Throughout this essay, I am going to be discussing the capability of which cognitive behavioural therapy (CBT) could be applied to both substance-related disorder and sexual dysfunction; I am also going to talk through the development of CBT within the UK.
Cognitive behavioural therapy (CBT) is a broad movement within psychotherapy of which was originally developed as Rational Emotive Therapy (RET) by Albert Ellis in the mid 1950’s. Aaron Beck then developed his approach called Cognitive Therapy (CT), Becks approach, from then on, became more popular due to the effect that it had upon clients who suffer from depression. (NACPT, 2008)
‘Cognitive Behavioural therapy (CBT) is currently receiving excellent press and occupies a central place in the move towards evidence-based practice.’ (Woolfe Et Al, p.105, 2010) The National Institute for Clinical Excellence (NICE) is one of the biggest organisations that recommend Cognitive Behavioural therapy to many clients.
The cognitive model that was originally brought about by Aaron Beck in the 1970’s, the reason for the model was to show how emotional problems relate back to a negative thinking process. The cognitive model is made up of 3 elements; Thoughts, Feelings (both emotional and physical) and Behaviours. These three elements link together when the client thinks about an activity or an event that is taking place in that moment of time. They begin to think about all the negative effects and aftermath of that event which then leads to them thinking about the consequences of their actions, which then results to having a negative impact of their behaviour. (Simmons and Griffiths, p. 21, 2009)
‘The Substance-Related Disorders include disorders related to the taking of a drug of abuse (including alcohol) to the side effects of a medication and to toxin exposure’ (American Psychiatric Association, p. 191, 2000) Within substance-related disorders there are 2 categories; one of which is the substance use, which consists of substance dependence and the substance abuse itself, this is where the client abuses the drug or alcohol and then becomes dependent on the drugs/ alcohol and sees them as a coping method when reality is seeming to hard to cope with. The other is substance induced disorder which has a wider range of disorders such as; substance intoxication, withdrawal, sexual dysfunction and sleep disorders, which are mainly the consequences of the drug abuse. Substance dependence is a collection of cognitive, behavioural and physiological symptoms of which show that the individual who take the drugs continues to consume large quantities of the drug regardless of the consequences and the problems that are caused by the drug abuse. (American Psychiatric Association, p.191-192, 2000) Most victims of substance abuse often experience the same symptoms, one of which being tolerance, tolerance is the need to continue taking a drugs, or to take a large amount of a drug until you go into an intoxicated state....