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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

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Reflections on the theory-practice gap in cognitive behavior therapy.

Hannah E Reese¹, Elizabeth Rosenfield, Sabine Wilhelm

¹Massachusetts General Hospital and Harvard Medical School.

Behavior Therapy

|October 8, 2013

Summary

This commentary discusses the significant gap between cognitive-behavior therapy (CBT) research and community practice. It also addresses the divergence of CBT techniques from their theoretical underpinnings.

Keywords:

cognitive behavioral therapy dissemination practice theory

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Area of Science:

Psychology
Psychiatry
Behavioral Science

Background:

A significant gap exists between empirically supported cognitive-behavior therapy (CBT) interventions and those utilized in community settings.
There is increasing concern regarding the disconnect between CBT procedures and their foundational theoretical frameworks.

Purpose of the Study:

To summarize and comment on key themes, issues, and future directions concerning the theory-practice gap in CBT.
To highlight the research-practice gap and the theory-procedure gap within CBT.

Main Methods:

Review and synthesis of papers within a special series on the theory-practice gap in CBT.
Commentary on contributors' themes, issues, and proposed future directions.

Main Results:

Identified a substantial research-practice gap in CBT, where community interventions deviate from evidence-based practices.
Highlighted a growing theory-procedure gap, indicating CBT techniques are becoming detached from their theoretical basis.

Conclusions:

The theory-practice gap in CBT manifests at multiple levels, impacting both research translation and procedural integrity.
Addressing these gaps is crucial for the effective and theoretically grounded application of CBT in clinical settings.