Association for Behavioral and Cognitive Therapies

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The Association for Behavioral and Cognitive Therapies (ABCT) was founded in 1966. Its headquarters are in New York City and its membership includes researchers, psychologists, psychiatrists, physicians, social workers, marriage and family therapists, nurses, and other mental-health practitioners and students. These members support, use, and/or disseminate behavioral and cognitive approaches. Notable past presidents of the association include Joseph Wolpe, Steven C. Hayes, Michelle Craske, Jonathan Abramowitz, Marsha M. Linehan, Linda C. Sobell, Kelly D. Brownell, Gerald Davison, and Alan E. Kazdin. [1]

Contents

Mission statement

The Association for Behavioral and Cognitive Therapies is an interdisciplinary organization committed to the advancement of a scientific approach to the understanding and amelioration of problems of the human condition. These aims are achieved through the investigation and application of behavioral, cognitive, prevention, and treatment. [2] While primarily an interest group, Association for Behavioral and Cognitive Therapies is also active in:

  1. Encouraging the development, study, and dissemination of scientific approaches to behavioral health.
  2. Promoting the utilization, expansion, and dissemination of behavioral, cognitive, and other empirically derived practices.
  3. Facilitating professional development, interaction, and networking among members.

Professional activities

Through its membership, publications, convention, and education committees, the Association for Behavioral and Cognitive Therapies conducts a variety of activities to support and disseminate the behavioral and cognitive therapies. The organization produces two quarterly journals, Behavior Therapy (research-based) and Cognitive and Behavioral Practice (treatment-focused), as well as its house periodical, the Behavior Therapist (eight times per year). The association's convention is held annually in November. Association for Behavioral and Cognitive Therapies also produces fact sheets, an assessment series, and training and archival videotapes. The association maintains a website (http://www.abct.org) on which can be found a "Find-a-Therapist" search engine and information about behavioral and cognitive therapies. The organization provides its members with an online clinical directory, over 30 special interest groups, a job bank, and an awards and recognition program. Other offerings available on the website include sample course syllabi, listings of grants available, and a broad range of offerings to mental health researchers.

History

The Association for Behavioral and Cognitive Therapies was founded in 1966 under the name Association for Advancement of Behavioral Therapies [3] by 10 behaviorists who were dissatisfied with the prevailing Freudian/psychoanalytic model (Its founding members include: John Paul Brady, Joseph Cautela, Edward Dengrove, Cyril Franks, Martin Gittelman, Leonard Krasner, Arnold Lazarus, Andrew Salter, Dorothy Susskind, and Joseph Wolpe). The Freudian/psychoanalytic model refers to the Id, Ego, and Superego within each individual as they interpret and interact with the world and those around them. Although the Association for Behavioral and Cognitive Therapies was not established until 1966, its history began in the early 1900s with the birth of the behaviorist movement. The behaviorist movement was brought about by Pavlov, Watson, Skinner, and other scientists who were primarily concerned with observable behavior. In the early 1900s these scientists were beginning to experiment with conditioning and learning theory. By the 1950s, two entities—Hans Eysenck's research group (which included one of AABT's founders Cyril Franks) at the University of London Institute of Psychiatry, and Joseph Wolpe's research group (which included another of AABT's founders, Arnold Lazarus) in South Africa—were conducting important studies that would establish behavior therapy as a science based on principles of learning. In complete opposition to the psychoanalytic model, "The seminal significance of behavior therapy was the commitment to apply the principles and procedures of experimental psychology to clinical problems, to rigorously evaluate the effects of therapy, and to ensure that clinical practice was guided by such objective evaluation". [4] [5]

The first president of the association was Cyril Franks, who also founded the organization's flagship journal Behavior Therapy and was the first editor of the Association for Advancement of Behavioral Therapies Newsletter. The first annual meeting of the association took place in 1967, in Washington, DC, concurrent with the American Psychological Association's meeting.

An article in the November 1967 issue of the Newsletter, entitled "Behavior Therapy and Not Behavior Therapies" (Wilson & Evans, 1967), [6] influenced the association's first name change from Association for Advancement of Behavioral Therapies to Association for Advancement of Behavior Therapy because, as the authors argued, "the various techniques of behavior therapy all derive from learning theory and should not be misinterpreted as different kinds of behavior therapy...". [3] This issue remains a debate in the field and within the organization, particularly with the emergence of the term "cognitive behavioral therapies." This resulted in yet another name change in 2005 to the Association for Behavioral and Cognitive Therapies.

