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Unread February 9th, 2005, 01:15 PM
JustBen JustBen is offline
Join Date: Jul 2004
Posts: 58
Default PET & CBT

The first item In the Clinical Digest section of this month's Psychotherapy Networker has a provocative title: Has Cognitive Therapy Peaked?

The article refers to a study published in the August '03 issue of the Journal of Consulting And Clinical Psychology that compares the effectiveness of Cognitive-Behavioral Therapy with Process-Experiental Therapy in the treatment of depression. As it turns out, both were very effective, but those receiving PET reported a greater improvement in regard to interpersonal difficulties than those in the CBT group. The authors of the study also point to the second Scheffield study (Shapiro, D. A., Barkham, M., Hardy, G. E. & Morrison, L. A. (1990). The second Sheffield Psychotherapy Project: Rationale, design, and preliminary outcome data. British Journal of Medical Psychology, 63, 97-108.) as an indication that CBT fared poorly in this interpersonal aspect when compared with exploratory therapy.

A couple of questions that may generate some discussion:
What was the general reaction to the PET/CBT article when it was first published back in 2003? (I'm so accustomed to seeing CBT at the top of the heap in these studies, I can't help but be curious as to what the reaction of the CBT community was to these findings.)

Do you think that CBT lacks "what it takes" to help people improve their interpersonal lives (at least as compared to other modalities)? If not, how do you explain these outcomes?

PET places a lot of emphais on "chairwork". I've read some articles about chairwork in CBT, but I wonder if any cognitive therapists out there are using it on a regular basis. If so, what do you use it for (i.e. is chairwork being adapted for CBT-specific uses like "disputation", or are CBT therapists adopting more traditional Gestalt-type usage)?
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