Authors
Garson Leder
Albany Medical College
Abstract
Cognitive Behavioral Therapy has become the dominant form of psychotherapy in North America. The CBT model is theoretically based on the idea that all external and internal stimuli are filtered through meaning-making, consciously accessible cognitive schemas. The goal of CBT is to identify dysfunctional or maladaptive thoughts and beliefs, and replace them with more adaptive cognitive interpretations. While CBT is clearly effective as a treatment, there is good reason to be skeptical that its efficacy is due to the causal mechanisms posited by the CBT model. This paper will argue that the specific cognitive schemas posited by the CBT model likely do not play a direct role in the development or treatment of psychological illness. Cognitive schemas, as identified in CBT interventions, are likely to be the result of patient confabulation and epistemically under-supported practitioner-based identification. CBT interventions appear to impose coherence on patients’ psychological states, rather than identifying and modifying preexistent causally efficacious core beliefs.
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DOI 10.1007/s13164-016-0308-1
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References found in this work BETA

Thinking, Fast and Slow.Daniel Kahneman - 2011 - New York: Farrar, Straus & Giroux.
The Unreliability of Naive Introspection.Eric Schwitzgebel - 2006 - Philosophical Review 117 (2):245-273.

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Citations of this work BETA

Psychotherapy, Placebos, and Informed Consent.Garson Leder - 2021 - Journal of Medical Ethics 47 (7):444-447.

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