The in order to interfere with an ongoing

The term “intervention” refers to the actions taken in
order to interfere with an ongoing process and modify for the better. (Reber et
al, 2009, p. 397) Cognitive behavioural therapy (CBT) is a psycho-social
intervention that focuses on changing our thought and behavioural patterns. (O’
Brien, 2011) Cognitive behavioural therapy summarises many
of Albert Ellis and Aaron T. Becks ideas. “Macleod (2003) relates that cognitive behavioural therapy is the most
recent of the major therapy orientations with new elements being added to it,
including strategies for cognitive intervention.” (O’ Brien 2011 p. 163)


behavioural therapy is based on the
ideology that our thinking process, our feelings and our behaviour, are all connected
together. It is that our thoughts and feelings can decide how we behave. The aim of cognitive behavioural therapy is to help people
gain an awareness of when they are making negative judgments, and to learn to
identify behavioural sequences that emphasise the negative thinking. Cognitive behavioural therapy helps people to form different
ways of thinking and acting, which aims to decrease the psychological affliction
they are going through. This approach is known as cognitive reconstructing. The
overall aim is for the individual to try and improve their problems by making
their own efforts, alongside the therapist. This therapy tries to address
issues in a straight forward way. It concentrates on finding understanding, using
a psycho-educational approach. Its effectiveness as a model is shown by its
continual and increasing use and acquired recommendation by a range of
evidence-based guidelines.

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(Roth & Fonagy, 2005)


This theory allows
for the young people to evaluate their own situation, become aware of what
their issue is and find where it is coming from. Once they know where the
problem comes from, the young person can take appropriate actions to slowly
work towards resolving the issue. Once the young person has the problem
resolved, they will see the benefits of cognitive behavioural therapy.

An advantage of cognitive behavioural
therapy is that it is usually short, only needing from five to ten months for nearly
most emotional problems. The young people go to one session per week and each
session lasts roughly 50 minutes. During the session, the young person and
therapist will work together to understand what the problems are and develop
new ways to help deal with them. Cognitive
behavioural therapy introduces young people to a
set of principles that they can then use whenever they need to, and they will
have them for a lifetime. (Martin, B, 2016)


The effectiveness of cognitive behavioural therapy is supported by evidence from randomised
controlled trials, uncontrolled trials, case series and case studies. Cognitive behavioural therapy has been widely
tested since the first outcome study was published in 1977 (Rush et al, 1977).
By this stage, there has been more than 500 outcome studies that have shown the
effectiveness of cognitive behaviour therapy used for a wide range of psychiatric
disorders, psychological problems and medical problems with psychological
components. This book by Beck (2011, P.4) went on to list a variety of disorders that had been successfully treated
by cognitive behavioural therapy such as,
obsessive-compulsive disorder, bi-polar disorder, family issues, insomnia and
severe anxiety. This evidence was provided to demonstrate how the treatment is
extremely beneficial.


From the book Cognitive
Therapy and Emotional Disorders by Beck (1979) it quoted Allport (1968)
referring to cognitive behavioural therapy as “a significant revolution”. Allport
went on to refer to this approach as an “attitudinal” therapy, he identified
similar points of agreement in the theories of such different writers such as
Adler, Erikson, Horney, Maslow and Rogers. He stated that the work of Albert
Ellis should be added to this list of great writers.


To further prove
that cognitive behavioural therapy has its strengths, Butler and Beck (2000) decided
to review 14 meta-analyses, to examine the efficiency of Beck’s cognitive
therapy and they found that around 80% of the participants had benefited from
the therapy. This suggests that having an awareness of the
cognitive explanation can in fact improve the quality of a young person’s life.


Also agreeing with Butler and
Beck, that cognitive behavioural therapy is an
effective treatment is Hoffman & Smits (2017). They stated in their book
that as cognitive behavioural therapy is problem-
focused, it makes it exceedingly productive in the treatment of an array of
mental health and adaption issues, as the therapists have a variety of
strategic interventions to implement based on each patient’s clinical
presentation, their treatment goals and their preferences.


However, even though there are
many sources in favour of cognitive behavioural therapy because of all the
benefits that can be gained from it, there are others that oppose. Driessien
& Hollon (2011) say that Motivational Interviewing can make cognitive behavioural therapy work better by specifying
strategies to build clients’ own motivation to do the hard work. Although cognitive behavioural therapy has evidence proving its
strengths, LeBeau et al (2013) states that many individuals do not respond to
treatment or adhere to treatment tasks, discontinue treatment and are unable to
maintain change after initial success. (Naar & Safren, 2017). Driessien
& Hollon are not completely against the idea of cognitive behavioural
therapy, but just feel that it can be enhanced greatly, if it were to be linked
with motivational interviewing.


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