The Association for Advancement of Behavioral Therapies/Association for Behavioral and Cognitive Therapies has been at the forefront of the professional, legal, social, and ethical controversies and dissemination efforts that have accompanied the field's evolution. The 1970s was perhaps the most "explosive" (see Stuart, 1974) [7] and controversial decade for the field of behavior therapy, as it suffered from an overall negative public image and received numerous attacks from the press regarding behavior modification and its possible unethical uses. In Gerald Davison's (AABT's 8th president) public "Statement on Behavior Modification from the AABT," he asserted that "it is a serious mistake ... to equate behavior therapy with the use of electric shocks applied to the extremities..." and "a major contribution of behavior therapy has been a profound commitment to full description of procedures and careful evaluation of their effects." [8] From this point, AABT became instrumental in enacting legislative guidelines that protected human research subjects, and they also became active in efforts to educate the public.

Mental professionals

The training of mental health professionals has also been a significant priority for the association. Along with its annual meeting, AABT created an "ad hoc review mechanism" in the 1970s through the 1980s whereby a state could receive a review of a behavior therapy program. This led to the yearly publication of a widely used resource, "The Directory of Training Programs". With growing concerns over quality control and standardization of practice, the certification of behavior therapists also became an issue in the 1970s. This debate led to the development of a Diplomate in behavior therapy at APA and for those behavioral therapy practices from a more radical behavioral perspective, the development of certification in behavior analysis at the master level (see professional practice of behavior analysis).

An ongoing debate within the association concerns what many consider to be a movement away from basic behavioral science as the field has attempted to advance and integrate more and more "new" therapies/specializations, particularly the addition of cognitive theory and its variety of techniques. John Forsyth, in his special issue of Behavior Therapy [9] entitled "Thirty Years of Behavior Therapy: Promises Kept, Promises Unfulfilled," summarized this opposition as follows: "(a) cognition is not behavior, (b) behavior principles and theory cannot account for events occurring within the skin, and most important, (c) we therefore need a unique conceptual system to account for how thinking, feeling, and other private events relate to overt human action". [10] The field's desire to maintain its scientific foundations and yet continue to advance and grow, was reflected in its most recent discussion about adding the word "cognitive" to the name of the association. [11]

Many notable scholars have served as president of the association, including Joseph Wolpe, Arnold Lazarus, Nathan Azrin, Steven C. Hayes, and David Barlow. The current executive director of the ABCT is Mary Jane Eimer, CAE. For a wealth of historical specifics (governing bodies, lists of editors, past presidents, award winners, SIGs, and conventions from the past 40 years) see ABCT's 40th anniversary issue of the Behavior Therapist. [12]

About behavioral and cognitive therapies

Cognitive and behavioral therapists help people learn to actively cope with, confront, reformulate, and/or change the maladaptive cognitions, behaviors, and symptoms that limit their ability to function, cause emotional distress, and accompany the wide range of mental health disorders. Goal-oriented, time-limited, research-based, and focused on the present, the cognitive and behavioral approach is collaborative. This approach values feedback from the client, and encourages the client to play an active role in setting goals and the overall course and pace of treatment. Importantly, behavioral interventions are characterized by a "direct focus on observable behavior". [13] Practitioners teach clients concrete skills and exercises—from breathing retraining, to keeping thought records to behavioral rehearsal—to practice at home and in sessions, with the overall goal of optimal functioning and the ability to engage in life fully.

Because cognitive behavioral therapy (CBT) is based on broad principles of human learning and adaptation, it can be used to accomplish a wide variety of goals. CBT has been applied to issues ranging from depression and anxiety, to the improvement of the quality of parenting, relationships, and personal effectiveness.

