A Special Feature in Commemoration of Aaron T. Beck’s Contributions to the Science and Practice of CBT

This special feature in Cognitive and Behavioral Practice is a commemoration to Aaron T. Beck’s contributions to the science and practice of CBT. The fact that so many leading scholars participated, including several Past Presidents of the Association for Behavioral and Cognitive Therapies, speaks volumes about the high regard held for Beck. Included are papers that cover the Beckian model of depression, its refinement and application to obsessions, compulsions, hoarding, as well as how the model addresses interpretational biases in emotional psychopathology and has been adapted for youth. Additionally there are papers conveying how Beck’s phenomenological approach to understanding the client’s perspective is useful in attending to cultural differences, and in mitigating the mental health impact of marginalization and discrimination. Expert commentaries are extended to relational processes (case formulation, therapeutic relationship, collaboration and guided discovery, alliance, rupture repair, homework), change processes (cognitive reappraisal, dialectical thinking, acceptance and defusion, emotional schemas), and to important scientific advances (conceptualizing processes within techniques, data analytic advances that bridge the scientist-practitioner gap, and technology augmentation). Many of the contributions herein also include brief personal stories to help illustrate the enormity of Beck’s contributions.     

Phenomenology and Cultural Considerations

The author discusses how his early exposure to Dr. Beck’s work shaped and directed his development as an emerging psychologist. Focusing on Beck’s assessment of hopelessness, the author discusses how he developed an appreciation for both the multidimensionality and multifunctionality of the construct in his own works focusing on cultural differences. The author argues that Beck’s early strategy to use a phenomenological approach to understanding clinical conditions remains important for appreciating the different functional meanings that cognitions might embody for different individuals.     

A daughter's retrospective of B. F. Skinner

This paper describes characteristic behaviors of my father, B. F. Skinner, using family documents and my own recollections. Early contingencies in his upbringing strengthened his love of building things and his independence in discovering how the world works. Those skills, combined with a lack of supervision in graduate school, set the stage for his discovery of the operant. He did not stop with laboratory research. He extended his discovery of how consequences select behavior into education and the design of cultural practices. As well as solving society's problems, my father was always concerned with improving his own behavior. Some of the contingencies he set up to maximize his own productivity are described.     

Adaptations for Youth

Aaron T. Beck exemplified the clinical scientist, willing to test his hypotheses, and willing to share his experiences and treatment features with others. Assessment and treatment of emotional disorders have been forever improved through the efforts of Aaron T. Beck. Using the psychological treatment of an emotional disorder in youth (i.e., anxiety), this commemorative reflects on how Aaron T. Beck’s clinical strategies have been impactful well beyond his initial focus. As a world-renowned clinical scientist, Beck’s work has influenced multiple fields addressing mental health. As a friend and colleague, Beck was a gentleman and a scholar.     

Brain transplants and possible worlds: A response to Beck

I am very grateful to Simon Beck for his thoughtful response to my paper “Transplanting Brains?” (2016). Needless to say, he raises more issues than I can hope to answer in a brief response. While Beck seemingly feels that the deck has been stacked against him, I think that the majority of his criticisms result from misconceptions and misunderstandings that I intend to straighten out in what follows. Before proceeding, I would like to draw attention to a worry that is lurking in the shadows. Perhaps Beck and I talk at cross purposes. While Beck is concerned with a metaphysical theory of personal identity that supposedly holds across all possible worlds—and as such places heavy importance on counterfactuals and intuitions—I am concerned only with the natural world with the aim of generating empirically substantiated hypotheses about how things really are when it comes to persons persisting through time. Now, here is a disclaimer: If the natural world does not exhaust reality, then my discussion is only partial. It goes without saying that most contemporary philosophers given a choice between going with science and going with intuitions, go with science.     

The relative effectiveness of various instructional approaches in developing anticipation skill

The relative effectiveness of explicit instruction, guided discovery, and discovery learning techniques in enhancing anticipation skill in young, intermediate-level tennis players was examined. Performance was assessed pre- and postintervention, during acquisition, and under transfer conditions designed to elicit anxiety through the use of laboratory and on-court measures. The 3 intervention groups improved from pre- to posttest compared with a control group (n = 8), highlighting the benefits of perceptual-cognitive training. Participants in the explicit (n = 8) and guided discovery (n = 10) groups improved their performance during acquisition at a faster rate than did the discovery learning (n = 7) group. However, the explicit group showed a significant decrement in performance when tested under anxiety provoking conditions compared with the guided discovery and discovery learning groups. Although training facilitated anticipation skill, irrespective of the type of instruction used in this experiment, guided discovery methods are recommended for expediency in learning and resilience under pressure.     

