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Cognitive Therapy

Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
Rational Emotive Behavior Therapy01:24

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An algorithm for determining use of trauma-focused cognitive-behavioral therapy.

Jason M Lang1, Julian D Ford, Monica M Fitzgerald

  • 1Department of Psychiatry, University of Connecticut Health Center, West Hartford, CT 06119, USA. jalang@uchc.edu

Psychotherapy (Chicago, Ill.)
|January 5, 2011
PubMed
Summary

Developing clinical decision tools is crucial for matching complex clients with evidence-based practices like trauma-focused cognitive-behavioral therapy (TF-CBT). This review informs an algorithm to guide TF-CBT suitability for children with trauma.

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Area of Science:

  • Clinical Psychology
  • Child Psychiatry
  • Evidence-Based Practices

Background:

  • Dissemination of evidence-based practices (EBPs) raises questions about client suitability, especially for complex cases in community settings.
  • Existing research-based tools for clinical decision-making in treatment selection are limited.
  • Trauma-focused cognitive-behavioral therapy (TF-CBT) is an established EBP for children's posttraumatic stress reactions.

Purpose of the Study:

  • To review the research on TF-CBT to inform the development of a clinical decision-making algorithm.
  • To assist clinicians in determining client appropriateness for TF-CBT.
  • To guide the matching of EBPs to specific child clients.

Main Methods:

  • Systematic review of research on trauma-focused cognitive-behavioral therapy (TF-CBT).
  • Analysis of TF-CBT's target population and efficacy.
  • Identification of factors influencing treatment suitability.

Main Results:

  • Limited research-based tools currently exist to guide clinical decisions for complex clients.
  • TF-CBT has a defined evidence base for specific child populations.
  • Key factors for TF-CBT appropriateness were identified.

Conclusions:

  • An algorithm can aid clinicians in matching children to TF-CBT.
  • Further research is needed to refine matching algorithms for TF-CBT and other EBPs.
  • Improved matching enhances the effective dissemination of EBPs for child trauma.