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Distinctive activities of cognitive–behavioral therapy
Abstract
The present review examined the comparative psychotherapy process literature in order to identify the distinctive activities of cognitive-behavioral (CB) treatment. Six techniques and interventions were found to distinguish CB from psychodynamic-interpersonal (PI) therapy: (1) use of homework and outside-of-session activities; (2) direction of session activity; (3) teaching of skills used by patients to cope with symptoms; (4) emphasis on patients' future experiences; (5) providing patients with information about their treatment, disorder, or symptoms; and (6) an intrapersonal/cognitive (C) focus. Identifying the distinctive features of CB therapy can improve the measurement of process-outcome correlations by more accurately specifying and operationalizing the treatment-specific processes of CB treatment, help researchers differentiate between common and treatment-specific factors, and aid in development of more psychometrically sound instruments assessing adherence and competence in CB therapy. In addition, this review can improve training of CB therapists by providing a guide for clinical practice.
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“whether treatments work through specific factors (eg, CBT change methods) or factors common to most psychotherapies (eg, therapeutic alliance) remains a core issue in the field.11,12”
From Quantifying the association between psychotherapy content and clinical outcomes using deep learning (2020) · cites this paper as [11]
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“Blagys and Hilsenroth (2002) conducted a review of the psychotherapy process literature and found that evaluating, challenging and modifying thoughts was one of the hallmarks that distinguished CBT practice from that of other therapies.”
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“…as increased attention to affect and emotion expression, identification of recurring themes or patterns, discussion of past experiences, and exploration of avoidance related to upsetting thoughts or feelings, interpersonal relationships, and fantasy life (Blagys & Hilsenroth, 2002; Shedler, 2010).”
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“Further, participation in CB therapy was positively and significantly associated with outcomes in both the short and long term, and this effect has been noted in treatment of other disorders as well (Blagys & Hilsenroth, 2002).”
BackgroundHilsenroth, M. J., Blagys, M. D., Ackerman, S. J., Bonge, D. R., & Blais, M. A. (2005) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/0033-3204.42.3.340 · Cited by 188
Self-citation
Metadata
- Authors
- Blagys, M. D., & Hilsenroth, M. J.
- Affiliations
- Harvard University (US)
- Adelphi University (US)
- Corresponding author
- Blagys, Matthew D.
- ORCID
- Hilsenroth, Mark J.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2002-06
- Volume
- 22
- Issue
- 5
- Pages
- 671-706
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1794000606
- Cited by
- 222
- References
- 81
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 8 · 2019: 5 · 2018: 12 · 2017: 10 · 2016: 17 · 2015: 15 · 2014: 11 · 2013: 17 · 2012: 17
- FWCI
- 4.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, therapeutic process, psychodynamic-interpersonal therapy, homework, skills training, cognitive focus, therapist adherence, therapist competence, psychotherapy training
- MeSH terms
- Adaptation, Psychological, Humans, Outcome and Process Assessment, Health Care, Personality Inventory, Professional-Patient Relations, Cognitive Behavioral Therapy, Critical Pathways
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