Why Not CBT? Against and For CBT Revisited
ISBN 9781 9 10919 34 7
This comprehensively revised and updated second edition of the 2008 classic Against and for CBT has lost none of its passion or power. Those ‘against’ argue that CBT has been used by governments and health provider organisations to transform therapy into, at best, a quick-fix for stressed and unhappy workers (and workless), and, at worst, a form of neoliberal, state-sponsored thought reform.
Those ‘for’ CBT respond that to condemn it is to throw out an effective model that is liked by clients and has grown into compassion and meditative wisdom in its more recent modifications.
For many of the contributors, the way forward lies in mutual respect between proponents of their respective modalities, and realisation that the therapy profession can only lose by engaging in these internal schisms. No single model can do everything for everyone: CBT is not the only game in town.
Forewords Andrew Samuels and Stephen Palmer
Introduction to the second edition Del Loewenthal and Gillian Proctor
Introduction to the first edition: an exploration of the criticisms of CBT Richard House and Del Loewenthal
POLITICAL AND CULTURAL PERSPECTIVES
1 CBT’s integration into societal networks of power -Michael Guilfoyle
2 CBT: the obscuring of power in the name of science - Gillian Proctor
3 Happiness: CBT and the Layard thesis - David Pilgrim
4 L’Anti-Livre Noir de la Psychanalyse: CBT from a French/Lacanian perspective - Robert Snell
5 CBT is the method: the object is to change the heart and soul - Paul Kelly and Paul Moloney
6 The social construction of CBT - Jay Watts
7 Behaviour therapy and the ideology of modernity - Robert L Woolfolk and Frank C Richardson
8 CBT: a historico-cultural perspective - David Brazier
9 Cognitive behaviour therapy and evidence-based practice: past, present and future - John Lees
10 Cognitive therapy, Cartesianism, and the moral order - Patrick Bracken and Philip Thomas
11 Psychoanalysis and cognitive behaviour therapy: rival paradigms or common ground? Jane Milton
12 Person-centred therapy – a cognitive and behavioural therapy - Keith Tudor
13 Cognitive behaviour therapy: from rationalism to constructivism? - David A Winter
14 Post-existentialism as a reaction to CBT? - Del Loewenthal
15 Considering the dialogic potentials of cognitive therapy - Tom Strong, Mishka Lysack, Olga Sutherland and Konstantinos Chondros
EPISTEMOLOGICAL AND RESEARCH PERSPECTIVES
16 Thinking thoughtfully about cognitive behaviour therapy - John D Kaye
17 CBT and empirically validated therapies: infiltrating codes of ethics - Christy Bryceland and Henderikus J Stam
18 Empirically supported/validated treatments as modernist ideology, part 1: the dodo, manualisation and the paradigm question - Arthur C Bohart and Richard House
19 Empirically supported/validated treatments as modernist ideology, part 2: alternative perspectives on research and practice - Richard House and Arthur C Bohart
20 Where is the magic in cognitive therapy? A philo/psychological investigation - Fred Newman
CBT PERSPECTIVES AND RESPONSES
21 What is CBT really and how can we enhance the impact of effective psychotherapies such as CBT? - Warren Mansell
22 The case for CBT: a practical perspective from the NHS frontline - Isabel Clarke
23 A response to the chapters in Why Not CBT? - Adrian Hemmings
Conclusion to the first edition: contesting therapy paradigms about what it means to be human Del Loewenthal and Richard House
Conclusion to the second edition: no single therapy should be the only game in town Del Loewenthal and Gillian Proctor
I went to an excellent workshop a few years ago led by Professor Aaron Beck. Talking therapies balance relationship and structure: too much structure can lose the individual; too little structure perhaps misses out on helping people learn effective ways of changing; Without relationship, no amount of structure – whether evidence based or not – will help. There is often too much criticism in our wider society. We can see the ‘opponent’ not the person – or practitioner. It’s good to ask questions of each other. CBT emphasises Socratic questions – powerful questions that aid understanding. As someone who loves questions, I welcome this book for its varied and challenging perspectives. None of us should be afraid to stop, think and reflect on our ways of working. I hope that these different perspectives lead to reflection and improved understanding across therapies. Perhaps achieving balances between relationship and structure points to a way forward.
Professor Chris Williams, MBChB, BSc, MMedSc, MD, FRCPsych, President of the British Association for Behavioural and Cognitive Psychotherapies
Perhaps there is no discussion where the fault line between modernity and what’s next is more starkly revealed than in the ongoing debate between promoters of CBT and those who champion humanistic, person-centered and meaning-focused psychotherapies. I can think of no other single book that gives practitioners of any persuasion a compass by which to navigate the liquid cultural moment.
Maureen O’Hara PhD, Professor of Psychology, National University, US, and Director, International Futures Forum-US
This book provides an interesting range of viewpoints on the prevalence of CBT in the NHS today. The brief, protocol-driven IAPT curriculum training omits complex philosophical and theoretical CBT underpinnings. CBT is at great risk of being watered down to the point of disintegration. This book goes some way toward discussing the commercialisation of CBT at the cost of its integrity.
Rhena Branch, CBT practitioner/psychologist and co-author of The Cognitive Behavioural Counselling Primer (PCCS Books)
This book is a must-read for both those troubled by the basis of CBT’s dominance in the field of psychotherapy, and also those who are persuaded by the rhetoric put out by CBT’s supporters. The critique found in this collection of essays is broad ranging, deep and utterly convincing.
Farhad Dalal, psychotherapist and group analyst, and author of CBT: The Cognitive Behavioural Tsunami