Using computer conferencing to formulate a computer simulation of transitive behavior

The activities of a group engaged in simulation modeling via computer conferencing are described, and the model which resulted from those activities is briefly outlined. The phenomena which were modeled were initially described in a series of studies by Trabasso and his colleagues. These studies centered upon exhibition of transitive choices by children and adults, and supported the hypothesis that the choices were guided by formation of “linear arrays“ of the choice objects.     

Wittgenstein on Expectation,Action, and Internal Relations, 1930–1932

According to Wittgenstein, internal relations are such that, once their terms are given, it is unthinkable that they do not hold. In his early philosophy, the concept of internal relation plays a central role in his views on meaning. The present paper addresses the question of how Wittgenstein's views about internal relations develop during his years of transition (1930–32). In particular, it investigates the connections between the concepts of internal relation, logical multiplicity, and aspect seeing in two thematic fields: (1) Wittgenstein's discussion of the relation between an expectation and what fulfils it, and (2) his discussion of the relation between a sign and an action guided by it.     

Stop Thinking and Start Doing: Switching From Cognitive Therapy to Behavioral Activation in a Case of Chronic Treatment-Resistant Depression

Several recent investigations have demonstrated that Cognitive Therapy (CT) and Behavioral Activation (BA) are both efficacious treatments for depression (Butler, Chapman, Forman, & Beck, 2006; Dimidjian et al., 2006; Dobson, 1989; Gloaguen, Cottraux, Cucherat, & Blackburn, 1998; Hollon, Thase, & Markowitz, 2002; Jacobson et al., 1996). This investigation focuses on the treatment of Mr. X, a 62-year-old man with chronic treatment-resistant depression and comorbid personality pathology. After a course of 21 sessions of CT, treatment was switched to BA. We present daily mood data from 147 days of each treatment. Generalized least squares analyses of these time series data demonstrated that BA was associated with improved mood and these results were supported by clinical observation of improved functioning during the course of BA. We hypothesize that efforts at cognitive restructuring had an iatrogenic effect on this client and paradoxically triggered depressive rumination; these failed efforts provided further evidence in support of his underlying defectiveness schema. We also speculate that this client's dependent personality ran counter to CT's emphasis on autonomous homework assignments. Future randomized clinical trials are needed to investigate if nonresponders to CT benefit by switching to BA.     

The interiorizing movement of logical life: reflections on Wolfgang Giegerich

The following article is an account of my discovery of and subsequent immersion in Wolfgang Giegerich's work. A sampling of his voluminous writings on the soul is set out to illustrate how he attempts to penetrate thinkingly into psychological phenomena and his claim that this inevitably brings out their internal dialectic. The article summarizes his critiques of Jung, Hillman, and The Red Book: Liber Novus.     

How learning contexts facilitate strategy transfer

The present study assessed the role of context in the acquisition and transfer of a mathematical strategy. One hundred and six children were assigned to four conditions: direct strategy instruction, guided discovery, direct teaching plus discovery, or a control condition. The intervention consisted of fourteen sessions during which the number-family strategy, useful for addition and subtraction, was taught. Third grade students in the guided discovery condition performed better than those in the direct instruction condition on far transfer problems that measured deep conceptual understanding. Students who had total or partial exposure to guided discovery held stronger beliefs and adopted more positive goals about the importance of mathematical understanding and peer collaboration, attributed less importance to task extrinsic reasons for success, and reported greater use of deep processing strategies than students exposed to direct, explicit instructions. Finally, students in the discovery conditions were able to communicate more effectively during problem solving than students in the direct instructions condition.     

The Royal Road and the Common Artery

This is the story of two of my dreams and how working with them guided me to discovery and treatment of a life-threatening brain aneurysm. Subsequent study revealed clues to the condition contained in my various creative interests in the year prior to the dreams. These, though they remained unconscious, proved to be probable diagnostic indicators. I had no conscious physical symptoms.     

Awe and premature efaculation: a case study.

The analysis of a man suffering from premature ejaculation is described. As is typical of a large group of men who ejaculate prematurely, he was passive and masochistic in his marriage and obsessive-compulsive in his character. Analysis of his affect of awe led first to a deeper understnding of his self-representations and object relationships, and later, with the discovery of the specific unconscious fantasies associated with the feeling of awe, to the alleviation of his symptom of premature ejaculation.     

