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Section
35
Simon
Speaks Out Against Beck & Burns
by Julian L. Simon
Question 35 found at the
bottom of this page
Test
| Table of Contents
Beck’s original version of Cognitive Therapy
has the sufferer “Start by Building Self-Esteem.”
Excellent advice, but not very systematic. Neither ‘self-esteem’
nor ‘negative thought’ is a precise theoretical term.
Focusing on your negative self-comparisons is a better method--
clear-cut and systematic-- for achieving the aim Beck sets. But
there are also other paths to overcoming depression that are part
of the overall approach given here.
Beck
focuses on the depressive’s actual state of affairs, and
her distorted perceptions of that actual state. Self-Comparisons
Analysis agrees that such distortions-- which lead to negative
self-comparisons and a rotten Mood Ratio-- are (together with
a sense of helplessness) a frequent cause of sadness and depression.
But Beck’s exclusive focus on distortion keeps them from
seeing the deductively-consistent inner logic of many depressives,
and accepting as valid such issues as which goals should be chosen.
It has also distracted their attention from the role of helplessness
in disabling the purposive activities which sufferers might otherwise
undertake to change the actual state and thereby avoid the negative
self-comparisons.
Beck’s
view of depression as “paradozical” is not helpful,
I believe. Underlying this view is a comparison of the depressed
person to a perfectly logical individual with full information
about the present and future of the person’s external and
mental situation-- like the model of the perfectly rational consumer
in economics. A better model for therapeutic purposes is an individual
with limited analytic capacity, only partial information, and
a set of conflicting desires. Given these inescapable constraints,
it is inevitable that the person’s mental behavior will
not take full advantage of all opportunities for personal welfare,
and will proceed in a manner which is quite dysfunctional with
respect to some goals. With this view of the individual, we may
try to help the individual reach a higher level of satisficing
as judged by the individual, but recognizing that this is done
by means of trade-offs as well as improvements in thinking processes.
Seen this way, there are no paradoxes.
Burns
nicely summarizes Beck’s approach as follows: “The
first principle of cognitive therapy is that all your moods are
created by your ‘cognitions.’” Self-Comparisons
Analysis makes this proposition more specific: Moods are caused
by a particular type of cognition, self-comparisons, in conjunction
with such general attitudes as feeling helpless. Burns says “The
second principle is that when you are feeling depressed, your
thoughts are dominated by a pervasive negativity.” Self-Comparisons
Analysis also makes this proposition more specific: it replaces
‘negativity’ with negative self-comparisons, in conjunction
with feeling helpless.
According
to Burns, “The third principle is...that the negative thoughts...nearly
always contain gross distortions.” Below I argue that depressed
thinking is not always best characterized as distorted. Another
difference between Beck’s and my point of view is that he
makes the concept of loss central to his theory of depression.
It is true, as he says, that “many life situations can be
interpreted as a loss” and that loss and negative self-comparisons
often can be logically translated one into the other without too
much conceptual strain. But many sadness-causing situations must
be bent and massaged in order to be interpreted as losses; consider,
for example, the tennis player who again and again seeks matches
with better players and then is pained at the outcome. It seems
to me that most situations can be interpreted more naturally and
more fruitfully as negative self-comparisons. Furthermore, this
concept points more clearly to a variety of ways that one’s
thinking can change to overcome depression than does the more
limited concept of loss.
It
is also relevant that the concept of comparison is fundamental
in perception and in the production of new thoughts. It therefore
is more likely to link up logically with other branches of theory
than is a less basic concept. Hence this more basic concept would
seem preferable on the grounds of potential fruitfulness.
Adapted
from Good Mood: The New Psychology of Overcoming Depression. Simon,
Julian L. Open Court Publishing Company: Illinois. 1993.
“Personal
Reflection” Journaling Activity #15
The preceding section was Simon Speaks Out Against Beck and Burns.
Write three case study examples regarding how you might use the
content of this section of the Manual or the “Positive Reinforcement”
section of the audio tape in your practice.
QUESTION
35:
Julian Simon argues that depressed thinking is not always best
characterized as what?
Test
for this course
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