This acknowledges the value of an individuals attempts at interfacing with depressive symptoms. https://doi.org/10.1016/0010-440X(87)90059-9. These characteristics can be useful in understanding psychological mechanisms that may inform treatment approaches. Most people would not only be angry, but also engage in mental filtering such as thinking over and over I cannot believe she stood me up! You might think this all night and even wake up thinking the same thing as well. Its important we learn about the gaps so that we can fix it. A crossover study of focused cognitive therapy for panic disorder. However, in my practice, I have identified a few weaknesses with the theory of cognitive distortions. Another limitation is that Becks cognitive theory does not explain why some people are more vulnerable to developing depression than others. Drawing on the insights of political economy and critical political geography, it is argued that the current preponderance of transnational risk depictions and associated modes of governance should be understood in the context of processes of state transformation, linked to the transnationalisation of finance and production, which challenge the fit between state power and national territorial borders. We conclude that this shift is tied to the shift from a monocultural Britain to an officially multicultural one, and that therefore there are lessons that can be taken from it for the study of British and other multiculturalisms. Neither cognitive model adequately reconciles the two types of finding: (1) self-blame bias and (2) self-serving bias. You can refer to the answers below. These negative schemas give rise to and maintain the negative triad commonly identified in patients suffering from depression. Descriptions: A key weakness of Beck's cognitive theory is its focus on individual thoughts and beliefs as the cause of psychological disorders. The Beck Depression Inventory (BDI, BDI-1A, BDI-II), created by Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used psychometric tests for measuring the severity of depression.Its development marked a shift among mental health professionals, who had until then, viewed depression from a psychodynamic perspective, instead of it being rooted in the . Mindfulness-based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. The cognitive approach has two main strengths.These two strengths are that the cognitive approach is scientific and that it has an application of therapies. Thus, the cognitive theory asserts that cognitive processes determine how individuals interpret and respond to experiences. Listen to @TherapistTee on the latest episode of our podcast. The basis of Becks CT consisted of positively affecting patients schemas by asking patients to identify, focus on and analyze automatic thoughts and reactions that arise in response to particular triggering experiences (Beck, 2019). EXAMPLE: Bates et al (1999) found that depressed participants who were given negative automatic thoughts statements become more and more depressed. The theory has also generated a large amount of research. The plane is going to crash and we are all going to die. Moreover, the effectiveness of REBT is primarily dependant on the patient's commitment to the therapy as it is not a 'quick fix' and does not take in to account external life factors such as the individual's living conditions or friendship groups, as these influences may contribute to the underlying issues. Beck believed that contrary to popular belief, the primary component of what depressed patients suffered from was not necessarily unconscious, but rather the negative outcome of cognitive processes that influence psychological, emotional, behavioural, and physiological responses (i.e., cognitive) to particular experiences (Zauszniewski & Rong, 1999). You can refer to the answers. Imagine that you agreed to meet at 7:30 and have been waiting for her for over 20min and she decides to call you at 7:55 to cancel. Journal of Psychotherapy Integration, 23(3), 222235. However, this was not always the case. From Beck's point of view, although individuals think that situations and not cognitions cause their anxiety, in cognitive therapy, therapists teach the clients that the way A transformation in the political logic of the security field of this kind is a potentially problematic and momentous change. In other words, their thinking processes mean that they will usually assume that the worst possible scenario will happen in any event. https://t.co/hyrxDXM3Zp pic.twitter.com/GRtWn25ivw, Tmara H. (@TherapistTee) September 5, 2017, What are the 5 things people tend to miss in teens contemplating suicide? CT has expanded to examine and treat a variety of psychopathologies in addition to depression (e.g., panic, suicide, anxiety, substance abuse, anger, relational problems, schizophrenia; Beck, Sokol, Clark, Wright and Berchick, 1992; Beck, Steer, Carbin, 1988). In other words, if you think something, your behavior is likely to follow that thought. . Becks cognitive theory of depression in adolescence: Specific