Clark David M
Department of Psychology, Institute of Psychiatry, De Crespigny Park, Box 77, London SE5 8AF, UK.
Behav Res Ther. 2004 Sep;42(9):1089-104. doi: 10.1016/j.brat.2004.05.002.
It is often argued that behaviour therapy and cognitive-behaviour therapy have a sound theoretical and experimental basis. In the early days of behaviour therapy, the learning theory accounts that were the basis of treatment made clear suggestions about the procedures that were likely to be effective in treatment. In contrast, more recent cognitive-behavioural models tend to specify targets for therapy, but not the procedures that might be optimal for changing the targets. As a consequence, a considerable amount of work has to be done in order to create an effective cognitive-behavioural treatment from a promising cognitive-behavioural model. The process by which cognitive-behavioural treatments are developed is rarely discussed in the literature. For this reason, the way in which one group has used a mixture of phenomenological, experimental and treatment development studies to create effective cognitive therapy programmes for anxiety disorders is described.
人们常认为行为疗法和认知行为疗法有坚实的理论和实验基础。在行为疗法的早期，作为治疗基础的学习理论阐述对可能在治疗中有效的程序给出了明确建议。相比之下，较新的认知行为模型倾向于明确治疗目标，但未指明改变这些目标可能最有效的程序。因此，为了从一个有前景的认知行为模型创建有效的认知行为治疗方法，必须开展大量工作。文献中很少讨论认知行为治疗方法的开发过程。出于这个原因，本文描述了一个团队如何通过现象学、实验和治疗开发研究的结合，为焦虑症创建有效的认知治疗方案。
