Cognitive Theory and its Application in the School Setting:
A Critique from a Multicultural and Social Justice Paradigm Lyndsey G. Hepworth Seattle University
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2 Abstract This paper discusses cognitive theory (CT), its application in the school setting, and its deficits when looking at traditional CT through a multicultural and social justice lens. Specifically, it will discuss a) the nature of people, b) key concepts of CT, c) the goals of CT, d) the ideal therapeutic relationship, e) the techniques used in CT and f) an overall critique from a traditional CT lens, multicultural lens, and social justice advocacy lens. It concludes that a theory that perfectly aligns with my philosophy of counseling emphasizes social context (multiculturalism), takes an advocacy stance (social justice), and includes the traditional cognitive theory, as thoughts are our stream of consciousness and are embedded in all that we feel and do. Keywords: cognitive theory, multicultural counseling, social justice counseling
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3 Cognitive Theory and its Application in the School Setting: A Critique from a Multicultural and Social Justice Paradigm After Freuds classic psychoanalysis theory, or the first force in counseling, came cognitive-behavioral approaches in the second force. Albert Ellis established the foundation of cognitive therapy with his rational emotive behavior therapy (REBT), and in the 1960s Aaron Beck enhanced the model of cognitive theory with his research and writing. Beck stated that, in the broadest sense, cognitive therapy consists of all the approaches that alleviate psychological distress through the medium of correcting faulty conceptions and self-signals (Beck, 1976, p. 214). I have chosen to orient myself with Becks cognitive theory because of its strong, well- established structure, broad application, and because I believe that all types of psychological dysfunctions include maladaptive thought processes. It is our thoughts that change our feelings, which produce our behavior. This model traditionally focuses solely on the clients internal thought process and lacks inclusion of multicultural and social justice aspects. External forces such as culture and environment can play a role in dysfunction, and in that dysfunction, cognitive theory assumes there will be faulty thought processes that, when addressed, can help alleviate some of the distress caused by these external forces. As the fourth and fifth forces in counseling, respectively, multiculturalism and social justice stand as counseling theories on their own. Both of these theories include biological components, psychological components, social components, and the fifth force includes advocacy components. Cognitive theory traditionally lacks inclusion of social and advocacy components, but this paper seeks to understand the relationship these three theories can have together, while critiquing cognitive theory as a stand- alone theory. A CRITIQUE OF COGNITIVE THEORY
4 This paper will discuss cognitive theory (CT) in more depth, its application in the school setting, and its deficits when looking at traditional CT through a multicultural and social justice lens. Specifically, it will discuss a) the nature of people, b) key concepts of CT, c) the goals of CT, d) the ideal therapeutic relationship, and e) the techniques used in CT. Each of these sections will include the traditional way of practicing CT and also a critique of each section from a multicultural and social justice paradigm. In conclusion, I will discuss f) the overall strengths and limitations of CT, g) strengths and limitations of CT through a multicultural perspective, and h) strengths and weaknesses in the context of counseling for social justice. Assumptions of the Nature of People Traditional Paradigm All thought-focused treatment systems believe that thoughts come first and then feelings and behaviors. As humans we have a constant flow of thoughts that cannot be turned off; this has been termed our stream of consciousness (Seligman & Reichenberg, 2010). Through our stream of consciousness people can develop adaptive or maladaptive thought processes. Counselors assume that most people entering into counseling are seeking to improve their mood and want to be self-accepting. Cognitive theorists believe this can happen through correcting faulty thought processes. As a theory that is a phenomenological in nature, counselors consider each client to be an individual and have their own worldview. Rather than discussing how clients feel about a situation, counselors focus on the meaning that people give to experiences through the way they think about them (Seligman & Reichenberg, 2010, p. 272). In addition to thoughts, counselors take a holistic view of the nature of people and seek to understand their clients feelings, behaviors, and background when appropriate (Seligman & Reichenberg, 2010). Multicultural Paradigm A CRITIQUE OF COGNITIVE THEORY
