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Book part
Publication date: 1 July 2013

Darren Good, Bauback Yeganeh and Robin Yeganeh

Traditional clinical psychological practices have often been adapted for the context of executive coaching. Cognitive behavioral therapy (CBT) in particular is the most…

Abstract

Traditional clinical psychological practices have often been adapted for the context of executive coaching. Cognitive behavioral therapy (CBT) in particular is the most scientifically supported psychological modality. CBT like other practices has been used in coaching as cognitive behavioral coaching but rarely discussed more explicitly for the executive population. Here, we offer a specific adaptation – cognitive behavioral executive coaching (CBEC) – and suggest that it presents a flexible structure that can meet the multiple agendas that are framed for executive coaching. Additionally, the core features of CBT and CBEC in particular satisfy the major needs of executives in coaching arrangements. We conclude by demonstrating a CBEC process model for coaching the high-performing executive.

Details

Research in Organizational Change and Development
Type: Book
ISBN: 978-1-78190-891-4

Article
Publication date: 1 June 2007

Paul Willner

Cognitive behavioural therapy (CBT) is being used increasingly with people with learning disabilities. The evidence base to support these developments comes from uncontrolled…

Abstract

Cognitive behavioural therapy (CBT) is being used increasingly with people with learning disabilities. The evidence base to support these developments comes from uncontrolled trials of CBT in a variety of psychological disorders and eight to nine controlled trials of CBT for anger (plus a single controlled study in depression). This paper reviews the evidence for the effectiveness of group‐based anger management and the acquisition of anger coping skills, and the effectiveness of individual anger treatment, with some discussion of the status of CBT for other indications and the difficulties of conducting outcome research in this area.

Details

Advances in Mental Health and Learning Disabilities, vol. 1 no. 2
Type: Research Article
ISSN: 1753-0180

Keywords

Article
Publication date: 22 June 2012

Philip Hyland and Daniel Boduszek

The field of cognitive-behavioural therapy contains many different theoretical models of psychopathology, with each discipline ascribing greater emphasis to a particular cognitive

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Abstract

Purpose

The field of cognitive-behavioural therapy contains many different theoretical models of psychopathology, with each discipline ascribing greater emphasis to a particular cognitive process or organisation of beliefs. This paper seeks to propose a method of integrating the two most widely practiced and researched schools of CBT; Beck ' s cognitive therapy (CT) and Ellis ' s rational emotive behaviour therapy (REBT).

Design/methodology/approach

Although there exist a large degree of similarity between the two therapeutic approaches, the two models do differ in relation to their respective hypothesises regarding the core psychological variable in psychopathology. Cognitive theory hypothesises that negative representational beliefs are of central importance whereas rational emotive behaviour theory hypothesises that negative evaluative demands lie at the core of psychological disturbance. This paper evaluates these competing predictions on the basis of the available empirical literature.

Results

The empirical literature provides greater support for the organisation and interrelations of the irrational beliefs proposed by REBT theory over CT theory, however the research data clearly indicate the importance of the cognitive variables stressed by CT theory in the pathogenesis of psychological distress. Based on the available evidence an integrated CBT model which incorporates elements of both CT and REBT theory is presented. It is proposed that this integrated model can serve as the stepping-stone toward a larger, single, coherent CBT model of psychopathology.

Research limitations/implications

Few empirical studies have directly compared the competing predictions of CT and REBT theory. If future research supports the findings presented in this paper, the proposed model can serve as a template for the development of a unified, general-CBT theory of psychopathology.

Practical implications

The integrated model presented in this paper can serve as a guiding theoretical model for therapeutic practice which takes into account therapeutic methods from both CT and REBT.

Originality/value

This paper proposes the first theoretical model which incorporates the competing theoretical conceptualizations of psychological distress from the two main schools of CBT.

Article
Publication date: 1 June 2007

Stephen Oathamshaw

This case study describes an attempt to use cognitive behavioural therapy (CBT) to treat anger problems in a young man with mild learning disabilities. The skills necessary to…

245

Abstract

This case study describes an attempt to use cognitive behavioural therapy (CBT) to treat anger problems in a young man with mild learning disabilities. The skills necessary to engage in CBT were assessed in addition to an assessment of support available, motivation to engage in therapy and belief in ability to make changes. Despite this assessment environmental factors undermined the therapy, which was not completed. Some of the difficulties and dilemmas involved in delivering CBT in ‘ordinary’ community services are discussed, concluding with learning points for consideration by other practitioners.