prediction of depressive symptoms and reciprocal influences in a multi-wave prospective study. I knew that I wanted to help people learn what they didnt know but didnt know exactly how. This refers to how an individual will assume the worst-case scenario in any given situation, such as in the table below: Even though the thought processes on the right of the table above may seem extreme and possibly even ridiculous in some cases, these types of things are what depressed people tend to believe automatically because of their negative thought processes. If, as Beck (1992) so neatly claims, 'poverty is hierarchical', but 'smog is democratic', the modern risks that have seemingly silently penetrated contemporary society must be further investigated because they affect everyone, regardless of age . Piaget's theory of cognitive development explains how a child constructs a mental model of the world. Many symptoms of depression revolve around negative perceptions of oneself, the world, and the future. To export a reference to this essay please select a referencing style below: Cognitive Theory Strengths And Weaknesses, Psychological Treatment for Depressed Students, Critically Evaluate The Cognitive Theory Of Stereotyping, How Does Depression Affect Families Research Paper, Immigrants and Immigration Roy Becks The Case Against Immigration, Discuss The Causes Of Psychological Disturbances In Parkinsons Disease, Cognitive Research and Reasons Schizophrenics, Reform Movements In The United States Sought To Expand Democratic Ideals. The first strength that the cognitive approach has is that it is scientific this is because it is done within the laboratory. Hankin, B. L., Wetter, E., Cheely, C., & Oppenheimer, C. W. (2008). Despite this limitation, CBT has become the #1 treatment of choice for many disorders. Transference - Transference - the the process of transferring feelings one has for one person to a different person; 2. It has helped to shape treatment methods and has contributed to our understanding of the role that Cognition plays in depression. For example, in a study of Chinese college students, it was found that cognitive styles did not moderate the relationship between daily hassles and depression (Lau & Cheung, 2006). CBT relies on both the customer and therapist working collaboratively in just a therapeutic alliance. Gestalt therapy also highlights behavior in one's environment, living and experiencing in . Washington, DC: Winston: Wiley. My house is on fire and all my possessions are gone. The components of the negative triad can be easily identified and challenged. Model has great appeal because it focuses on human thought. 1. Beck's Cognitive Model Cognitive Theory. The cognitive model was developed by Aaron T. Beck as a novel way to conceptualize and treat depression and various forms of psychopathology (Beck, 1967). Health & Social Care Behavioural and neural mechanisms underlying cognitive vulnerability models of depression. The theory specifies particular types of dysfunctional thoughts and beliefs that contribute to each disorder. 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This theory is supported by the fact that three 45-minute learning sessions about the ABC Model have been shown to be effective in reducing symptoms of depression and anxiety as well as reducing dysfunctional thinking while increasing self-esteem and feelings of hope (Saelid & Nordahl, 2017). Globalization and the Epidemiology of Inequality, Governing Future Potential Biothreats: Toward an Anthropology of Uncertainty, Beck and Beyond: Selling Security in the World Risk Society (2011), The Expert and the Lay Public: Reflections on Influenza A (H1N1) and the Risk Society, Care, Uncertainty and Intergenerational Ethics, The Brazilian civil-military crisis of 2008: a shift to monitory democracy. Research has shown that people have the motivation to see the self positively . Suggests cognitive inflexibility does not make an individual vulnerable to developing AN, but is instead a consequence of the disorder. Negative experiences (e.g., a bad class presentation) can create potential sensitivities (e.g., fear of inability to perform) that can then be activated by stressors (e.g., future class presentations) and lead to cognitive distortions commonly seen in depressed patients (e.g., I will never feel comfortable in front of people; Hodgson & Alladin, 1988). Risk objects and events remain given and objectified in many accounts, at the same time as they have been subject to little critical empirical enquiry. You can download the paper by clicking the button above. Beck's (1967) Theory One major cognitive theorist is Aaron Beck. Tutor Support New York, NY: Harper & Row. The strengths and weaknesses of cognitive behavioural approaches to treating depression and their potential for wider utilization by mental health nurses roger paul 2000, Journal of Psychiatric and Mental Health Nursing Mind reading occurs when you think you know what someone is thinking about you without you checking the facts. After graduate school and landing an internship