Posted by SLS on December 7, 2017, at 10:53:09
In reply to Re: Who's tried Mindfulness Meditation for Depression? » SLS, posted by baseball55 on December 5, 2017, at 21:19:45
I don't think it is necessary to have poor self-esteem in order for CBT to work. CBT has the advantage of time. It works from the top down, so that the negative feelings that result from cognitive distortions can be changed almost immediately. Depression (MDD and BD) produces a never-ending series of cognitive distortions independent how one defines themselves (high self-esteem). Without interception, these thoughts and feelings can erode self-esteem, so one does not have to have low self-esteem to begin with.
1. Depression = cognitive distortions -> negative feelings -> core beliefs -> self-esteem
2. Depression = negative feelings -> cognitive distortions -> core beliefs -> self-esteem
Inverted pyramid:
-------------Automatic thoughts / Cognitive distortions--------
-------Intermediate beliefs--------
-----Core beliefs -----
Core beliefs are changed as a consequence of the interception and recognition of negative automatic thoughts. Negative thoughts are replaced by positive ones, and the effect trickles down to the core beliefs via intermediate beliefs. The need for years of psychodynamic therapy to change core beliefs are obviated. Of course, psychodynamic therapy has very important uses just as CBT cannot treat all psychiatric conditions.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1096145
URL: http://www.dr-bob.org/babble/psycho/20161002/msgs/1096245.html