Garson Leder
Albany Medical College
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.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1007/s13164-016-0308-1
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

 PhilArchive page | Other versions
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

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.

View all 11 references / Add more references

Citations of this work BETA

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

Add more citations

Similar books and articles

A Discussion On The Ten Major Congnitive Errors.Yue Lu - 1998 - Philosophy and Culture 25 (6):498-515.
An Integral Perspective on Depression.Dinu S. Teodorescu - 2003 - International Journal of Transpersonal Studies 22 (1):100-119.
Cognitive Therapy With Couples. [REVIEW]Catherine Loomis & Geoffrey Thorpe - 1992 - Journal of Mind and Behavior 13 (4):413-416.


Added to PP index

Total views
586 ( #11,161 of 2,438,582 )

Recent downloads (6 months)
149 ( #3,845 of 2,438,582 )

How can I increase my downloads?


My notes