Numerous scientific studies and research have documented the helpfulness of CBT programs for a wide range of concerns throughout the lifespan. These concerns include children's behavior problems, health promotion, weight management, pain management, sexual dysfunction, stress, violence and victimization, serious mental illness, relationship issues, academic problems, substance abuse, bipolar disorder, developmental disabilities, autism spectrum disorders, social phobia, school refusal and school phobia, hair pulling (trichotillomania) and much more. Cognitive-behavioral treatments are subject randomized controlled trials and "have been subjected to more rigorous evaluation using randomized controlled trials than any of the other psychological therapies". [4] There is discussion of using technology to determine diagnosis and host interventions according to research done by W. Edward Craighead. This would be done using “genetic analysis” and “neuroimaging” to create more individualized treatment plans. [14] [15]

Special interest groups

The ABCT has more than 40 special interest groups for its members. [16] These include groups for issues involving African-Americans, Asian-Americans, Hispanics and other ethnic groups such as children and adolescents; couples; gay, lesbian, bisexual and transgender people; students; military personnel; and the criminal justice system. The ABCT works within these groups to overcome addictive behaviors and mental illnesses that may cause negativity in these groups life. A group that the ABCT has supported well is the special interest group of the criminal justice system. The ABCT helps provide the prison system with knowledge of how to more humanely treat those who committed crimes and give people the proper care and attention to become great citizens. [17] [18]

Related Research Articles

<span class="mw-page-title-main">Cognitive behavioral therapy</span> Therapy to improve mental health

Cognitive behavioral therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders. Cognitive behavioral therapy is one of the most effective means of treatment for substance abuse and co-occurring mental health disorders. CBT focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop personal coping strategies that target solving current problems. Though it was originally designed to treat depression, its uses have been expanded to include many issues and the treatment of many mental health conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.

Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.

Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well-being and personal development. Central to its practice are psychological assessment, clinical formulation, and psychotherapy, although clinical psychologists also engage in research, teaching, consultation, forensic testimony, and program development and administration. In many countries, clinical psychology is a regulated mental health profession.

Behaviorism is a systematic approach to understanding the behavior of humans and other animals. It assumes that behavior is either a reflex evoked by the pairing of certain antecedent stimuli in the environment, or a consequence of that individual's history, including especially reinforcement and punishment contingencies, together with the individual's current motivational state and controlling stimuli. Although behaviorists generally accept the important role of heredity in determining behavior, they focus primarily on environmental events.

Joseph Wolpe was a South African psychiatrist and one of the most influential figures in behavior therapy.

Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, and emotional reasoning, which are commonly associated with many mental health disorders. CR employs many strategies, such as Socratic questioning, thought recording, and guided imagery, and is used in many types of therapies, including cognitive behavioral therapy (CBT) and rational emotive behaviour therapy (REBT). A number of studies demonstrate considerable efficacy in using CR-based therapies.

Behaviour therapy or behavioural psychotherapy is a broad term referring to clinical psychotherapy that uses techniques derived from behaviourism and/or cognitive psychology. It looks at specific, learned behaviours and how the environment, or other people's mental states, influences those behaviours, and consists of techniques based on behaviorism's theory of learning: respondent or operant conditioning. Behaviourists who practice these techniques are either behaviour analysts or cognitive-behavioural therapists. They tend to look for treatment outcomes that are objectively measurable. Behaviour therapy does not involve one specific method, but it has a wide range of techniques that can be used to treat a person's psychological problems.

Andrew Salter was an American clinical psychologist who introduced behavior therapy, developed many of its conceptual foundations, and created numerous techniques still used today across its varied descendants, including cognitive behavioral therapy. His work in the early 1940s demystified hypnosis, interpreting it as a form of conditioning, now the widely accepted view. He was one of the founders of the Association for the Advancement of Behavioral Therapies, now the Association for Behavioral and Cognitive Therapies. He maintained an active clinical practice in Manhattan until shortly before his death. His key ideas are documented in his book, Conditioned Reflex Therapy,, originally published in 1949 and reprinted many times, with a new edition published by Watkins Press in 2019. All citations from CRT refer to this edition.

Acceptance and commitment therapy is a form of psychotherapy, as well as a branch of clinical behavior analysis. It is an empirically based psychological intervention that uses acceptance and mindfulness strategies along with commitment and behavior-change strategies to increase psychological flexibility.

Steven C. Hayes is an American clinical psychologist and Nevada Foundation Professor at the University of Nevada, Reno Department of Psychology, where he is a faculty member in their Ph.D. program in behavior analysis. He is known for developing relational frame theory, an account of human higher cognition. He is the co-developer of acceptance and commitment therapy (ACT), a popular evidence-based form of psychotherapy that uses mindfulness, acceptance, and values-based methods, and is the co-developer of process-based therapy (PBT), a new approach to evidence-based therapies more generally. He also coined the term clinical behavior analysis.

