Cognitive therapy: Past, present, and future.

TLDR

Cognitive therapy has evolved over three decades, integrating theoretical formulations, clinical insights, and behavioral techniques, and has increasingly emphasized empirical testing. Outcome trials confirm cognitive therapy’s efficacy across common disorders, and the author concludes it meets the criteria of a coherent, testable psychotherapy system with supportive empirical data.

Abstract

Proponents of cognitive therapy have striven to establish this approach as a mature system of psychotherapy for over 3 decades. The theoretical formulations have been enriched by clinical extrapolations from the neopsychoanalysts and experimental findings from cognitive psychology. The therapeutic strategies and techniques have been refined as a result of interaction with behavior therapy, which also influenced the emphasis on empirical testing of the theoretical formulations and the therapeutic applications. Outcome trials have demonstrated efficacy in a number of common disorders. New emphasis on the crucial importance of specific formulations (especially dysfunctional beliefs) has provided important clues to the treatment of a large number of other disorders. I conclude that cognitive therapy has fulfilled the criteria of a system of psychotherapy by providing a coherent, testable theory of personality, psychopathology, and therapeutic change; a teachable, testable set of therapeutic principles, strategies, and techniques that articulate with the theory; and a body of clinical and empirical data that support the theory and the efficacy of the theory.