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Using values in cognitive and behavioral therapy: A bridge back to philosophy.
1Center for Research and Bioethics, Uppsala University, Uppsala, Sweden.
Journal of Evaluation in Clinical Practice
|May 25, 2023
Summary
Ancient philosophies significantly influence modern Cognitive Behavioral Therapy (CBT) and related therapies. Exploring values in CBT, Acceptance and Commitment Therapy (ACT), and Radically Open Dialectical Behavior Therapy (RO DBT) reveals their philosophical roots.
Area of Science:
- Clinical Psychology
- Philosophy of Mind
- Evidence-Based Mental Health Practices
Background:
- Cognitive Behavioral Therapy (CBT) development is historically linked to ancient therapeutic practices.
- Philosophical concepts like Socratic questioning and Stoicism's emphasis on emotional distance have informed CBT.
- Modern CBT integrates cognitive and emotional processing, utilizing techniques like mental imaging and acceptance strategies.
Purpose of the Study:
- To explore the role and conceptualization of values across CBT, Acceptance and Commitment Therapy (ACT), and Radically Open Dialectical Behavior Therapy (RO DBT).
- To clarify how values function as life-orienting principles within these therapeutic frameworks.
- To examine the renewed integration of philosophical skills and considerations within psychiatric treatment.
Main Methods:
- Exploration of the application of values in CBT, ACT, and RO DBT.
- Conceptual analysis of values as life-orienting principles.
- Review of the historical and contemporary relationship between psychotherapy and philosophical practices.
Main Results:
- Values are conceptualized as life-orienting principles and are integral to CBT, ACT, and RO DBT.
- CBT's evolution shows a resurgence of philosophical engagement, including dialectics and Socratic self-questioning.
- There is a growing consideration of philosophical health alongside psychological health, questioning their separation.
Conclusions:
- The integration of philosophical skills and values enriches modern psychotherapeutic practices.
- The study highlights the importance of philosophical underpinnings in evidence-based mental health treatments.
- There is a need to consider the implementation of philosophical skills within psychiatric treatment for broader populations.
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