Practitioners of cognitive behaviour therapy (CBT), are laced by real dilemmas when having to take into account the consequences of unequal power relations in society.
Whilst a perspective on social power is not new in psychology, its implications for therapeutic practice have yet to be fully worked out.
The problem becomes most acute when clinicians have to confront the shortcomings of individually focused therapeutic models in, for example, inner city Community Mental Health Teams (CMHTs) here a majority of clients face real and corrosive adversities in their lives.
Exploring the effects of juxtaposing the individually focused school of CBT (Beck. 1976) with one which explicitly focuses on power relations, e.g. in community psychology (Smail, 1997), is one way to shed light on these issues.
Attention is drawn to core differences in the perspectives, e.g. the main focus of CBT on idiosyncratic beliefs and the insistence of community psychology on the social structuring of such beliefs.
Ways in which real adversity has been discussed within the CBT literature are outlined and a clarified view of the problem presented.
A clinical case example is used to illustrate what a focus on social power could add to case formulation in practice The aim of this process is to assist clinicians in practice to make the best use of the skills they have acquired within a theoretically coherent framework.
Mots-clés Pascal : Service santé, Santé mentale, Pouvoir social, Pratique professionnelle, Thérapie comportementale, Thérapie cognitive, Traitement, Organisation santé, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Health service, Mental health, Social power, Professional practice, Behavior therapy, Cognitive therapy, Treatment, Public health organization, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0276985
Code Inist : 002B18H05B. Création : 16/11/1999.