Rosner Rachael I
Hist Psychol. 2012 Feb;15(1):1-18. doi: 10.1037/a0023892.
In this essay the author challenges the standard origin story of cognitive therapy, namely, that its founder Aaron T. Beck broke with psychoanalysis to pursue a more pragmatic, parsimonious, and experimentalist cognitive model. It is true that Beck broke with psychoanalysis in large measure as a result of his experimental disconfirmation of key psychoanalytic ideas. His new school of cognitive therapy brought the experimental ethos into every corner of psychological life, extending outward into the largest multisite randomized controlled studies of psychotherapy ever attempted and inward into the deepest recesses of our private worlds. But newly discovered hand-sketched drawings from 1964 of the schema, a conceptual centerpiece of cognitive therapy, as well as unpublished personal correspondence show that Beck continued to think psychoanalytically even after he broke with psychoanalysis. The drawings urge us to consider an origin story much more complex than the one of inherited tradition. This new, multifaceted origin story of cognitive therapy reaches beyond sectarian disagreements and speaks to a broader understanding of the theoretical underpinnings of cognitive therapy.
在本文中，作者对认知疗法的标准起源故事提出了质疑，即其创始人亚伦·T·贝克背离精神分析，以追求一种更务实、更简洁且更具实验性的认知模型。诚然，贝克在很大程度上背离精神分析是由于他通过实验对关键精神分析观点进行了证伪。他的新认知疗法学派将实验精神带入了心理生活的方方面面，向外扩展到有史以来尝试的最大规模的多地点心理治疗随机对照研究，向内深入到我们私人世界的最深处。但是，新发现的1964年关于认知疗法概念核心——图式的手绘草图，以及未发表的个人信件表明，即使在贝克背离精神分析之后，他仍继续从精神分析的角度进行思考。这些草图促使我们去思考一个比继承传统更为复杂的起源故事。这个关于认知疗法的全新的、多方面的起源故事超越了派别分歧，有助于更广泛地理解认知疗法的理论基础。