5 Cognitive theorists assumptions about the nature of people fits closely with the multicultural perspective on the nature of people. From this perspective people are treated as unique individuals whom have their own worldview. Clients worldviews are created by two independent psychological orientations, locus of control and locus of responsibility. Each orientation has an internal and external dimension; either putting the locus of control and responsibility on the individual or the system (Sue & Sue, 2008). This formation of a worldview fits nicely with the social justice paradigm, as it recognizes the impact the greater system can put on the individual. Social Justice Paradigm The nature of people and the formation of their worldview puts emphasis on social systems, letting the client know that their problems may not originate from something in themselves, but from other forces. The social justice paradigm recognizes that the nature of all people is to be interdependent and be a part of a greater system. While individuals come from their own worldview, they are unknowingly or knowingly coming from the micro, individual perspective with inevitabilities and pressures from the greater community and public forces. While I am focusing on the nature of people within greater systems, Ponzo (1974) brings light to the nature of systems. He found it useful to use one-on-one counseling techniques and apply them to larger systems to create greater change. Basic principles such as warmth, congruence, and empathic understanding can be used when advocating at the larger system as systems are usually unafraid of forces that help them feel good (Ponzo, 1974, p. 31). With these strategies there will be less push back and open the door for greater change. This observation on the nature of systems can help restore individuals mood quicker and their definition of the nature of self. A CRITIQUE OF COGNITIVE THEORY
6 Key Concepts of Cognitive Theory Traditional Paradigm Three key concepts of traditional cognitive theory include 1) psychological dysfunction stems from maladaptive cognitions 2) there are four different levels of cognitions, and 3) that realistically evaluating and modifying maladaptive thinking will lead to an improvement in mood and behavior. The concept that psychological dysfunction stems from faulty thought processes is the foundation of cognitive theory. Cognitive theorists believe that all problems stem from or are perpetuated from faulty thinking about the situation. Whether a problem is created solely because of internal thought processes or because something in the environment has turned on irrational ways of thinking, there is undoubtedly a process of thought occurring. There are four levels of thoughts, also known as cognitions. These levels of cognition include automatic thoughts, intermediate beliefs, core beliefs, and schemas. In developmentally appropriate terms, useful when working with younger students, automatic thoughts are thoughts that constantly flow through our minds, such as the thought, I wish recess was longer. For this student the situation may be that her spelling test is nearing so she thinks to herself I wish recess was longer to prolong taking the test. This automatic thought mediates between her given situation and the emotions she feels. Intermediate beliefs show extreme attitudes that shape your automatic thoughts, such as I hate spelling. Her attitude of hate towards spelling shows itself in her automatic thoughts. Core beliefs are main ideas about ourselves, such as I am a bad speller. This is a negative core belief that can be termed a helpless core belief. Schemas are cognitive structures within the mind that encompass the core beliefs (Seligman & Reichenberg, 2010, p. 276). The way she views herself, the world, and her future have specific A CRITIQUE OF COGNITIVE THEORY
7 schemas that can be activated by certain events and stimuli. Maladaptive schemas lead to faulty automatic thoughts, intermediate beliefs, and core beliefs, which ultimately lead to psychological dysfunction. The third concept is that maladaptive cognitions, at all levels, can be changed. The basic process of change for anyone in CT is cognitive restructuring, or identifying faulty cognitions and changing them to adaptive, more realistic thoughts. Cognition is defined as that function that involves inferences about ones experiences and about the occurrence and control of future events (Alford & Beck, 1997, p. 14). The key to this definition is control of future events; helping your client to identify, evaluate, and modify their dysfunctional thoughts and beliefs can stop future dysfunctional emotions and behaviors. Cognitive restructuring is possible, but when working with younger children in the school setting they will require a more simplified explanation of cognitive restructuring. Clinicians usually begin by introducing the rationale of CT, the basic techniques of CT, and provide many simplified examples and terminology for children. The steps can be learned by rote and then applied in everyday situations so that the child is able to handle her anxiety without the aid of the therapist (Rapee, Wignall, Hudson, & Schniering, 2000, p. 61). For example instead of realistic thinking I could use calm thinking and explain that when you are faced with a situation you can have different types of thoughts. The key to this concept is that the counselor works closely with the client to help identify and restructure their cognitions through a wealth of techniques and strategies. Multicultural Paradigm The three key concepts listed above can easily be incorporated with multicultural counseling. Instead of solely thinking about changing the individuals thoughts you should also consider their worldview, including their culture and ethnic background. Perhaps a client is A CRITIQUE OF COGNITIVE THEORY
