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Cognitive-Behaviour Therapy for Depression: Problems and Perspectives

Published online by Cambridge University Press:  29 January 2018

J. Mark G. Williams*
Affiliation:
MRC Applied Psychology Unit, Chaucer Road, Cambridge

Summary

A number of reviews of the effectiveness of cognitive behaviour therapy for depression, though optimistic, have pointed to some difficulties in interpretation of the outcome literature. These difficulties, and the extent to which more recent research has dealt with them, are reviewed. It is suggested that while some of the genuine difficulties have been resolved, and other commonly expressed criticisms may prove to be unfounded, there remain a number of important areas of ignorance which demand further investigation.

Type
Review Article
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Beck, A. T., Shaw, A. J., Rush, B. F. & Emery, G. (1979) Cognitive Therapy of Depression. Chichester: John Wiley.Google Scholar
Blackburn, I. M., Bishop, S., Glen, I. M., Whalley, L. J. & Christie, J. E. (1981) The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181–9.Google Scholar
Carney, M. W. P., Roth, M. & Garside, R. F. (1965) The diagnosis of depressive syndromes and the prediction of ECT response. British Journal of Psychiatry, 111, 659–74.Google Scholar
Davies, E. (1982) An investigation into the effect of internally and externally focussed tasks on depressed mood. (Unpublished MSc Thesis) Department of Psychiatry, University of Newcastle upon Tyne).Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Minoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Goldberg, D. (1982) Cognitive therapy for depression. British Medical Journal, 284, 143–4.CrossRefGoogle ScholarPubMed
Harpin, R. E., Liberman, R. P., Marks, I., Stern, R. & Bohannon, W. E. (1982) Cognitive behaviour therapy for chronically depressed patients: a controlled pilot study. The Journal of Nervous and Mental Diseases, 170, 295300.Google Scholar
Kazdin, A. E. & Wilcoxon, L. (1976) Systematic desensitisation and non-specific treatment effects. Psychological Bulletin, 83, 729–55.Google Scholar
Kovacs, M., Rush, A. D., Beck, A. T. & Hollon, S. D. (1981) Depressed outpatients treated with cognitive therapy or pharmacotherapy: a one-year follow up. Archives of General Psychiatry, 38, 33–9.CrossRefGoogle ScholarPubMed
McLean, P. D. & Hakstian, A. R. (1979) Clinical depression: comparative efficacy of outpatient treatments. Journal of Consulting and Clinical Psychology, 47, 818–36.Google Scholar
McLean, P. D. Ogston, K. & Grauer, L. (1973) A behavioural approach to the treatment of depression. Journal of Behavioural Therapy and Experimental Psychiatry, 4, 323–30.Google Scholar
Murphy, G. E., Simons, K. D., Wetzel, R. D. & Lustman, P. J. (1984) Cognitive therapy and pharmacotherapy; singly and together in the treatment of depression. Archives of General Psychiatry, 41, 3341.Google Scholar
Rehm, L. P. & Kornblith, S. J. (1979) Behaviour therapy for depression. A review of recent developments. In Progress in Behaviour Modification, (eds. Hersen, M. and Eisler, P. M.) (Vol. 7). New York: Academic Press.Google Scholar
Rotzer, F. T., Nabitz, U., Koch, H. & Pflug, B. (1982) Zur bedeutung von attribuierungs—prozessen bei der depressionsbehandlung. In Leur G Bericht des 33, Kongresses der Deutschen Gesellschaft fur Psychologie. September 1982. Mainz, FRG.Google Scholar
Rush, A. J., Beck, A. T., Kovacs, M. & Hollon, S. (1977) Comparative efficacy of cognitive therapy and pharmacotherapy in the treatment of depressed outpatients. Cognitive Therapy and Research, 1, 1737.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders, 3rd Edition, N.Y. State Psychiatric Institute, Biometrics Research.Google Scholar
Teasdale, J. D. & Rezin, V. (1978) The effects of reducing frequency of negative thoughts on the mood of depressed patients—tests of a cognitive model of depression. British Journal of Social and Clinical Psychology, 17, 6574.Google Scholar
Weissman, M. M. (1979) The psychological treatment of depression. Evidence for the efficacy of psychotherapy alone in comparison with and in combination with pharmacotherapy. Archives of General Psychiatry, 36, 1261–9.Google Scholar
Whitehead, A. (1979) Psychological treatment of depression: a review. Behaviour. Research and Therapy, 17, 495509.CrossRefGoogle ScholarPubMed
Williams, J. M. G. (1981) Internal vs external focus of attention: paradoxes in factors mediating cognitive-behavioural psychotherapy in depression. In Research on Psychotherapeutic Approaches: Proceedings of the 1st European Conference on Psychotherapy Research Trier, (eds. Minsel, W. R. and Herff, W.). 1981, Vol. II.Google Scholar
Williams, J. M. G. (1982) Cognitive therapy for depression. British Medical Journal, 284, 506.Google Scholar
Williams, J. M. G. (1984) The Psychological Treatment of Depression: A Guide to the Theory and Practice of Cognitive-behaviour Therapy. Croom Helm: London and Canberra.Google Scholar
Zeiss, A. M., Lewinsohn, P. M. & Munoz, R. F. (1979) Nonspecific improvement effects in depression using interpersonal skills training, pleasant activity schedules, or cognitive training. Journal of Consulting and Clinical Psychology, 47, 427–39.CrossRefGoogle ScholarPubMed
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