Abstract
Case formulation in standard cognitive therapy approaches is focused on the assessment and reformulation of negative core self-beliefs. Self-beliefs play a structural role to provide guidance, coherence, coordination, and integration to mental states. This structural component shows a psychodynamic influence and, although useful, always increases the risk of representing the standard cognitive therapeutic process as a work in which the patient is fundamentally instructed to take note of his or her cognitive distortions regarding the self. This incorrect conception—although always avoided by Beck, who unsurprisingly spoke of collaborative empiricism from the very beginning—risks emerging inadvertently by being implied in the theoretical approach that emphasizes the structural role of self-beliefs. The modern functionalist model of standard cognitive therapy assumes that such treatment is managed by sharing case formulation in order to plan a clinical intervention. Shared case formulation is included in the cognitive therapy procedure from its origins. To summarize, shared case formulation reveals a metacognitive aspect when the patient is encouraged to understand that his or her mental states derive from mental states that can be governed cognitively.
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Ruggiero, G.M., Caselli, G., Sassaroli, S. (2021). Case Formulation in Standard Cognitive Therapy. In: Ruggiero, G.M., Caselli, G., Sassaroli, S. (eds) CBT Case Formulation as Therapeutic Process. Springer, Cham. https://doi.org/10.1007/978-3-030-63587-9_2
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