Posted by Dinah on June 2, 2003, at 11:39:31
In reply to Re: CBT and metacognition » Dinah, posted by mattdds on June 2, 2003, at 11:29:39
> I see CBT as holding me personally responsible for my own state of affairs, but not in a "blaming" or "faulting" way. Again, there is a subtle but definite distinction between "blaming" and "holding responsible". Being held responsible for my own recovery is, to me, empowering! I am no longer the helpless victim, but the master of my destiny.
>
Hi Matt. I'm afraid that that subtle distinction is one of those ones that my mind is not nuanced enough to make. And believe me, there are many. My therapist goes around and around with me sometimes to get me to understand distinctions between things that to me are the same. I don't really get the distinction between holding someone responsible and in some way blaming them for not living up to those responsibilities.The feelings of blame I get came not from my therapist but from the literature. Perhaps if my mind were capable of more subtle distinctions, it wouldn't be a problem for me, but it is. My therapist was flexible enough to back off from the strict CBT approach that is his initial response to anxiety disorders and move to a modality that was more useful to me. He still incorporates CBT concepts. He just doesn't rely on them exclusively.
Isn't that also the main reason for DBT? Marsha Linehan found that CBT didn't work for her target population, in part because of a high dropout rate. So she incorporated other concepts into her DBT so that it would better suit that type of patient.
I always see that as a mark of good therapy - flexibility.
poster:Dinah
thread:230572
URL: http://www.dr-bob.org/babble/psycho/20030529/msgs/230798.html