Abstract
Cognitive therapy procedures involve the self-monitoring of thoughts and assumptions, logical analysis in which dysfunctional thoughts are disputed through logical argument, and hypothesis testing in which negative assumptions are challenged through real-world experiments aimed at testing their veracity (Jarrett & Nelson, 1987). Problem solving may constitute a little-recognized fourth component of cognitive therapy, one that is repeatedly mentioned in both the treatment manual (called “the manual”) (Beck, Rush, Shaw, & Emery, 1979) and more recent works (DeRubeis & Beck, 1988). According to Beck et al. (1979), “external,” “situational,” or “practical” problems or “precipitants” related to depression usually involve perceived losses at home, work, or school such as divorce or a business failure. The resolution of even simple and circumscribed problems—through consultation with either the therapist or an appropriate “medical, legal, financial, or vocational” expert—can in itself alleviate depressive symptoms (Beck et al., 1979). For example, the manual describes the case of a beleaguered homemaker whose “symptoms quickly disappeared” (p. 204) once she secured help with household chores.
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Suggested Readings
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Frisch, M.B. (1992). Use of the Quality of Life Inventory in Problem Assessment and Treatment Planning for Cognitive Therapy of Depression. In: Freeman, A., Dattilio, F.M. (eds) Comprehensive Casebook of Cognitive Therapy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9777-0_3
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