Role of Emotion in Cognitive‐Behavior Therapy

In this article, we suggest that the long-term effectiveness of cognitive-behavior therapy (CBT) may be enhanced by going beyond symptoms at the cognitive level (i.e., intellectual meanings) and expanding therapeutic focus to the underlying, implicit emotional meanings. Following a discussion of the state-of-the-art view on emotion in CBT, we present empirical, theoretical, and clinical evidence from cognitive science, experimental psychology, and cognitive neuroscience pointing to the distinction between cognitive and emotional domains of information processing. We discuss the role of affective processes in reorganizing emotional meanings and consider how CBT therapists can use in-session emotional processing to facilitate clinical change.

[1]  S. Hollon,et al.  6 – Cognitive Therapy of Depression1 , 1979 .

[2]  Joseph E. LeDoux,et al.  Emotional memory systems in the brain , 1993, Behavioural Brain Research.

[3]  R. Clyman The procedural organization of emotions A contribution from cognitive science to the psychoanalytic theory of therapeutic action , 1991 .

[4]  Patricia A. Resick,et al.  6 – Cognitive-Behavioral Treatment of Posttraumatic Stress Disorder , 1998 .

[5]  Philip J. Barnard,et al.  Affect, Cognition and Change: Re-Modelling Depressive Thought , 1993 .

[6]  Joseph E LeDoux Fear and the brain: where have we been, and where are we going? , 1998, Biological Psychiatry.

[7]  Joseph E LeDoux Emotion: clues from the brain. , 1995, Annual review of psychology.

[8]  J. Teasdale,et al.  The effects of reducing frequency of negative thoughts on the mood of depressed patients-tests of a cognitive model of depression. , 1978, The British journal of social and clinical psychology.

[9]  B. Skinner,et al.  Science and human behavior , 1953 .

[10]  W. J. Lyddon Cognitive Therapy for Personality Disorders: A Schema-Focused Approach , 1992, Journal of Cognitive Psychotherapy.

[11]  Walter B. Weimer Psycholinguistics and Plato's paradoxes of the Meno. , 1973 .

[12]  A. Paivio Dual coding theory: Retrospect and current status. , 1991 .

[13]  M. Bradley,et al.  Lateralized startle probes in the study of emotion. , 1996, Psychophysiology.

[14]  M. Kozak,et al.  Clinical applications of bioinformational theory: Understanding anxiety and its treatment * , 1998 .

[15]  D. L. Hager Chaos and growth. , 1992 .

[16]  Leslie S. Greenberg,et al.  Facilitating Emotional Change: The Moment-by-Moment Process , 1995 .

[17]  J. Strauss,et al.  Dynamic systems theory as a paradigm for the study of change in psychotherapy: an application to cognitive therapy for depression , 1998 .

[18]  G. Bower Mood and memory. , 1981, The American psychologist.

[19]  J. Teasdale Emotion and two kinds of meaning: cognitive therapy and applied cognitive science. , 1993, Behaviour research and therapy.

[20]  M. Polanyi Chapter 7 – The Tacit Dimension , 1997 .

[21]  David J. A. Edwards Cognitive therapy and the restructuring of early memories through guided imagery , 1990 .

[22]  John B. Watson,et al.  Psychology: From the standpoint of a behaviorist (2nd ed.). , 1924 .

[23]  M. Goldfried,et al.  Comparative study of emotional experiencing in psychodynamic-interpersonal and cognitive-behavioral therapies. , 1993, Journal of consulting and clinical psychology.

[24]  A. Tversky,et al.  On the psychology of prediction , 1973 .

[25]  The expression of anger in psychotherapy for depression: Its role and measurement , 1991 .

[26]  S. Paradiso The Emotional Brain: The Mysterious Underpinnings of Emotional Life , 1998 .

[27]  S. Rachman,et al.  Emotional processing. , 1980, Behaviour research and therapy.

[28]  J. Singer,et al.  Cognitive, social, and physiological determinants of emotional state. , 1962, Psychological review.

[29]  R. Dolan,et al.  Conscious and unconscious emotional learning in the human amygdala , 1998, Nature.

[30]  A. Tversky,et al.  Extensional versus intuitive reasoning: the conjunction fallacy in probability judgment , 1983 .

[31]  L. Greenberg,et al.  Emotion in Psychotherapy , 1986, Journal of Cognitive Psychotherapy.

