Cognitive behavioral therapy is a psychotherapeutic intervention through talk therapy and treatment that helps the patients to improve their mental health. While the use of cognitive behavioral therapy for families usually aims at enhancing the autonomy among family members, improving roles agreement and reducing stress and conflicts, cognitive behavioral therapy for individuals aims at resolving personal issues relating to substance use and obsessive-compulsive disorders (Patterson, 2014). However, in both family and individual cognitive therapies, action-oriented therapy is carried out to engage the clients in assuming the responsibilities of doing the work.
Even though cognitive behavioral therapy is effective in handling situations and disorders, its usage has some challenges. Typically, cognitive behavioral therapy is practically unable to treat the symptoms of discerned disorders among family members. Additionally, the CBT therapies dictate that people must assume work responsibility, thus making it less beneficial to some family members. Citing Nichols (2014), people have equal power in group therapy than in family therapy. The case of Johnson family CBT therapy makes them remember their failures, thus conjuring guilty feelings. Some family members with chronic or severe cognitive challenges may not be involved in cognitive therapy in CBT aspect because their state of behavior would require strict interventions.
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The most effective cognitive behavioral therapy strategy for families is congruence. According to Gelder, Harrison, and Cowen (2006), congruence is the aspect of gaining perfect communication among family members. Family therapy associates congruence in three levels to achieve excellent quality communication. Typically, congruence entails admitting own sensations, feelings about feelings, and the ability to express inner experiences. Secondly, congruence involves translating the inhaled perceptions and expectations into responsible patterns of our needs. Finally, congruence in the last level associates spiritual life force, which creates harmony in the family.
References
Gelder, M., Harrison, P., and Cowen, P. (2006). Shorter Oxford Textbook of Psychiatry, 5th edition. (pp. 230-131). Oxford: Oxford University Press.
Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson. Laureate Education (Producer). (2013c). Johnson family session 3 [Video file]. Author: Baltimore, MD.
Patterson, T. (2014). A cognitive-behavioral systems approach to family therapy. Journal of Family Psychotherapy, 25(2), 132–144. doi:10.1080/08975353.2014.910023