By Ivy-Marie Blackburn
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Additional resources for Cognitive Therapy in Action
The case of depression is described by Ivy Blackburn, and that of obsessive–compulsive disorder by Vivien Twaddle. Ian James, clinical psychologist, has written the chapter on panic disorder, and collaborated with Ivy Blackburn on the chapter on personality disorder. Anne Garland, clinical nurse specialist in cognitive therapy, has contributed the chapters on bulimia nervosa and general anxiety disorder. The final chapter covers topics that are, strictly speaking, outside the scope of this book, but which are relevant to the ongoing development of cognitive therapy: that is, therapist training, some uncharted theoretical territory, the need for empirical validation of recent theoretical concepts, schematic measurement, and the mechanism of change.
But it would be an unfair reflection of the developments in the field to date constructivist models only to the last twenty years. Ellis (1990) has argued that even models like Rational–Emotive Therapy have never been truly rationalistic; and Beck’s model fits somewhere in the middle of the constructivist–rationalist continuum. Some aspects of Beck’s framework are clearly based on the rationalist conviction of a separate external world, for example, subjecting cognitions to logical analysis and behavioural experiments for hypothesis-testing.
1974b), Hibbert (1984), and Beck and Emery (1985) have described these themes in detail. They involve thoughts and, in particular, images of vulnerability, inadequacy, loss of control, social ridicule, disease, physical harm and death. Butler and Mathews (1983) found that anxious patients are more likely than non-anxious control subjects to interpret ambiguous situations as personally threatening and to overestimate the degree of subjective risk to themselves. They do not view the world as necessarily universally threatening but, rather, they tend to regard themselves as especially at risk.