A Combined Treatment Approach:
Cognitive-Behavioural Therapy and
Spiritual Dimensions.
Charcot (1893) reported on the
miraculous cures of 'women of a
certain temperament' and urged the
prevailing medical community to
exploit therapeutically the 'faith
which heals'. A century later the
religious- psychological
literature emphasised the same
beliefs, calculating that 2-6% of
the variance of adult subjective
well being is accounted for by
religious belief, i.e. its
predictive power is as large as,
marital or economic status. Many
behavioural and analytical
psychotherapists agree that
religious belief may have strong
healing power.
Cognitive Therapy, which is based
on a scientific investigation of
problems, and religion, which is
based on faith, initially appear
to be incompatible. Although faith
is required to accept a religion,
once accepted, that religion is
actually based on knowledge and
concepts that have been derived
from examining the holy
scriptures, and have their own
frame of reference.
Similarities of the Combined
Treatment Approach
Any form of successful counselling
requires a healing atmosphere that
generates hope and growth in
clients. Cognitive therapy is used
most effectively in Christian
counselling in the following ways
(Probst, 1988):
1. Giving the patient a
rationale for treatment
procedures.
2. Changing clients
self-awareness by challenging
should's, must's, and ought's.
Cognitive therapy helps clients
to be freed from unrealistic
expectations by understanding and
revising the unnecessary demands
they place on themselves.
3. Teaching meta-cognition
so patients can think about their
thinking, to understand and
control their thought processes,
and to replace inflexible and
destructive thoughts with adaptive
ones.
4. The emphasis on truth
rather than happiness. Critical
thinking skills encourage clients
to confront the truthfulness of
their thoughts and beliefs in
therapy.
5. To change client's
underlying beliefs about the
world, to gain a new set of
assumptions about themselves,
others, and God. As long as
effective treatment is designed
which is sensitive to religious
convictions there is no conflict
between Cognitive Therapy and
Christian counselling.