8 presenting depressive symptoms because they are torn between their wants and their familys wants for post secondary plans. In this scenario changing the clients thought system to align with one want so their depressive symptoms are lessened is unethical and will only work in the present. When working with a client from a collectivistic culture it would be important to take a holistic approach to understanding your client before helping change only their thought system. Traditional cognitive theory is phenomenologically based and the counselor should consider all aspects of the individuals life. It is important to note a view of multicultural counseling that does not direct attention toward the racial/ethnic minority groups within that culture is but an attempt to eliminate any focus on the pluralistic nature of that culture (Pederson, 1991, p. 70). This individual approach is helpful when working with diverse clientele; the client and counselor work together to identify cognitive distortions at the four levels and the counselor will not impose the stereotypical behaviors of that clients culture onto them. This system views differences within a culture simply as individual differences (Pederson, 1991). Traditional cognitive theory is incomplete when viewed through a multicultural lens, because it does not explore how the clients culture affects their thought process, but this can be incorporated seamlessly by employing individual multicultural counseling. Social Justice Paradigm All of our clients needs cannot be met through direct one-on-one counseling and individual multicultural counseling; advocating on behalf of clients and with clients is necessary. The key concepts can be shifted from an internal perspective of 1) you need to change the maladaptive thoughts you have developed, 2) you need to address your faulty thought process at all four levels and 3) your mood can improve by changing your thought process to an external perspective of 1) my thoughts have developed because my environment, 2) my schemas are A CRITIQUE OF COGNITIVE THEORY
9 rooted in societal pressures and oppression, and 3) I can improve my mood by viewing the world as a system and that there are multiple forces acting on me. Clients reap benefits when their counselors are willing to recognize both their strengths and their environmentally rooted vulnerabilities (Ratts, Toporek, & Lewis, 2010, p. 242). Even if clients become strong from one-on-one counseling, they still need advocates to break down environmental barriers. The concept of individual multicultural counseling and advocating can be aligned nicely with the traditional cognitive theorys key concepts and will prove more beneficial to students than using CT as a stand alone therapeutic approach. Goals of Cognitive Theory Traditional Paradigm In cognitive theory there are basic goals of the theory and also goals that the client and counselor determine. The overall goal of cognitive therapy is to help people recognize and correct errors in their information-processing systems (Seligman & Reichenberg, 2010, p. 277). The specific goals for the student depends on their presenting issue, but in general goals are realistic, attainable, and measurable. Clinicians will generally start a goal list with students as early as their first session since patients must have a clear idea of what they are working toward in therapy in order to keep their treatment on track and improve their motivation (Beck, 2005, p. 128). Two ways to set a goal, among many others, are through questioning and imagery. The counselor may ask, What changes would you like to make? or use imagery, similar to the solution-focused miracle question, and ask the client to describe a scene where they are feeling significantly better. How the client and counselor set goals is based off the client and how they are reacting in session. In this theory it is essential for the client to have clear goals and it is also essential for the counselor to implement the essential goal of cognitive therapy. A CRITIQUE OF COGNITIVE THEORY
10 Multicultural Paradigm In multicultural counseling there are three specific goals the counselor should strive for. The first is becoming aware of your own values, biases, beliefs, worldview and so on. Secondly, the counselor strives to understand the worldview of his or her client, as every persons worldview is different and complex. Lastly, the counselor must always be developing new culturally sensitive strategies and practicing them (Sue, Arredondo, & McDavis, 1992). It is important to realize these three goals stress the fact that becoming culturally skilled is an active practice, that is ongoing, and that it is a process that never reaches an end point (Sue et al., 1992, p. 481). Traditional CT goals are attainable and measurable while these goals are on going and cannot be measured. As a team, counselor and student can come up with goals that model traditional CT and individually every counselor should employ these multicultural goals when working with