The Therapeutic Relationship is unimportant to the outcome of therapy The therapeutic
relationship is of vital importance to the process and outcome of therapy. If the
patient does not trust the therapist, he or she is unlikely to reveal what their
problems are. The therapist-patient relationship is collaborative, in which they
work together on an acknowledged problem. The therapist may also use this relationship
to work directly on unhelpful thoughts, beliefs and misconceptions which commonly
occur in the patient’s day to day interactions.
CBT is not interested in the past
Whilst commonly the therapist works in the ‘here & now’, addressing current unhelpful
thoughts and beliefs, understanding the history of the problem’s development may
also throw up some very useful points for therapeutic intervention, addressing how
the past may be affecting the present, whether this be memories, unhelpful behaviours,
unhelpful beliefs or problems with self image or esteem would be a significant feature
of the therapeutic process.
Cognitive Behavioural Therapists don’t bother with emotions or feelings
This one is a bit of a poser, if the therapists weren’t bothered with or about emotions
and feelings then why would we provide therapy in the first place? Very often it
is the mood and/or feelings which provide the target for therapy and the lever with
which to challenge unhelpful thought, beliefs and/or misinterpretations.
Cognitive therapy is a quick fix
It is true that cognitive therapy tends to be “time limited”, however this tends
to be more due to the squeeze on limited resources. It is true that for some people
therapy takes place over a relatively short time but this is due to patients completing
‘homework’, practicing and consolidating work undertaken in therapy, between sessions.
Others may find that the complexity of the problem and other factors (social circumstances,
personality, history of the problem, etc) can extend the length of time spent in
CBT is simple and easily done
For some problems the techniques used may be fairly straight forward and easily implemented.
However, this does not mean CBT is either easy or can be applied competently by anybody.
There are a vast range of techniques which may or may not be utilised depending upon
the complexity of the problem treated. The complexity of the problem dictates the
competence required from the therapist.
Cognitive Behavioural Therapists are only interested in listing thoughts, showing
how patients are wrong and how they should think rationally
This is a common misconception by those unfamiliar with CBT and some inexperienced
practitioners. Although CB Therapists do encourage monitoring & writing down thoughts,
this is to assist in helping patients gain insight into their styles of thought,
which allows reflection and provides the opportunity for experimentation with differing
ideas and behaviours and the effects of these in their daily interactions.