Cognitive Behavioral therapy sets out to change behavior and thoughts, rather than give the patient the opportunity to simply download their feelings, unlike psychodynamic therapies which focus on unconscious thoughts and emphasize catharsis.
It is oriented toward the present, we investigate the current operation and no further exploration of the past, though of course it is a history and the emphasis is on current dysfunctional patterns of thinking and behavior, although recently some cognitive therapists, the emphasis of CBT is placed more on the “do I have to do to change” in the “Why”.
Many times, specifically to explore and learn what the reasons are for what happens to us is not enough to provide a solution and not enough to effect change. It uses short-term therapies.
Emphasis on quantification, and can measure the progress made since the first session is administered questionnaires and forms in which assesses specific symptoms, their frequency, duration, intensity and characteristics. This measurement is repeated periodically until the final session to get an idea of the change obtained.
The therapist-patient collaboration and the focus is teaching. Patient and therapist are committed to working towards a common goal. Patients can make suggestions and participate in the design of homework. In many cases, use of bibliotherapy, which involves the therapist to recommend or provide books, pamphlets or notes about the problem for the patient to report what happens.
It tends to promote patient independence. Since this therapy seeks to achieve independent operation, it emphasizes learning, behavior modification, self-help assignments and skills training intersession. In addition, it reinforces the independent behavior. It is focused on the symptoms and their resolution.
The goal of therapy is to increase or decrease specific behaviors, such as certain feelings, thoughts or dysfunctional interactions. The place to promote, define specific objectives to achieve and in this way is much easier to evaluate or modify specific symptoms and know clearly what you want to get or where to point the therapy. It rejects the principle of symptom substitution.
The false idea of substitution, released by the school psychodynamic, considering a symptom, a symptom considered as an economical solution, the only solution to an underlying neurotic process arise if you remove other is challenged by this methodology.
The goal of CBT is to eliminate, or at least reduce the symptoms, and suggests that if they disappear, for instance, for example, panic symptoms, immediately there will also be an improvement in other areas, without other symptoms that replaced. It emphasizes the change.
Patient is asked to practice new behaviors and cognitions in the sessions, and generalize them out as part of the task. It challenges the patient’s position, behaviors and beliefs. Actively confronts him with the idea that there are alternatives for your thoughts and habitual patterns of conduct, promotes the self-questioning. It focuses on solving problems.
At the beginning of each session the therapist asks about problems in the patient focused its work and what needs to solve at that time. At the end of the session, asked whether he had made some progress on this. Use treatment plans. Generally, the therapy uses specific treatment plans for each problem, using a format not “unique” to the various consultations.
It proposes a thematic continuity between sessions. Each session will review the tasks set for the week before, we study what the current problem and activities are planned for next week. It demystifies therapy.
The treatment plan and therapeutic process removed the “veil of mystery” that covers almost all the psychotherapies, by allowing the patient free access to information through theoretical or methodological bibliotherapy. It has an empirical basis and works with the active participation of the patient. The cognitive-behavioral theory has been extensively tested for its effectiveness in treating a variety of disorders.