students. Social Justice Paradigm Goals at the advocacy level include reaching all of your students, helping them establish adaptive thought processes whether they are due to internal or external reasons, and helping to break down the root of the injustices at the macro level. These items will be something I am constantly working on and towards for all of my students. A goal that is often overlooked is to resist letting harsh comments affect your work, as advocacy at all levels requires working to change something that is generally attached to the status quo (Ratts et al., 2010, p. 115). In the school counseling profession we are often the first people in the school to see kids hurting because of injustices and it is our job to become a change agent and advocate for them. Being the first person to see it and act on it will create pushback from administration and teachers. It is A CRITIQUE OF COGNITIVE THEORY
11 a personal advocacy goal to resist letting their comments affect me and to help them realize the necessity of my work. It is important to follow the ACA Advocacy Competencies and the ASCA National Model when working in the school setting (ASCA, 2005). The Advocacy Competencies closely align with the ASCAs themes of leadership, advocacy, collaboration and teaming, and systemic change (Ratts, DeKruyf, & Chen-Hayes, 2007, p. 91). Following the ASCA National Model and implementing school guidance curriculum and system support will help prevent repetition in one-on-one counseling and interventions. It is a goal and duty to follow these models and not fall into administrative duties or solely direct counseling with students. To incorporate all of these concepts into cognitive theory I could provide a guidance unit on bullying and discuss the way they think of others, the thought process behind why some bully, and work to change the misconceptions they had. This would be a process that would reach many, hopefully improve school climate and break down some school level barriers, while building rapport with the students. Therapeutic Relationship in Cognitive Theory Traditional Paradigm Similar to many counseling theories the therapeutic alliance in CT is a collaborative one where clinician and client work as partners. When working in the school setting I can talk to younger students about being teammates in their treatment and discuss the therapeutic relationship in terms of teamwork (Friedberg & McClure, 2002, p. 34). For treatment outcome it is extremely important to develop a strong therapeutic alliance. In the beginning your client is a stranger who willingly shares their pains and life problems with you. They will most likely stop coming to counseling sessions if they do not feel there is trust or a connection established. A CRITIQUE OF COGNITIVE THEORY
12 It is essential to gain their trust and create a safe environment for collaborative exploration. Cognitive therapy embraces the notion that the therapy relationship reflects a collaborative balance between therapist and clients, as do I (Friedberg & McClure, 2002, p. 34). The role of the counselor is to be warm, empathetic, a role model, and teacher. Cognitive therapists strive to be nonjudgmental; they do not tell people that their thinking is irrational or argue with them about the merits of their thoughts (Seligman & Reichenberg, 2010, p. 278). I think that being nonjudgmental is very important and can help achieve a stronger therapeutic relationship. If the client thinks their therapist is judging them, he or she will most likely not return to counseling. In addition to these traits the therapist applying cognitive therapy is continuously active and deliberately interacting with the patient (Friedberg & McClure, 2002, p. 34). Cognitive therapy is a guided discovery where both client and counselor are active. The client plays a key role in their treatment success; they have to be active and participate in homework between sessions if they expect to see change. Each student is unique and tailoring your techniques is essential for client progress. Multicultural Paradigm A cognitive culturally skilled therapist would be all of the above characteristics and possess knowledge and specific information about the culture of the client. If they client is a part of a minority group it would be useful to understand minority identity development models such as The Racial/Cultural Identity Development model (R/CID) or the Minority Identity Development model (MID) (Sue & Sue, 2008). The counselor would also understand how race, culture, ethnicity, and so forth may affect personality formation, vocational choices, and manifestation of psychological disorders (Sue et al., 1992, p. 482). The counselor should lastly have an understanding of sociopolitical barriers their client or student may be facing. These A CRITIQUE OF COGNITIVE THEORY