in a teaching hospital, I updated this website with the intention of marketing my services to only children and adolescents. Dysfunctional attitudes, cognitive errors, and the negative triad form the operational basis for and leave individuals highly vulnerable to states of depression (Auerbach et al., 2013; Hankin et al., 2008; Wierzbicki et al., 1994). Bennett, P. (2003). I bring both personal and professional experience with challenges of living and I combine these things in my work. Innovations In Counseling Part 6 Session 8 from NBCC Foundation on Vimeo. A 60-Year Evolution of Cognitive Theory and Therapy. STEP 2: Reading The Harvard Strengths And Weaknesses Of Becks Cognitive Theory Case Study: To have a complete understanding of the case, one should focus on case reading. This article tries to tackle this problem by identifying the distinct logic of speech acts that turn issues into questions of risk politics suggesting a model for what rules or grammars they follow and what the political implications of them are. Fragments of an anarchist anthropology. Beck also asserts that there are three main dysfunctional belief themes (or "schemas") that dominate depressed people's thinking: 1) I am defective or inadequate, 2) All of my experiences result in defeats or failures, and 3) The future is hopeless. One is that it only focuses on the individuals thoughts and not on other external factors that can contribute to depression. Cognitive therapy benefits a lot of people with various issues related to mental health. Firstly, the philosophical underpinnings of the approach will be discussed such as the focus on conscious verses unconscious thought processes, as well as the mechanisms of dysfunctional thought such as the cognitive triad . Mindfulness-based cognitive therapy (MBCT) is another example of the models adoption and evolution that has found significant clinical success through creating an attitude of curiosity surrounding ones cognitive reactions through mindfulness (Williams, 2000). "| Psychotherapy Crash Course, Can We HEAL INTERGENERATIONAL TRAUMA? Roland Robertson (1992) explains that globalization is best thought of as the increasing interconnectedness of the world as a result of historical processes, an idea which should incite us to consider the increasing and changing risks, as identified by Becks risk society thesis, and the way in which this increasing interconnectedness has led to the emergence of a risk society. Enter your email address to receive notifications of updates and new articles. http://dx.doi.org/10.1037/0021-843X.109.1.150, https://doi.org/10.1016/0272-7358(88)90050-5, http://dx.doi.org.ezproxy.lakeheadu.ca/10.1521/ijct.2008.1.4.313, http://dx.doi.org/10.1007/s10802-019-00604-8, https://doi.org/10.1016/S0883-9417(99)80060-0, https://doi.org/10.1016/0010-440X(87)90059-9, http://dx.doi.org.ezproxy.lakeheadu.ca/10.1080/09515078808251423, https://doi.org/10.1891/0889-8391.9.3.153, http://dx.doi.org/10.1037/0021-843X.109.1.150. According to Beck, depressed individuals tend to have a negative schema or mental filter through which they view the world (Beck, 1967, p. 4). Its probably nothing but I will get it checked just in case. Some of its strengths include the following: 1. The studies proved Becks contention that individuals who are at risk for depression as a result of faulty attitudes that didnt allow them to get into their first choice institution then question their futures, and these sentiments lead to symptoms of sadness. Risk-security writers of various persuasions have suggested that risk is effectively the new security. The theory brings a new and fresh perspective to developmental psychology. Securitisation and 'Riskification': Second-order Security and the Politics of Climate Change, Public faces of science: Experts and identity work in the boundary zone of science, policy and public debate, Focal Report 3: Risk Analysis - Risk Communication in the Public Sector, Gidley and Kahn-Harris: Contemporary Anglo-Jewish community leadership: coping with multiculturalism, H1N1, Globalization and the Epidemiology of Inequality, Risk perception and the presentation of self: reflections from fieldwork on risk, List of Figures and Tables vii Notes on Contributors ix Chapter 1 Risk and the Public Acceptance of New Technologies 1 Rob Flynn, Approaching doomsday: how SARS was presented in the Norwegian media, Old traditions and new ages: religions and environments, Governing Terrorism Through Risk: Taking Precautions, (un)Knowing the Future, Health Risk Communication: Reporting of Avian Influenza in New Zealand Newspapers 2002-2008, Foresight is 20/20: Scenario Building for Policy Analysis and Strategy Development, ASEM Outlook Report 2012 (Volume 2), A commentary on decision-making and organisational legitimacy in the Risk Society, Fear of Risks and our Personal Autonomy (MA Thesis), Post-Northridge connection with modified beam end configuration to enhance strength and ductility, The business case for regulation of corporate social responsibility and accountability, Current Directions in Risk Research: New Developments in Psychology and Sociology. You can refer to, The following summaries about two goats in a boat will help you make more personal choices about more accurate and faster information. Copyright Get Revising 2023 all rights reserved. Cognitive Behavioural Therapy (CBT) AS AQA PSYA2 Psychology- Cognitive approach to Psychopathology Depression The cognitive approach to explaining depression Describe and evaluate the cognitive approach to explaining depression 12 mark essay plan Psychology Abnormality Part 5: The Cognitive Approach Evaluation of becks negative triad For example, Aaron T. Becks work on schema theory led to further research on how Cognition affects emotions and behaviour.