I agree with you that the two terms are often used interchangably. The one question I would ask is: when would it be appropriate to focus exclusively on cognition in psychotherapy? It seems to me that behavior change is almost always a component of good treatment. The goal of better analyzing one's environment, of perceiving things as accurately as possible, is to guide one's behavior more effectively. It seems to me that insight without behavior change might be temporarily satisfactory, but not much help in the long run. The new cognitive structures should, theorectically anyway, give rise to new and more effective behavior. Otherwise, what have we really offered the client? Just my two cents worth...
Sean M. Benedict, MFT
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