The History Of CBT’s 1st, 2nd And 3rd ‘Waves
As a Cbt Therapist In Pretoria I would like to inform you of History Of CBT's first, second and third Waves. The reason for this study was to shortly characterize the forever evolving psychotherapeutic methods summarized as 'third wave psychotherapies' and to review recent research on the therapeutic impact of these methods.
It was found that 'Third wave psychotherapies' comprise a heterogeneous group of treatments which include acceptance and commitment treatment, behavioural activation, cognitive behavioural analysis, system of psychotherapy, dialectical behavioural therapy, metacognitive therapy, mindfulness-based cognitive therapy and schema therapy.
Several trials during the last 3-5 years have shown the effectiveness and efficaciousness of 'third wave psychotherapies'. The 'first wave' is focused on classical conditioning and operant learning. The 'second wave' (classical) is focused on information processing and is currently the dominant contemporary system of psychotherapies worldwide. More than 75 clinical trials for cognitive therapy treatment for unipolar depression has shown that it is superior to placebo and equal to other bona fide treatments and anti-depressive pharmacotherapy. It is superior in effectiveness in reducing the risk of relapse after treatment.
Cognitive therapy has various limitations, similarly to other mental disorder treatments, the effect sizes are limited leaving room for improvement. Treatments are also not universally acceptable. Data is missing that supports the necessity of interventions aimed at content-oriented cognitive change which is the core of classical cognitive therapy. A component analysis shows that efficaciousness of cognitive therapy depends on behavioural activation as only intervention.
The 'third wave' focuses on themes new to behavioural psychotherapies such as metacognition, cognitive fusion, emotions, acceptance, mindfulness, dialectics, spirituality and therapeutic relationships. These techniques are quite heterogeneous. Commonalities are the abandonment or cautious use of content-oriented cognitive interventions and the use of skills deficit models to delineate the core maintaining mechanisms of the disorder being addressed.
To conclude, the third wave of behavioural psychotherapies plays an important role in psychotherapy today and has added significant value to the spectrum of supported treatments for mental disorders and has influence psychotherapy research. The methods used open up treatment possibilities for patient groups such as borderline personality disorder, chronic depression or general anxiety disorder that have received very little attention in the past. Evidence now allows considering all third wave treatments as supported.
Source:
Medscape
www.medscape.com/viewarticle/772441.
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