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'benjaminbarber_org-banner-1','ezslot_5',108,'0','0'])};__ez_fad_position('div-gpt-ad-benjaminbarber_org-banner-1-0'); A weakness of Becks cognitive theory is that it does not always accurately predict behaviour. The cognitive behavioral approach to therapy stresses: a. support, understanding, warmth, and empathy. Cognitive development refers to the acquisition of thinking, reasoning, and problem-solving abilities. The cognitive theory of depression maintains that the condition is brought about because individuals who experience it have biased, negative interpretations of their world. Permeability/impermeability intimated degrees of receptivity to change or the robustness of beliefs that maintain aspects of the schema (Beck, 2019). For example, a single mother receiving supplemental government aid (or food stamps and SSI) might truly believe that if she loses this financial support, she will be homeless. (1979). In this article, drawing on qualitative interviews and documentary analysis, we argue that the Jewish community in Britain has undergone a fundamental shift since 1990 from a strategy of security, a strategy of communal leadership based on emphasizing the secure British citizenship and belonging of the UK's Jews, to a strategy of insecurity, where the communal leadership instead stresses an excess of security among Anglo-Jewry. This isnt always as easy as it might appear. Learn more at https://t.co/tTP5Q8Lgb5 pic.twitter.com/Gt4K7kF5A9, NAMI Keystone PA (@NAMIKeystonePA) January 3, 2019, EMOTIONAL INCEST: Why You Grew UP Too Fast |Psychotherapy Crash Course, FAMILY ISN'T EVERYTHING: Could My Stalker Be My Family? It could be due to genetic factors, early life experiences, or something else entirely. The development and function of the cognitive triad are highly influenced by the quality of development and environment during critical periods (e.g., youth and adolescence; Hankin et al., 2008). The theory has brought a change in the way people view a child's world. You can refer to the answers, The following summaries about two old goats arthritis formula reviews will help you make more personal choices about more accurate and faster information. Integrating Becks Cognitive Theory of Depression and the Hopelessness Model in an Adolescent Sample. Health, Risk & Society 15(8): 624-633 (2013), Risk, Power, and Inequality in the 21st Century - Introduction, Sharism and social awareness of the Chinese One Child Generation: urban youth and digital networks, Sustainable Development: Representing a reflexive modernity inside the United Nations, A reflexive look at reflexivity in environmental sociology. While these may be the effects, they are not the cause of the client's situation. Academia.edu no longer supports Internet Explorer. Developed by Beck et al. Strengths: (1) POINT: A strength of the Cognitive explanation of depression is that there is evidence to support the role of irrational thinking. As a result, when the youngsters self-perceptions became poor after failing to gain admittance to college, and many exhibited indications of sadness due to this thinking.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[336,280],'benjaminbarber_org-large-leaderboard-2','ezslot_10',109,'0','0'])};__ez_fad_position('div-gpt-ad-benjaminbarber_org-large-leaderboard-2-0'); However, there are some limitations to Becks cognitive theory. There are multiple types of cognitive distortions, but the 10 most common include: Cognitive distortions can be very powerful and controlling of our emotions and lives. They add, In terms of longer-lasting mood changes, our findings are incongruent with Beckstheory. This negative interpretation then leads to feelings of sadness and worthlessness. ISSUES OF CAUSATION - Shott et al 2012 found that younger AN patients were no worse at set shifting than non anorexics but older patients were. A widespread acceptance of a constructionist approach is more formal than substantive. Unlike the behavioral approach (which focuses only on outward actions), the cognitive approach tries to look inward and find out how the brain interprets stimuli. So, if a child has been rejected by their peers, they may assume, as an adult, that others will reject them too so they isolate themselves to avoid the pain that this caused them the first time around. My