is investigated and there are no major explorations of the past. The emphasis is more on the "What do I have to do to change" than on the "Why”. The therapist-patient relationship is collaborative and the approach is didactic. Patient and therapist are committed to work with a common goal.

It tends to promote patient independence. Since this type of therapy seeks to achieve independent functioning, it emphasizes learning, behavior modification, self-help tasks and intercession skills training. It is focused on the symptoms and their resolution. The goal of therapy is to increase or reduce specific behaviors, for example certain feelings, thoughts or dysfunctional interactions. They define specific objectives to be achieved and in this way it is much easier to evaluate or modify the specific symptoms and clearly know what you want to obtain or where the therapy is aimed. Rejects the principle of symptom substitution. Use treatment plans. Generally, the therapy uses specific treatment plans for each problem, has an empirical basis and works with the active participation of the patient. Classical conditioning. The association or pairing of an unconditioned stimulus with a neutral stimulus causes the subject to subsequently respond to the neutral stimulus with the response that it emitted before the unconditioned stimulus. Generally, the answers learned are glandular or smooth fiber muscles and the subject lives them as involuntary. Operant conditioning. -Emphasizes the consequences of behavior. The behavior is acquired or reduced, it’s issued in some circumstances but not in others, through reinforcement, extinction, punishment and other learning processes.

Observational learning. It can lead both to the acquisition and the elimination of behavioral problems. For observational learning to occur, a series of complex processes must take place. Bandura and others conceive the process of learning by observation as something more than a mere imitation of behavior.

Cognitive therapy or cognitive behavioral therapy is a form of psychotherapeutic intervention in which cognitive restructuring, the promotion of a collaborative therapeutic alliance and associated behavioral and emotional methods through a structured framework stand out prominently. His working hypothesis is that thought patterns, called cognitive distortions, have adverse effects on emotions and behavior and that, therefore, restructuring, through psych educational interventions and continuous practice, can improve the status of the consultant.

Behavioral Cognitive Therapy is a scientific approach. This means that both the theories on which it is nurtured and the technical procedures it applies have received empirical endorsements in rigorously controlled investigations. So we know which procedures are effective for a problem and which are not. As a reminder and illustration, let's cite some well-established treatments.

  • If a patient who has a specific phobia, his problem will most likely be well addressed with Systematic Desensitization, Progressive Muscle Relaxation and Live Exposure.
  • If you have Obsessive Compulsive Disorder, Exposure and Prevention of Response is the indicated treatment.
  • If he suffers a panic attack, Psycho-education, Cognitive Restructuring, Self-Applied Muscle Relaxation, Attention Training, Exposure and Behavioral Experiments for cognitive change will be applied.
  • When the diagnosis is Depression, the Programming and Execution of Gradual Activities is suggested together with Restructuring.
  • In a Social Phobia, Training in Anxiety Management in Interpersonal Situations, Training in Social Skills and Cognitive Therapy will be used.
  • Tics or nervous habits are worked with operant conditioning procedures.
  • For certain sexual dysfunctions, Focused Sex Therapy (Masters and Jhonson) is the treatment of choice.


Let’s now go-ahead and conclude by mentioning that regardless of the type of the issue, it is important to pay attention to the fact that we need help either for emotional, family, or some kind of addictionIn general, therapies promote a global improvement in the management of emotions, which translates into benefits in other areas: work, social, health, interpersonal relationships. Frequently, the changes achieved increase self-confidence and the successful coping of other problems and stressors. The patient perceives that not only one or another behavior has changed, but the general style of perceiving and interpreting events.

18 May 2020
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