'The Philosophical Methods of CBT' by Tim LeBon

This week, Tim LeBon, philosophical counsellor and one of the Stoicism Today team, maps  seven typical errors of thinking, as recognised within CBT, with possible philosophical remedies for each error. The following piece is extracted from Tim’s book, Wise Therapy (2001), and is reproduced with kind permission of the author. The extract is prefaced by a short introduction, written by Tim for this blog, about the overall aims of the book.

Tim Le Bon, Psychotherapist, Philosophical Counsellor and Author of ‘Wise Therapy’
Introduction

In Wise Therapy (Sage,  2001) I aimed to examine some of the main practical topics in philosophy and explore their implications for psychotherapy and counselling.  The philosophy of well-being, right and wrong,  reason and the emotions and the meaning of life are all surveyed, what I hope to be acceptable conclusions reached, and then, in the final chapter, a counsellor’s philosophical toolbox is created.  Alongside a focus on philosophy,  I also examine the existing philosophically-inspired techniques from a variety of approaches, including logotherapy,  philosophical counselling, existential-phenomenological counselling, Rational Emotive Behavioral Therapy (REBT) and Cognitive Behavioural Therapy (CBT).

CBT and REBT often quote the Stoic Epictetus’s dictum that “Men are disturbed not by things, but the views which they take of them” (Epictetus, Enchiridion, 5). They have taken this idea and turned it into a technique, variously called thought records, mood logs or cognitive restructuring. The idea is that you notice when you are feeling upset (sad, angry, anxious etc) and try to determine the judgement or thought that lies behind the emotions. I usually recommend clients to imagine themselves in a cartoon with a speech bubble coming out of their head. The trick is to imagine what thoughts or images are in the speech bubble. Once you’ve worked out which thoughts are disturbing you, the next step is to untwist your thinking by looking typical thinking errors that cause emotional problems.  After that, you can come up with alternative (“rational”) responses to help you feel less upset.

In the following extract from Wise Therapy  I first describe some of the existing thinking errors described by leading CBT therapists, and then refine these to include philosophical insights.

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Perspectives: Philosophy as Medicine by John Sellars

In this Perspectives Article, John Sellars, Lecturer in Philosophy at Birkbeck College, London, discusses Philosophy as Medicine: Stoicism as Cognitive Psychotherapy.

“Distinct from philosophy of medicine is the idea of philosophy as medicine. Might philosophy itself have some therapeutic value? I want to explore this question by looking at the way in which ancient Stoic philosophy claimed to be a form of therapy and also the perhaps unexpected way in which a number of key figures in the development of modern cognitive psychotherapy have cited Stoicism as a key influence on their work. In short I shall try to show both that ancient Stoic philosophy is itself a form of cognitive psychotherapy and that it stands behind modern forms of cognitive psychotherapy as well…

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Perspectives: Philosophical Therapy as Preventive Psychological Medicine

Christopher Gill, Professor of Ancient Thought at the University of Exeter, shares his views on the function of philosophical therapy in antiquity.

‘What contribution was made to the treatment of mental illness in antiquity by philosophical essays on the therapy of emotions? To what extent can we – moderns – recognize in these essays a credible response to mental illness? In this discussion, I explore both these questions, in the belief that each of these lines of enquiry may illuminate each other. A key point, bearing on both questions, is the suggestion that the philosophical essays were intended to function as a psychological analogue for ancient medical regimen, or what we call ‘life-style management’ or ‘preventive medicine’. I begin by developing this suggestion in general terms before relating this idea to the emergence of a distinct genre or body of writings on the therapy of the emotions in the Hellenistic and Roman Imperial periods. Next, I analyse the core strategy of this kind of philosophical therapy, identifying four key recurrent themes. I illustrate this schema, referring especially to Galen’s newly found essay, Avoiding Distress, taken as representing a Platonic-Aristotelian approach, on the one hand, and to Seneca’s On Peace of Mind, representing the Stoic approach, on the other. I then return to the idea that such works are designed to function as preventive psychological medicine, and ask whether they embody an approach to psychological health-care that we could find useful under modern conditions.’

Stoicism in Healthcare: Parallels with the Adaption of Buddhist Mindfulness

This reflective essay, drawing on parallels with the adaptation of Buddhist mindfulness practice into the eight week mindfulness programme, offers one approach for the applications of Stoicism in Healthcare today. Patrick Ussher explores the parallels in this piece.

Please read and share your thoughts.

Stoicism in Healthcare