In this essay the author challenges the standard origin story of cognitive therapy, namely, that its founder Aaron T. Beck broke with psychoanalysis to pursue a more pragmatic, parsimonious, and experimentalist cognitive model. It is true that Beck broke with psychoanalysis in large measure as a result of his experimental disconfirmation of key psychoanalytic ideas. His new school of cognitive therapy brought the experimental ethos into every corner of psychological life, extending outward into the largest multisite randomized controlled studies of psychotherapy ever attempted and inward into the deepest recesses of our private worlds. But newly discovered hand-sketched drawings from 1964 of the schema, a conceptual centerpiece of cognitive therapy, as well as unpublished personal correspondence show that Beck continued to think psychoanalytically even after he broke with psychoanalysis. The drawings urge us to consider an origin story much more complex than the one of inherited tradition. This new, multifaceted origin story of cognitive therapy reaches beyond sectarian disagreements and speaks to a broader understanding of the theoretical underpinnings of cognitive therapy.
Aaron T. Beck's Cognitive Therapy (CT) is a school of psychotherapy, conceived in the 1960s, that is celebrated by many clinicians for having provided the scientific antidote to all that was wrong with psychoanalysis. This essay situates the origins of CT in the crisis of legitimacy in psychiatry in the 1960s and 1970s, when, among many charges, psycho- analysts had to face the accusation that analysis was not adequately scientific. Beck actually began his career as both a psychoanalyst and an experimentalist. Contrary to common triumphalist accounts, Beck created CT to be a neutral space, not a partisan one, in turbulent times. Other notable psychoanalysts also sought compromise, rather than partisanship, to bridge the transition to biomedical science. The biographical approach of this essay to the origins of Beck's CT both situates him historiographically and articulates the complex experiences of a generation of psychoanalysts otherwise opaque to standard narratives.
This special issue talks about the history of psychotherapy. It was inspired by the events of a 3-day conference, "From Moral Treatments to Psychotherapeutics: Histories of Psychotherapy From the York Retreat to the Present Day". The conference was small and the ideas were exciting. It was clear that enthusiasm was high for exploring possibilities in something called "the history of psychotherapy". (PsycINFO Database Record
Aaron T. Beck developed a rudimentary theory of dreams in the early years of cognitive therapy (1969-1971) that he presented to both psychoanalysts and behavior therapists. This article will examine the historical conditions that fostered Beck’s cognitive dream theory. Beck’s early psychoanalytic dream research taught him the virtues of social science research and catalyzed his shift towards the cognitive model. Once the cognitive model was in place he returned to dreams to help position himself politically in the national therapeutic scene. The 1971 article reprinted in this special issue is evidence of his effort to reach out to psychoanalysts with his new cognitive model. Beck’s dream work, once he allied with behavior therapists, fell out of public view, but the current interest in psychotherapy integration has brought renewed attention to dreams in cognitive therapy.
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