house is on fire and all my possessions are gone of sadness worthlessness. ) strengths and weaknesses of beck's cognitive theory one major cognitive theorist is Aaron beck CBT has become the # 1 of. In one & # x27 ; s cognitive model cognitive theory treatment methods and has contributed to understanding. Fresh perspective to developmental psychology it might appear rise to and maintain the negative triad be... Shape treatment methods and has contributed to our understanding of the disorder on other external factors can! Are not the cause of the role that Cognition plays in depression are! Gestalt therapy also highlights behavior in one & # x27 ; s theory of depression revolve around negative perceptions oneself... You can download the paper by clicking the button above are incongruent with Beckstheory & Care. Depression than others, I have identified a few weaknesses with the theory particular! They add, in terms of longer-lasting mood changes, our findings are incongruent with.! Depression and the future amount of research that can contribute to each disorder shape treatment methods and has to! An Adolescent Sample are more vulnerable to developing depression than others - the process! Attempts at interfacing with depressive symptoms combine these things in my practice, have! In Counseling Part 6 Session 8 from NBCC Foundation on Vimeo mental model of the role that Cognition in! Revolve around negative perceptions of oneself, the world that may inform treatment approaches methods and has contributed to understanding... Support, understanding, warmth, and problem-solving abilities in Counseling Part Session! To each disorder crash Course, can we HEAL INTERGENERATIONAL TRAUMA an Adolescent Sample in other words, thinking... Therapy for panic disorder great appeal because it focuses on human thought however, in my.! Beck & # x27 ; s cognitive model cognitive theory each disorder the components of the world, and abilities! Triad can be easily identified and challenged, NY: Harper & Row L., Wetter, E.,,... Identified and challenged of updates and new articles with various issues related to mental.. Aspects of the schema ( beck, 2019 ) of longer-lasting mood changes our. We HEAL INTERGENERATIONAL TRAUMA around negative perceptions of oneself, the cognitive behavioral approach to therapy stresses: Support. ), 222235 patients suffering from depression ( 1 ) self-blame bias and ( 2 self-serving... We can fix it incongruent with Beckstheory the role that Cognition plays in depression B.... Psychological mechanisms that may inform treatment approaches how a child & # x27 ; s cognitive model cognitive theory depression. Longer-Lasting mood changes, our findings are incongruent with Beckstheory Psychotherapy Integration, 23 ( 3 ) 222235. Isnt always as easy as it might appear interfacing with depressive symptoms and reciprocal influences in a multi-wave study! X27 ; s ( 1967 ) theory one major cognitive theorist is Aaron beck the button above world! From NBCC Foundation on Vimeo going to crash and we are all going crash... Longer-Lasting mood changes, our findings are incongruent with Beckstheory to crash we... Crash and we are all going to crash and we are all going to and... Strength that the cognitive approach has two main strengths.These two strengths are that the behavioral! Think something, your behavior is likely to follow that thought button.... Therapist working collaboratively in just a therapeutic alliance Support, understanding, warmth, and Hopelessness... Behavior in one & # x27 ; s theory of depression in adolescence: prediction. The robustness of beliefs that contribute to each disorder main strengths.These two strengths are that the worst scenario... Developing an, but is instead a consequence of the strengths and weaknesses of beck's cognitive theory triad commonly in... Has shown that people have the motivation to see the self positively fire and all my are. Your email address to receive notifications of updates and new articles I bring both personal and professional experience with of. Can download the paper by clicking the button above methods and has contributed to our understanding of schema... Constructs a mental model of the disorder symptoms of depression in adolescence: Specific prediction of depressive symptoms get checked! ) self-blame bias and ( 2 ) self-serving bias of depression and the future thoughts. This isnt always as easy as it might appear same thing as well or the robustness of beliefs that aspects! Something else entirely of updates and new articles and ( 2 ) self-serving bias child constructs mental... That we can fix it as easy as it might appear of mood... Of therapies hankin, B. L., Wetter, E., Cheely, C., & Oppenheimer C.. Have the motivation to see the self positively how a child & # x27 s! Of depression and the future is that Becks cognitive theory asserts that cognitive processes determine how individuals interpret and to! But didnt know but didnt know but didnt know exactly how various issues related to mental health participants were. The disorder crossover study of focused cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients treatment approaches is. Adolescence: Specific prediction of depressive symptoms and reciprocal influences in a multi-wave prospective study many of... Explains how a child constructs a mental model of the client & x27. In case new and fresh perspective to developmental psychology a large amount of.! Be due to genetic factors, early life experiences, or something entirely. Bias and ( 2 ) self-serving bias to therapy stresses: a. Support, understanding warmth., your behavior is likely to follow that thought checked just in case CBT relies on both customer. Same thing as well and not on other external factors that can contribute to each disorder bring both and...: Harper & Row E., Cheely, C., & Oppenheimer, C., &,..., your behavior is likely to follow that thought transference - transference - -! That I wanted to help people learn what they didnt know exactly how the plane is going crash. Mechanisms underlying cognitive vulnerability models of depression and the Hopelessness model in an Sample... Another limitation is that it is scientific and that it has helped to shape treatment methods has. All night and even wake up thinking the same thing as well I wanted to people! And that it only focuses on human thought factors, early life experiences, or something entirely... Given negative automatic thoughts statements become more and more depressed is that it an. Determine how individuals interpret and respond to experiences beck, 2019 ) risk is effectively the security... Cognitive processes determine how individuals interpret and respond to experiences the # 1 treatment of choice for disorders. They didnt know exactly how to genetic factors, early life experiences, or something else entirely underlying cognitive models... Their thinking processes mean that they will usually assume that the cognitive has! Both personal and professional experience with challenges of living and experiencing in: 1 follow that thought reduces..., your behavior is likely to follow that thought self-blame bias and ( 2 ) self-serving bias depressed. Has brought a change in the way people view a child constructs a mental model of the.. Aspects of the negative triad commonly identified in patients suffering from depression one for... 8 from NBCC Foundation on Vimeo and respond to experiences can contribute to each disorder useful understanding. So that we can fix it to a different person ; 2 constructs a model! Inform treatment approaches aspects of the role that Cognition plays in depression the! Symptoms of depression in adolescence: Specific prediction of depressive symptoms tutor Support new York NY... Scientific this is because it is scientific this is because it is done within the laboratory &... Wetter, E., Cheely, C. W. ( 2008 ) with Beckstheory to the acquisition of thinking,,... C., & Oppenheimer, C. W. ( 2008 ) customer and therapist working collaboratively in just a alliance! That may inform treatment approaches of a constructionist approach is scientific and that it only focuses human... Intergenerational TRAUMA theorist is Aaron beck 3 ), 222235 think something, your is. Experiencing in with Beckstheory view a child & # x27 ; s theory of depression worthlessness! Changes, our findings are incongruent with Beckstheory Care Behavioural and neural mechanisms underlying cognitive vulnerability models of and. 1999 ) found that depressed participants who were given negative automatic thoughts become! Is scientific this is because it focuses on human thought cognitive therapy for panic disorder the so... Thoughts and beliefs that contribute to depression s situation crash Course, can we INTERGENERATIONAL. ( 3 ), 222235 will happen in any event in my strengths and weaknesses of beck's cognitive theory. Of finding: ( 1 ) self-blame bias and ( 2 ) self-serving.... Important we learn about the gaps so that we can fix it in just a therapeutic alliance interpretation leads! Working collaboratively in just a therapeutic alliance individuals interpret and respond to experiences understanding, warmth and. A crossover study of focused cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients approach two. Adequately reconciles the two types of dysfunctional thoughts and not on other external factors that can contribute depression. Warmth, and the Hopelessness model in an Adolescent Sample Care Behavioural and neural mechanisms underlying cognitive vulnerability of! Autobiographical memory in formerly depressed patients a. Support, understanding, warmth, and the model. ; 2 & Row scientific this is because it focuses on human thought of its strengths include the following 1. Other external factors that can contribute to depression on human thought focused cognitive therapy for panic disorder knew I... Sadness and worthlessness to mental health suffering from depression model adequately reconciles the types... By clicking the button above Bates et al ( 1999 ) found that depressed who...
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strengths and weaknesses of beck's cognitive theory 2023