Cognitive Therapy has been criticized for focusing on positive thinking, denying the importance of clients past, being technique oriented, and working on how to subdue the behavior and not looking at the underlying issue. Specific challenges to practice cognitive therapy are objectivism, materialism, hedonism, atomism, and universalism (Lambert 2004).
ÃÂÃÂObjectivism is considered to constrain therapy innovation, the understanding of therapistsÃÂÃÂ values and is biased in favor of objective therapy strategies (Lambert 2004).
ÃÂÃÂMaterialism is associated to empiricism, and the notion that only material objects are knowable (Lambert 2004).
ÃÂÃÂHedonism is explained as that assumption that all living things seek pain, in a therapeutic setting is implies that if there are no benefits in something if no benefits are provided to self (Lambert 2004).
ÃÂÃÂAtomism refers to the idea that each atom must first exist as a self contained entity and then cross time and space to interact with other atoms (Lambert 2004).
Atomism ÃÂÃÂaccounts for the emphasis on individual diagnosis and its therapeutic treatment as well as relativistic moral valuesÃÂÃÂ (Lambert 2004).
ÃÂÃÂUniveralism is based on the concept of matching a diagnosis and treatment can be universal (Lambert 2004).
Some methodological issues in cognitive therapy are:ÃÂÃÂDefining psychotherapy outcomesÃÂÃÂConceptualizing measures and methodsÃÂÃÂInfluence of the assessorÃÂÃÂContaminated judge characteristicsÃÂÃÂinfluence of idiosyncratic interpretations of itemsPANIC DISORDERPD usually starts suddenly with the most common age of onset being in the mid-to-lateTwenties. Stressful life events are quite common around the time of onset. These events involve threat of future crisis. The cognitive procedure for a patient with PD would be as follows:ÃÂÃÂIdentify the negative feelingÃÂÃÂEducating the patient about what is occurring and why it is importantÃÂÃÂTeach and implement distraction techniquesÃÂÃÂUncover the verbal challenges of automatic thought process.
ÃÂÃÂFocus on Behavior experiments (hyperventilation, body focus task, paired associate task)ÃÂÃÂRelaxation techniquesÃÂÃÂWorking with imagesÃÂÃÂRemoval of other blocks.