Moorey Stirling
South London and Maudsley NHS Foundation Trust, London, UK.
BJPsych Bull. 2017 Oct;41(5):272-275. doi: 10.1192/pb.bp.116.055616.
Dr Gipps claims that the cognitive therapy for depression rests on a mistake. But his anachronistic analysis of Beck's early research from the perspective of current psychoanalytic theory misses the point. The value of the research was not that it disproved psychoanalytic theory, but that it generated a model of depression that has revolutionised psychotherapy research. Psychoanalysts are belatedly adopting research methods that Beck pioneered half a century ago. The cognitive model of depression has explanatory power for both maintenance and vulnerability and has substantial research underpinning it. Cognitive therapy for depression has a larger body of evidence for its efficacy and relapse prevention effect than any other psychotherapy. Transference-focused approaches to depression have yet to establish themselves in the same way.
吉布斯博士声称，抑郁症的认知疗法存在一个错误。但他从当前精神分析理论的角度对贝克早期研究进行的不合时宜的分析却没有抓住要点。该研究的价值并非在于它反驳了精神分析理论，而是在于它产生了一种抑郁症模型，这种模型彻底改变了心理治疗研究。精神分析学家们正在姗姗来迟地采用贝克在半个世纪前所开创的研究方法。抑郁症的认知模型对维持和易感性都具有解释力，并有大量研究作为支撑。与任何其他心理治疗方法相比，抑郁症的认知疗法在疗效和预防复发方面有更多的证据支持。以移情为重点的抑郁症治疗方法尚未以同样的方式确立自身地位。