[32]  P. Salovey Independent Emotions and Consciousness: Self-Consciousness and Dependent Emotions , 1999 .

[33]  M. Mahoney,et al.  Psychotherapy and the Structure of Personal Revolutions , 1980 .

[34]  L. Greenberg,et al.  Resolving "unfinished business": efficacy of experiential therapy using empty-chair dialogue. , 1995, Journal of consulting and clinical psychology.

[35]  K. Dobson,et al.  Cognitive therapy of depression: pretreatment patient predictors of outcome. , 2002, Clinical psychology review.

[36]  L. Greenberg,et al.  Integrating affect and cognition: A perspective on the process of therapeutic change , 1984, Cognitive Therapy and Research.

[37]  M. Goldfried Anxiety Reduction through Cognitive-Behavioral Intervention , 1979 .

[38]  Richard S. Lazarus,et al.  Emotions and adaptation: Conceptual and empirical relations. , 1968 .

[39]  E. Tulving How many memory systems are there , 1985 .

[40]  R. Zajonc Feeling and thinking : Preferences need no inferences , 1980 .

[41]  W. Agras,et al.  The Role of Emotion in Group Cognitive-Behavioral Therapy for Binge Eating Disorder: When Things Have to Feel Worse Before They Get Better , 1998 .

[42]  Eric Rayner Feeling and thinking , 1995 .

[43]  M. Kozak,et al.  Emotional processing of fear: exposure to corrective information. , 1986, Psychological bulletin.

[44]  Evon M. O. Abu-Taieh,et al.  Comparative Study , 2020, Definitions.

[45]  Emotional imagery and the differential diagnosis of anxiety. , 1989, Journal of consulting and clinical psychology.

[46]  M. Goldfried Application of Rational Restructuring to Anxiety Disorders , 1988 .

[47]  S. Epstein Integration of the cognitive and the psychodynamic unconscious. , 1994, The American psychologist.

[48]  M. Mahoney,et al.  Human Change Processes: The Scientific Foundations of Psychotherapy , 1991 .

[49]  M. Bradley,et al.  Measuring emotion in therapy: Imagery, activation, and feeling , 1998 .

[50]  H. Rachlin Behavior and learning , 1976 .

[51]  Leslie S. Greenberg,et al.  Emotion in psychotherapy: Affect, cognition, and the process of change. , 1987 .

[52]  H. Leventhal,et al.  A Perceptual-Motor Processing Model of Emotion , 1979 .

[53]  J. Teasdale,et al.  Differential effects of induced mood on retrieval of pleasant and unpleasant events from episodic memory. , 1979, Journal of abnormal psychology.

[54]  J. Teasdale,et al.  Diurnal variation in clinical depression and accessibility of memories of positive and negative experiences. , 1982, Journal of abnormal psychology.

[55]  S. Fleming,et al.  The Application of Cognitive Therapy to the Bereaved , 1991 .

[56]  G. Wilson Psychotherapy process and procedure: The behavioral mandate * , 1982 .

[57]  J. Strauss,et al.  Dynamic systems theory as a paradigm for the study of change in psychotherapy: an application to cognitive therapy for depression. , 1998, Journal of consulting and clinical psychology.

[58]  Jr. Russell Noyes,et al.  Anxiety and Its Disorders: The Nature and Treatment of Anxiety and Panic , 1990 .

[59]  M. Goldfried,et al.  Predicting the effect of cognitive therapy for depression: a study of unique and common factors. , 1996, Journal of consulting and clinical psychology.

[60]  S. Epstein Cognitive-experiential self-theory: A dual-process personality theory with implications for diagnosis and psychotherapy. , 1998 .

[61]  J. Teasdale,et al.  Effects of induced elation-depression on the accessibility of memories of happy and unhappy experiences. , 1980, Behaviour research and therapy.

[62]  Peter J. Lang,et al.  A Bio‐Informational Theory of Emotional Imagery , 1979 .

[63]  J. Teasdale,et al.  Depressive thinking: changes in schematic mental models of self and world , 1996, Psychological Medicine.

[64]  J. Teasdale,et al.  Depressive thinking and dysfunctional schematic mental models. , 1998, The British journal of clinical psychology.

[65]  P. Young,et al.  Emotion and personality , 1963 .