Details

Advances in Mental Health and Learning Disabilities, vol. 1 no. 2
Type: Research Article
ISSN: 1753-0180

Keywords

Article
Publication date: 2 September 2014

Osamu Kobori, Michiko Nakazato, Naoki Yoshinaga, Tetsuya Shiraishi, Kota Takaoka, Akiko Nakagawa, Masaomi Iyo and Eiji Shimizu

The purpose of this paper is to discuss the implementation and evaluation of a cognitive behavioral therapy (CBT) training course for clinicians in Chiba, the sixth-largest…

Abstract

Purpose

The purpose of this paper is to discuss the implementation and evaluation of a cognitive behavioral therapy (CBT) training course for clinicians in Chiba, the sixth-largest province in Japan.

Design/methodology/approach

Individual CBT for obsessive-compulsive disorder, bulimia nervosa, or social anxiety disorder was delivered by trainees of the Chiba CBT training course in a single study design.

Findings

The results demonstrated that individual CBT delivered by trainees led to statistically significant reductions in symptom severity for all three disorders. Feedback from the trainees indicated that the training course achieved its aims.

Research limitations/implications

Barriers to the dissemination of CBT in Japan such as opportunities for training and possible solutions are discussed.

Originality/value

This paper evaluates the Chiba CBT training course, which is a Japanese adaptation of the UK Improving Access to Psychological Therapies Project and the first post-qualification CBT training course in Japan.

Details

The Journal of Mental Health Training, Education and Practice, vol. 9 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 2 September 2021

Nicola Walker, Madeleine Vernon-Smith and Michael Townend

No current psychotherapeutic intervention is designed to enhance job retention in employees with moderate–severe recurrent depression. The aim of this study is to test the…

Abstract

Purpose

No current psychotherapeutic intervention is designed to enhance job retention in employees with moderate–severe recurrent depression. The aim of this study is to test the feasibility of a new, interdisciplinary work-focused relational group cognitive behavioural therapy (CBT) treatment programme for moderate–severe depression.

Design/methodology/approach

The programme was based on a theoretical integration of occupational stress, psychological, social/interpersonal and bio-medical theories. It consisted of up to four 1:1 psychotherapy sessions; 12 work-focused, full-day, weekly CBT sessions facilitated by a cognitive behavioural therapist and occupational therapist; and up to four optional 1:1 sessions with an occupational therapist. Depression severity (primary outcome) and a range of secondary outcomes were assessed before (first CBT session) and after (twelfth CBT session) therapy using validated instruments.

Findings

Eight women (26–49 years) with moderate–severe depression participated. Five were on antidepressant medication. While there was no statistically significant change in Hamilton Depression Rating Scale depression scores after therapy (n = 5; p = 0.313), Beck Depression Inventory-II depression scores significantly decreased after therapy (n = 8; –20.0 median change, p = 0.016; 6/8 responses, 7/8 minimal clinically important differences, two remissions). There were significant improvements in the secondary outcomes of overall psychological distress, coping self-efficacy, health-related quality of life and interpersonal difficulties after therapy. All clients in work at the start of therapy remained in work at the end of therapy. The intervention was safe and had 100% retention.

Research limitations/implications

A major limitation was recruitment shortfall, resulting in a small sample of middle-aged women, which reduces representativeness and increases the possibility of methodological weaknesses in terms of the statistical analysis. A definitive trial would need much larger samples to improve statistical power and increase confidence in the findings. Another major limitation was that two of the authors were involved in delivering the intervention such that its generalisability is uncertain.

Practical implications

This novel programme was evaluated and implemented in the real world of clinical practice. It showed promising immediate positive outcomes in terms of depressive symptoms, interpersonal difficulties and job retention that warrant further exploration in a longer-term definitive study.

Social implications

Empirical studies focused on enhancing job retention in employees with moderate–severe recurrent depression are lacking, so this study was highly relevant to a potentially marginalised community.

Originality/value

While limited by a recruitment shortfall, missing data and client heterogeneity, this study showed promising immediate positive outcomes for the new programme in terms of depressive symptoms, interpersonal difficulties and job retention that warrant exploration in a definitive study.

