Cognitive Therapy of Depression
Also known as Cognitive therapy of depression, Beck, Rush, Shaw & Emery (1979), Cognitive Therapy of Depression, Second Edition
The 1979 treatment manual for Aaron Beck's cognitive therapy of depression; rewritten 2024
At a glance
What it argues
It is the interpretation, not the event, Three parts of the model, Change the thinking, and it lasts
See all 3Key ideas
The negative cognitive triad, Schemas, Cognitive errors …
See all 5Examples from the book
The man who stops applying for jobs, Beck's own turn from psychoanalysis, All-or-none thinking
See all 3Criticism and limits
Bipolar depression is open, Mechanisms less tested than outcomes
See all 2Read next
Cognitive Therapy of Personality Disorders, The Efficacy of CBT: A Review of Meta-analyses, The Great Psychotherapy Debate
See all 3Connections
Aaron Beck, A. John Rush and 6 others
See all 8
Also on this page: Key facts · Links · Sources · Related pages
- Depression is kept going by negative views of the self, the world and the future.
- Those views harden into schemas through systematic errors in thinking.
- Therapist and patient treat each belief as a hypothesis and test it together, in session and through homework.
- The 1979 manual made this a structured, teachable treatment.
- The 2024 second edition is 85% new and adds chronic depression and schema work.
Why it matters
- Read it if you want to learn CBT from its source: the manual that turned cognitive therapy into something you could train, test in trials and practise session by session.
Key facts
- Authors
- Aaron T. Beck, A. John Rush, Brian F. Shaw, Gary Emery (1979); second edition adds Robert J. DeRubeis and Steven D. Hollon1
- Published
- 1979; second edition 20241
- Publisher
- Guilford Press1
- Pages
- 406 (second edition)1
- ISBN
- 9780898629194 (first edition); 9781572305823 (second edition, paperback)1
- Second edition
- Rewritten with 85% new material; adds schema-focused work and chronic depression1
- In print
- More than 100,000 copies, per the publisher1
- Influence
- David H. Barlow: the first fully realized manual for cognitive therapy of depression, which "revolutionized the field of psychotherapy"1
What it argues
-
It is the interpretation, not the event2
How a person interprets a situation, not the situation itself, shapes how they feel and act; inaccurate beliefs produce needless distress.
-
Three parts of the model2
The cognitive model explains depression with the negative cognitive triad, schemas, and cognitive errors.
-
Change the thinking, and it lasts2
Medication works while it is taken; cognitive therapy appears to have an effect that lasts after treatment ends (Cuijpers et al., 2013).
Key ideas
-
The negative cognitive triad2
Depressed people hold negative views of themselves, their world and their future, which seem accurate to them while depressed.
-
Schemas2
Relatively stable clusters of beliefs that steer what a person notices and how they read it.
-
Cognitive errors2
Systematic distortions such as all-or-none thinking and disqualifying the positive keep negative beliefs alive despite contrary evidence.
-
Collaborative empiricism2
Therapist and patient work together to find problem beliefs and test them against evidence, rather than relying on the therapist's authority.
-
Behavioural work from session one2
Patients monitor what they do and how mood changes, with activity schedules and homework throughout treatment.
Examples from the book
-
The man who stops applying for jobs2
He believes he is incompetent, so does not apply; then takes being unemployed as proof he is incompetent, a self-fulfilling prophecy.
-
Beck's own turn from psychoanalysis2
Beck looked for inward-turned hostility in depressed patients' dreams and found themes of loss and defeat instead, which led to the cognitive theory.
-
All-or-none thinking2
The book's example of a dichotomous self-label: "I am completely unlovable."
Criticism and limits
-
Bipolar depression is open2
The authors say its use for unipolar depression rests on multiple controlled trials; whether it helps bipolar depression remains an open question.
-
Mechanisms less tested than outcomes3
Much less work has tested the active mechanisms of Beck's approach than its outcomes, and some predicted causal links were not found.
Read next
-
Cognitive Therapy of Personality Disorders
Where the schema ideas of this manual go when problems are lifelong.
-
The Efficacy of CBT: A Review of Meta-analyses
How CBT for depression and other problems did across 106 meta-analyses.
-
The Great Psychotherapy Debate
The case that specific techniques like these matter less than shared factors.
Connections
Written by
- Aaron BeckPerson
- A. John Rush
- Brian F. Shaw
- Gary Emery
- Robert J. DeRubeisSecond edition, 2024
- Steven D. HollonSecond edition, 2024
Links
Sources
Last checked against its sources today
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