Cognitive-behavioural therapy or CBT is representative of the integration of behavioural therapy and cognitive therapy. It encourages the empowerment of an individual to be able to change how they think (cognitive) and how awareness of particular problematic patterns may impact upon our consequent responses (behaviour) (R ch7). Pivotal to our understanding of such mental health problems from a CBT perspective is Beck’s ‘Cognitive theory of emotion’. It purposes that events and situations are not responsible for emotional responses. Instead it is the ‘meanings’ we attach which reflect the complex interaction between an individual’s history, mood and the context of experience. These interpretations will influence our actions either positively or negatively respectively due to different emotions being related to particular meanings. The cognitive theory of emotion suggests that our responses become disorders when an individual becomes ‘stuck’ or ‘trapped’ in both particular patterns of meanings and persistent maladaptive responses to those interpretations The role of therapist is to support an individual in making sense of their perceptions of their internal and external worlds. This is achieved through a ‘shared understanding’ or collaborative relationship of exploring ‘alternative ways’ of coping with negative situations.
Beck et al. (1979) further specify that feelings of sadness or even depression are associated with a perception that something has been lost, actually or conceptually R. In the case of anxiety, the cognitive theory of emotion suggests symptoms are the result of an individual anticipating physical or social threat. In CBT, careful questioning can even identify unconscious meanings or interpretations R. These thought processes can lead to preoccupation or distress preventing a person from doing as they wish R. Thus, CBT believes negative interpretations of threats or danger can potentially