This paper discusses a popular intervention called cognitive behavioral therapy (CBT). CBT involves the restructuring and reframing of distorted thoughts with positive thoughts that are conducive to an individual’s well-being (Beck, 2011; Greene & Roberts, 2002; Cohen, Mannarino, Berliner, & Deblinger, 2000). Although there are many techniques to CBT such as, rehearsal, modeling, and coaching, CBT is useful for issues of anger management, social problem solving and social skills training.
I chose CBT as my intervention because of the extensive body of literature that supports CBT for victims of trauma, and sexual abuse, and the residual effects from those experiences such as, posttraumatic stress disorder (PTSD), cognitive distortions, and depression and anxiety. For example, with regard to cognitive distortions, victims of sexual abuse begin to self-blame for the maladaptive behaviors of a perpetrator (Miller, Handley, Markman, & Mille, 2010). If this type of ‘self-damnation’ is not addressed the perpetuation of self-blame will continue to: 1. keep the victim in an abusive relationship and in a victim role and, 2. not address the maladaptive behaviors of the perpetrator and victim. Furthermore, victims of trauma, in particularly, sexual abuse, suffer from PTSD. In turn, a great deal of inhibition may develop as a defense mechanism (Cohen, Mannarino, Berliner, & Deblinger, 2000; Hill, et al., 2004; Miller, Handley, Markman, & Mille, 2010). In other words, they remove themselves from activities that might remind them of the traumatic experience.
Cohen, Mannarino, Berliner, & Deblinger (2000) discuss trauma-focused therapy with emphasis on four specific CBT techniques: a) exposure, b) cognitive processing and reframing, c) stress management and, d) parental training. Emphasizing the concept of exposure, the technique consisted of two parts, imaginal flooding and gradual exposure; whereas, the therapist would request that the client to give specifics of the traumatic event(s), the other would evoke the less troublesome parts of the traumatic experience first, then ‘gradually’ have the client express the more thought provoking experiences of the traumatic event(s). Repeating the traumatic experience is hypothesized to become less burdensome on the client, as the client begins to separate the emotional connection to the traumatic experience (Cohen, Mannarino, Berliner, & Deblinger, 2000).
Where trauma-focused therapy entails four facets of its therapeutic process, cognitive trauma therapy, as is pertains to women suffering from PTSD, embodies an wider range of techniques to include, but not limited to, exposure therapy, stress-management, and also the development of a an keen-eye in determining a perpetrator (Hill, et al., 2004). Because of both treatment/interventions offer similar techniques, I do not see an issue with me utilizing both interventions. Of course, I would tailor the interventions accordingly – that is, what techniques...