Child psychotherapy, or mental health interventions for children refers to the psychological treatment of various mental disorders diagnosed in children and adolescents. The therapeutic techniques developed for younger age ranges specialize in prioritizing the relationship between the child and the therapist. The goal of maintaining positive therapist-client relationships is typically achieved using therapeutic conversations and can take place with the client alone, or through engagement with family members.

Functional analytic psychotherapy (FAP) is a psychotherapeutic approach based on clinical behavior analysis (CBA) that focuses on the therapeutic relationship as a means to maximize client change. Specifically, FAP suggests that in-session contingent responding to client target behaviors leads to significant therapeutic improvements.

Behavioral activation (BA) is a third generation behavior therapy for treating depression. Behavioral activation primarily emphasizes engaging in positive and enjoyable activities to enhance one's mood. It is one form of functional analytic psychotherapy, which is based on a Skinnerian psychological model of behavior change, generally referred to as applied behavior analysis. This area is also a part of what is called clinical behavior analysis (CBA) and makes up one of the most effective practices in the professional practice of behavior analysis. The technique can also be used from a cognitive-behavior therapy framework.

Arnold Allan Lazarus was a South African-born clinical psychologist and researcher who specialized in cognitive therapy and is best known for developing multimodal therapy (MMT). A 1955 graduate of South Africa's CHIPS University of the Witwatersrand, Lazarus' accomplishments include authoring the first text on cognitive behavioral therapy (CBT) called Behaviour Therapy and Beyond and 17 other books, over 300 clinical articles, and presidencies of psychological associations; he received numerous awards including the Distinguished Psychologist Award of the Division of Psychotherapy from the American Psychological Association, the Distinguished Service Award from the American Board of Professional Psychology, and three lifetime achievement awards. Lazarus was a leader in the self-help movement beginning in the 1970s writing books on positive mental imagery and avoiding negative thoughts. He spent time teaching at various universities in the United States including Rutgers University, Stanford University, Temple University Medical School, and Yale University, and was executive director of The Lazarus Institute, a mental health services facility focusing on CBT.

Interoceptive exposure is a cognitive behavioral therapy technique used in the treatment of panic disorder. It refers to carrying out exercises that bring about the physical sensations of a panic attack, such as hyperventilation and high muscle tension, and in the process removing the patient's conditioned response that the physical sensations will cause an attack to happen.

Trauma focused cognitive behavioral therapy (TF-CBT) is an evidence-based psychotherapy or counselling that aims at addressing the needs of children and adolescents with post traumatic stress disorder (PTSD) and other difficulties related to traumatic life events. This treatment was developed and proposed by Drs. Anthony Mannarino, Judith Cohen, and Esther Deblinger in 2006. The goal of TF-CBT is to provide psychoeducation to both the child and non-offending caregivers, then help them identify, cope, and re-regulate maladaptive emotions, thoughts, and behaviors. Research has shown TF-CBT to be effective in treating childhood PTSD and with children who have experienced or witnessed traumatic events, including but not limited to physical or sexual victimization, child maltreatment, domestic violence, community violence, accidents, natural disasters, and war. More recently, TF-CBT has been applied to and found effective in treating complex posttraumatic stress disorder.

Metacognitive therapy (MCT) is a psychotherapy focused on modifying metacognitive beliefs that perpetuate states of worry, rumination and attention fixation. It was created by Adrian Wells based on an information processing model by Wells and Gerald Matthews. It is supported by scientific evidence from a large number of studies.

<span class="mw-page-title-main">Jonathan Abramowitz</span> American clinical psychologist

Jonathan Stuart Abramowitz is an American clinical psychologist and Professor in the Department of Psychology and Neuroscience at the University of North Carolina at Chapel Hill (UNC-CH). He is an expert on obsessive-compulsive disorder (OCD) and anxiety disorders whose work is highly cited. He maintains a research lab and currently serves as the Director of the UNC-CH Clinical Psychology PhD Program. Abramowitz approaches the understanding and treatment of psychological problems from a cognitive-behavioral perspective.

