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Book

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

Also on this page: Key facts · Links · Sources · Related pages

Why it matters

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

  1. 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.

  2. Three parts of the model2

    The cognitive model explains depression with the negative cognitive triad, schemas, and cognitive errors.

  3. 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

  1. The negative cognitive triad2

    Depressed people hold negative views of themselves, their world and their future, which seem accurate to them while depressed.

  2. Schemas2

    Relatively stable clusters of beliefs that steer what a person notices and how they read it.

  3. Cognitive errors2

    Systematic distortions such as all-or-none thinking and disqualifying the positive keep negative beliefs alive despite contrary evidence.

  4. Collaborative empiricism2

    Therapist and patient work together to find problem beliefs and test them against evidence, rather than relying on the therapist's authority.

  5. 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

  1. 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.

  2. 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.

  3. All-or-none thinking2

    The book's example of a dichotomous self-label: "I am completely unlovable."

Criticism and limits

  1. 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.

  2. 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.

Connections

Written by

  • Aaron BeckPerson
  • A. John Rush
  • Brian F. Shaw
  • Gary Emery
  • Robert J. DeRubeisSecond edition, 2024
  • Steven D. HollonSecond edition, 2024

Sources

  1. Guilford Press: Cognitive Therapy of Depression, Second Edition (opens guilford.com)
  2. Cognitive Therapy of Depression, 2nd ed., Chapter 1: Overview (Guilford excerpt, 2024) (opens guilford.com)
  3. Wikipedia: Aaron T. Beck (opens en.wikipedia.org)

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