An Introduction to the Art and Science of Cognitive Behavioural Psychotherapy

Abstract

This chapter focuses on the theory and practice of cognitive behavioural theory (CBT) and psychotherapy, and it begins by exploring the empirical foundation of CBT. Following this the authors describe and consider key methods and techniques used commonly by CB therapists or P/MH nurses who wish to use CBT skills and interventions, namely, the therapeutic relationship, assessment strategies, case conceptualisation, structure, cognitive techniques and behavioural interventions. The chapter also considers competence in CBT and how to develop competence before reminding readers of the necessity and value of engaging in clinical supervision. Finally, the authors speak to how P/MH nurses can use CBT skills and techniques in a variety of mental health settings. They conclude that P/MH nursing curricula in the Occidental world invariably include material and experience of CBT skills, theory and techniques, and mental health service users overwhelmingly state their desire for more ‘talk therapy’. Accordingly, while P/MH nurses might not necessarily use all the skills, techniques and interventions captured in this chapter, there is a broad consensus in the relevant theoretical, clinical, empirical and policy literature that P/MH nurses in various settings can and should consider the more widespread use of CBT skills—even though the authors acknowledge that this is not without challenges and the need for some adaptation.