Re: Taking a closer look at the findings of Devilly and Spence 1999

Brian,
I like your description of CBT. I think that the interplay between science and art (that is the creative part of the work that often adds new ways or approaches to the general process well ahead of research) is a facinating way that psychotherapy and my discipines advance. I have just been reading Beck's new book on CBT ideas and anger. The introduction (I think, perhaps a prologue, the book is at my work, title I think is Prisoners of Hate) has a wonderful description of his transition from psychanalysis (what he was trained in) to CBT. If memory serves me correctly, those early folk who advocated CBT techniques were often criticized by the more traditional schools of therapy. It took many years of hard work to convince people of the efficacy of CBT. The original CBT research was also doubted and ridiculed by the more established schools of therapy. The early leaders in CBT kept to their work and continued to struggle with their patients and research. Eventually CBT took what I believe is its rightful place as one of the major advances in psychotherapy. Other procedures (Primal scream comes to mind) started out with a bang, got lots of publicity and a few books and then died on the vine. The proof is not what happens in the first few years, the proof is what happens over years of research and clinical practice.

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