PSYCHOLOGY REVIVALS Cognitive Foundations of Clinical Psychology Chris R. Brewin T Psychology Press Psychology Revivals Cognitive Foundations of Clinical Psychology Originally published in 1988, this was the first textbook to review and inte grate the cognitive theories underlying the practice of modern clinical psy chology. Written in a clear and readable way, it uses many clinical examples to relate the theories to what therapists actually do. It describes the strengths and weaknesses of the theories and develops a common framework drawn from research in social and cognitive psychology to explain the mechanisms of behavioural and cognitive therapy. Among the topics covered are the validity of self-reports; experimental investigations of nonconscious processes; cogni tive theories of conditioning; the relation between cognition and emotional disorders such as anxiety and depression; self-esteem and the development of self-schema; self-efficacy; explanation and causal attribution; personal values and goals; self-regulation and the techniques of cognitive therapy. This text book is designed for advanced undergraduate and postgraduate courses in clinical and abnormal psychology. Its practical focus will also make it of par ticular interest to practising clinical psychologists, psychiatrists and other mental health professionals. This page intentionally left blank Cognitive Foundations of Clinical Psychology Chris R. Brewin Vp Psychology Press A Taylor & Francis Group LONDON AND NfcW YORK First published in 1988 by Lawrence Erlbaum Associates Ltd This edition first published in 2014 by Psychology Press 27 Church Road, Hove, BN3 2FA Simultaneously published in the USA and Canada by Psychology Press 711 Third Avenue, New York, NY 10017 Psychology Press is an imprint of the Taylor & Francis Group, an informa business Copyright © 1988 by Lawrence Erlbaum Associates Ltd. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Publisher's Note The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original copies may be apparent. Disclaimer The publisher has made every effort to trace copyright holders and welcomes correspondence from those they have been unable to contact. ISBN: 978-1-84872-288-0 (hbk) ISBN: 978-1-315-85701-5 (ebk) COGNITIVE FOUNDATIONS OF CLINICAL PSYCHOLOGY Chris R. Brewin MRC Social Psychiatry Unit, Institute of Psychiatry, London firg/A LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS I Hove and London (UK) Hillsdale (USA) Copyright © 1988 by Lawrcncc Erlbaum Associates Ltd. All rights reserved. No part of this book may be reproduced in any form, by photostat, microform, retrieval system, or any other means without the prior written permission of the publisher. Lawrence Erlbaum Associates Ltd., Publishers 27 Palmeira Mansions Church Road Hove East Sussex, BN3 2FA U.K. British Library Cataloguing in Publication Data Brewin, Chris Cognitive foundations of clinical psychology. 1. Medicine. Cognitive behaviour therapy I. Title 616.89*142 ISBN 0-86377-099-1 ISBN 0-86377-098-3 Pbk Typeset by Ponting-Green Publishing Services Printed and bound by A. Wheaton & Co. Ltd., Exeter All unhappiness depends upon some kind of disin tegration or lack of integration; there is disintegr ation within the self through lack of co-ordination between the conscious and the unconscious mind; there is lack of integration between the self and society, where the two are not knit together by the force of objective interests and affections. Bertrand Russell This page intentionally left blank Contents Preface xi 1. Introduction: Cognition and clinical psychology 1 Contemporary clinical psychology 3 Cognitive approaches in psychology 4 Cognitions as precipitating factors 6 Cognitions as vulnerability factors 7 Cognitions as factors in recovery 10 Conclusions 12 2. Conscious and unconscious 13 Perception without conscious awareness 14 Limitations on self-reports 16 Two cognitive systems 19 Cognition and action: Regulated versus unregulated behaviour The Freudian conception of the unconscious 25 Conclusions 29 3. Cognition and conditioning 31 Mechanisms of conditioning 32 Animal conditioning 33 Human conditioning 35 Conditioning models of neurosis 39 A cognitive critique of conditioning theories of neurosis 43 Conclusions 46