Manualizing psychotherapy: Aaron T. Beck and the origins of Cognitive Therapy of Depression

Abstract

This paper examines the origins of psychiatrist Aaron T. Beck’s 1979 Cognitive Therapy of Depression (CTOD). CTOD was the first psychotherapy manual designed to be used in a randomized controlled trial (RCT). Making psychotherapy amenable to the RCT design had been a ‘holy grail’ for leading American psychotherapy researchers since the late 1960s. Beck’s CTOD – which standardized his treatment so it could be compared with drug treatments in a clinical trial – delivered that holy grail, and ushered in the manualized treatment revolution. Manuals are now a sine qua non in psychotherapy research. In this paper, I explore some of the personal, political, and economic variables that made the idea of a manual irresistible to Beck and to those who first championed him.     

Cross-cultural pastoral counseling: Method or hermeneutic?

This article explores some of the meta-questions that emerge when talking about “cross-cultural pastoral counseling.” Is it a distinct counseling method or a practical hermeneutic that prompts the counselor to examine his or her therapeutic approach? The author argues that “cross-cultural pastoral counseling” is really a hermeneutic that challenges the pastoral counselor to an ongoing evaluation of how and to what extent his or her approach to pastoral counseling may be guided by dominant social convention versus the gospel mandate of Matthew 25: 31–46 [RSV]. The article reviews relevant literature, discusses three fundamental changes (“conversions”) that are necessary for the pastoral counselor in order to do cross-cultural pastoral counseling, and presents a case illustration involving a multi-cultural pastoral counseling intervention.     

Teleological principles in science

In the search for elementary particles, such principles are used as Gell‐mann's that ‘anything which is possible is compulsory’. This is an example of a teleological principle according to which the scientist tries to realize in science the kind of world that he desires on prior emotional grounds. Mendeleev's classical discovery of the Periodic Law and Table of Elements was thus guided by his mystical values. A mechanistic anti‐teleologist such as Jacques Loeb was indeed a crypto‐teleologist who wished science to fulfil his radical, socialistic aims. Hoyle's ‘perfect cosmological principle’ projected conservative values, while such conceptions as Oppenheimer's ‘catastrophic collapse’, and Mach's Principle likewise had their teleological bases. Anti‐mystical and individualistic values inspired Bridgman's operationism. A ‘perfect operational principle’ would stipulate that every imaginable state of affairs would be operationally differentiable from others. Teleological principles are essential to the functioning of sciences; in the Theory of Theories, the principle of plenitude may hold: that for every mode of theory, there is some segment of reality for which it provides the best explanation. Naturalistic accounts of basic teleological principles seem inadequate.     

Reichenbach, induction, and discovery

Conclusion I have applied a fairly general, learning theoretic perspective to some questions raised by Reichenbach's positions on induction and discovery. This is appropriate in an examination of the significance of Reichenbach's work, since the learning-theoretic perspective is to some degree part of Reichenbach's reliabilist legacy. I have argued that Reichenbach's positivism and his infatuation with probabilities are both irrelevant to his views on induction, which are principally grounded in the notion of limiting reliability. I have suggested that limiting reliability is still a formidable basis for the formulation of methodological norms, particularly when reliability cannot possibly be had in the short run, so that refined judgments about evidential support must depend upon measure-theoretic choices having nothing to do in the short run with the truth of the hypothesis under investigation. To illustrate the generality of Reichenbach's program, I showed how it can be applied to methods that aim to solve arbitrary assessment and discovery problems in various senses. In this generalized Reichenbachian setting, we can characterize the intrinsic complexity of reliable inductive inference in terms of topological complexity. Finally, I let Reichenbach's theory of induction have the last say about hypothetico-deductive method.     

Religious imagery of a schizotypal patient

Psychotherapists are increasingly challenged to become more effective with religiously oriented patients. In this article I summarize a recent stage model of psycho-religious functioning that was developed to help psychotherapists work with religious material in clinical practice. Following this brief introduction, I describe how the paradigm guided my clinical understanding of a young man suffering from a severe personality disorder. The case study depicts the entanglement of his religious thinking with his core psychological and emotional conflicts and supports the assertion that nonjudgmental exploration of religious imagery may be a vital component of psychotherapy with intensely religious patients.     

The discovery of pluralistic ignorance: An ironic lesson

In recent years, an increasing number of social and behavioral scientists have begun to pay serious attention to pluralistic ignorance, the shared false ideas of individuals about the sentiments, thoughts, and actions of others. Most of these researchers are unaware of the original effort to investigate these patterns of cognitive error and, consequently, misunderstand, as did the original investigators, some of the implications of their own work. The discovery of this important social phenomenon by Floyd H. Allport and his students, Daniel Katz and Richard L. Schanck, and how their preoccupation with individual characteristics and their relative neglect of social characteristics led them to underestimate the value of their discovery, is discussed. Allport's original interest in pluralistic ignorance and how he and Katz documented it empirically are presented, as is a review of Schanck's research extending their analysis.