<span class="mw-page-title-main">Michelle Craske</span> Australian psychologist

Michelle G. Craske is an Australian academic who is currently serving as Professor of Psychology, Psychiatry, and Behavioral Sciences, Miller Endowed Chair, Director of the Anxiety and Depression Research Center, and Associate Director of the Staglin Family Music Center for Behavioral and Brain Health at the University of California, Los Angeles. She is known for her research on anxiety disorders, including phobia and panic disorder, and the use of fear extinction through exposure therapy as treatment. Other research focuses on anxiety and depression in childhood and adolescence and the use of cognitive behavioral therapy as treatment. Craske has served as President of the Association for Behavioral and Cognitive Therapy. She was a member of the DSM-IV work group on Anxiety Disorders and the DSM-5 work group on Anxiety, Obsessive Compulsive Spectrum, Posttraumatic, and Dissociative Disorders, while chairing the sub-work group on Anxiety Disorders. She is the Editor-in-chief of Behaviour Research and Therapy.

<span class="mw-page-title-main">David H. Barlow</span> American psychologist

David H. Barlow is an American psychologist and Professor Emeritus of Psychology and Psychiatry at Boston University. He is board certified by the American Board of Professional Psychology. Barlow is known for his research and publications on the etiology, nature, and treatment of anxiety disorders. The models and treatment methods that he developed for anxiety and related disorders are widely used in clinical training and practice. Barlow is one of the most frequently cited psychologists in the world.

References

  1. MUJIK.BIZ, Leonid Shiriaev -. "ABCT | Association for Behavioral and Cognitive Therapies | Cognitive Behavioral Therapy". www.abct.org. Retrieved 2017-12-17.
  2. "ABCT home page: About ABCT". ABCT. 2003–2010. Archived from the original on 13 June 2010. Retrieved 24 May 2010.
  3. 1 2 Franks, Cyril M. (1997). "It was the best of times, it was the worst of times". Behavior Therapy. Elsevier. 28 (3): 389–396. doi:10.1016/S0005-7894(97)80086-X.
  4. 1 2 Wilson, G. Terence (1997). "Behavior therapy at century close". Behavior Therapy. Elsevier. 28 (3): 449–457. doi:10.1016/S0005-7894(97)80094-9.
  5. "ABCT home page: History of ABCT". ABCT. 2003–2010. Archived from the original on 13 June 2010. Retrieved 24 May 2010.
  6. "History of ABCT". www.abct.org. Retrieved 2020-02-05.
  7. "PsycNET". psycnet.apa.org. Retrieved 2020-02-05.
  8. Davison, G.; Stuart, R. (1974). "Statement on behavior modification from the Association for Advancement of Behavior Therapy". AABT Newsletter. ABCT. 1 (2): 2–3.
  9. Forsyth, John P.; Hawkins, Robert P. (1997). "Introduction to the special issue thirty years of Behavior Therapy:next term Promises kept, promises unfulfilled". Behavior Therapy. Elsevier. 28 (3): 327–331. doi:10.1016/S0005-7894(97)80077-9.
  10. Forsyth, John P. (1997). "In the name of the "advancement" of behavior therapy: Is it all in a name?". Behavior Therapy. Elsevier. 28 (4): 615–627. doi:10.1016/S0005-7894(97)80021-4.
  11. Antony, M. (2003). "Is it time for AABT to change its name? [Special series]". The Behavior Therapist. 26: 361–371.
  12. Albano, A. M. (2006). "40 years of ABCT [Special issue]". The Behavior Therapist. 29 (7).
  13. Kazdin, Alan E. (1980). Behavior modification in applied settings (Rev. ed.). Homewood, IL: The Dorsey Press.
  14. Craighead, W. E. (2016). ABCT at 50 Years: Reflections, changes, and future. Cognitive and Behavioral Practice, 23(4), 431-435.
  15. Kendall, P. C., Carper, M. M., Khanna, M. S., & Sue Harris, M. (2015). Computer technology and children's mental health. Emerging trends in the social and behavioral sciences: An interdisciplinary, searchable, and linkable resource, 1-16.
  16. ABCT website: special interest groups
  17. Association for Behavioral and Cognitive Therapies. (2003). Mental Illness in our Justice System. New York: ABCT. http://www.abct.org/Information/?fa=Glossary_Prison.
  18. Association for Behavioral and Cognitive Therapies. (2003). About ABCT Special Interest Groups (SIG). New YOrk: ABCT. http://www.abct.org/Members/?m=mMembers&fa=SIG_LinkToAll

Special interest groups