Details

Mental Health Review Journal, vol. 26 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 3 September 2012

Lia Ahonen and Jürgen Degner

This article aims to analyze and discuss the role of moral development in treatment of behavior problems and, further, to describe differences and similarities between two…

Abstract

Purpose

This article aims to analyze and discuss the role of moral development in treatment of behavior problems and, further, to describe differences and similarities between two different methods – milieu therapy (MT) and cognitive behavioral therapy (CBT) – in terms of addressing criminogenic needs and promoting moral development.

Design/methodology/approach

By performing a literature review, the study shows that even though there are both pros and cons using MT and CBT in institutional care, relationships strong enough to restructure a young person's moral reasoning require time, and involves not only the young person's parents and social network members, but also a genuine therapeutic alliance with clinical staff at the institution.

Findings

These are central factors articulated in both CBT and MT, but are more explicitly expressed in MT. The results presented in this article highlight some important practical implications: in order to redevelop moral self and societal values, an overly narrow focus on criminogenic needs might exclude other components or processes of treatment and behavioral change. Together with a treatment program that views close staff‐resident interactions as of secondary importance, this could impair the possibility to obtain positive and long‐lasting treatment results.

Originality/value

In practice, moral development itself should be considered as an overall treatment goal, integrated into the daily life at the institution, 24 hours a day. Finally, the possibility to work with moral development in institutional settings is discussed.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 33 no. 1
Type: Research Article
ISSN: 0964-1866

Keywords

Article
Publication date: 21 June 2013

James Binnie and Sarah Blainey

There is a large and increasing evidence base for cognitive behavioural therapy (CBT) for the amelioration of common mental health difficulties. In children and young people with…

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Abstract

Purpose

There is a large and increasing evidence base for cognitive behavioural therapy (CBT) for the amelioration of common mental health difficulties. In children and young people with autism, there is some evidence that CBT can be effective; however, it is unclear whether this also applies to adults with autistic spectrum disorders (ASDs). This review aimed to evaluate the evidence for the use of CBT with adults with ASDs in relation to reducing comorbid psychiatric symptoms and increasing social and communication skills.

Design/methodology/approach

A systematic search was conducted to identify best evidence. Comparison to predetermined inclusion and exclusion criteria identified seven relevant studies; these were subsequently critically appraised.

Findings

The results of the appraisal were mixed with no definitive evidence supporting the review question.

Practical implications

Basing assumptions on best evidence, it is suggested that CBT can help adults with ASDs decrease comorbid psychiatric symptomatology. However, there is little evidence that CBT can increase social and communicative functioning. The review concludes that there is a need for increased quantitative research in this area so that more substantial conclusions can be made.

Originality/value

This paper summarises the available evidence in relation to CBT for adults with ASD; most previous review papers have focused on children and young people. Future research directions are suggested.

Details

Mental Health Review Journal, vol. 18 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 24 August 2018

James Binnie and Marcantonio Spada

The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice.

Abstract

Purpose

The purpose of this paper is to critique the current manner in which cognitive behavioural therapy (CBT) is delivered, with a focus on the impact of evidence-based practice.

Design/methodology/approach

This paper is based upon the experiences, ideas and clinical practice of the authors.

Findings

The reductionist approach based on psychiatric diagnosis is put forward as the mechanism by which CBT has gradually lost its status as a form of psychotherapy.

Originality/value

An alternative framework based on revitalising CBT as a client centred, problem-based and formulation driven form of therapy is put forward.

Details

Mental Health Review Journal, vol. 23 no. 4
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 1 September 2008

M Ferriter, E Kaltenthaler, G Parry and C Beverley

Phobias and panic disorder are commonly treated within primary care settings. Cognitive behavioural therapy (CBT) is a recommended treatment for these disorders but access is…

Abstract

Phobias and panic disorder are commonly treated within primary care settings. Cognitive behavioural therapy (CBT) is a recommended treatment for these disorders but access is limited due to too few therapists, expense and patients' reluctance to enter therapy. Computerised CBT (CCBT) is a self‐help option designed to offer patients the potential benefits of CBT with less therapist involvement. The review described here sought to identify studies evaluating the effectiveness of CCBT for phobias and panic disorders.

Details

Mental Health Review Journal, vol. 13 no. 3
Type: Research Article
ISSN: 1361-9322

Keywords

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