13 items resemble skills that counselors should possess rather than the relationship a counselor should have with a client. Social Justice Paradigm The relationship between counselor and client can look different ways when advocating depending on what is the best way to serve your client. The ACA Advocacy Competencies (2010) provides a grid that identifies different ways and levels that counselors and anyone can use when advocating. There are two dimensions, acting on behalf of the client or acting with the client and the level of intervention, including the microlevel, mesolevel, and macrolevel. The advocacy therapeutic relationship can be either working with the client or working on behalf of the client. Some examples and domains on this grid when working with the client include client/student empowerment, community collaboration, and public information. When acting on behalf of the student this includes client/student advocacy, systems advocacy, and social/political advocacy (Ratts et al., 2010). In the school setting it is important to recognize the close environment and what ways of advocating are appropriate. It is also important to realize instances where you have dual relationships with students; it will be impossible to never have a dual relationship in the school, but it is important to recognize this and only allow it if it wont impede your counseling relationship and their improvement. Techniques of Counseling Traditional Paradigm Cognitive therapy is a structured approach that utilizes many inventories, including the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). This theory relies heavily on the Diagnostic and Statistical Manual of Mental Disorders (DSM) and uses several specific techniques for intervention (Seligman & Reichenberg, 2010). Most techniques are A CRITIQUE OF COGNITIVE THEORY
14 aimed at changing cognitions. Cognitive restructuring teaches students how to identify, evaluate, and change self-defeating, irrational thoughts that can negatively influence behavior (Stone & Dahir, 2012, p. 45). Some of these techniques include thought-stopping, self-talk, mental and emotional imagery, and cognitive rehearsal (Seligman & Reichenberg, 2010). In the school setting common techniques include collaborative problem solving, thought records, thought bubbles, guided discovery, the Three Cs, coping cards, and the reverse role play (Creed, Reisweber, & Beck, 2011, p. 57). Drawing thought bubbles is an effective way for younger children to understand and see how thoughts work. Often times when the clinician is describing CT and cognitive restructuring, they will draw a stick figure with a thought bubble, describe a scenario, and then ask the client what they may be thinking and to record it in the thought bubble. This simplifies the thought process and is very useful when describing CT and when looking to find your clients automatic thoughts. The Three Cs is an approach used to help students work through their maladaptive thinking patterns. When using the Three Cs you will be asking [the student] to identify the thought that came before [his or her] emotion (catching), reflect on how accurate and useful the thought is (checking), and then change the thought to a more helpful or accurate one as needed (changing) (Creed et al., 2011, p. 71). Once the student understands the Three Cs, catching, checking, and changing, you can assign homework to practice this technique out of session. Homework or activities to be completed in- between sessions is a necessary component of CT that promotes skills acquisition and its application in real-world contexts. Homework should be developed together and used strategically. The closer the assignment is to the presenting issue, the more likely the assignment will be completed and the more meaningful it will be to the student. Multicultural Paradigm A CRITIQUE OF COGNITIVE THEORY
15 Similar to homework in traditional CT, a counselor can give clients or students the ADDRESSING model presented by Hays (2008) to complete either by themselves or in session. This exercise would allow the client to understand more fully their privilege or their lack there of. ADDRESSING stands for Age and generational influences, Developmental disabilities, Disabilities acquired later in life, Religious and spiritual orientation, Ethnic and racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, and Gender (Hays, 2008). I would only give this to a client after we have been seeing each other for a while and if I think some of their presenting issues are due to society and being oppressed. Prior to this assignment I would consider where they would be on an identity model and determine if this assignment would be beneficial to the client or detrimental. Social Justice Paradigm A technique that is not as emotional pressing as completing the ADDRESSING model is the reattribution technique. This technique is from traditional cognitive theory but can be a way of practicing social justice counseling. Reattribution helps people recognize that factors outside of themselves might be the cause of their difficulties, thereby reducing their self-blame (Seligman & Reichenberg, 2010, p. 244). This technique would be used when working with the student at the microlevel. Another helpful approach to advocacy counseling in the school setting is conducting a needs assessment and figuring out where the deepest problem areas lie and where your efforts need to be. For example after a needs assessment you notice multiple students feel uncomfortable or unsafe at the school because of their sexual identity and school climate, so you decide to take action. You could provide guidance units, staff trainings, and start a Gay Straight Alliance Club with a student advocate. These efforts of advocating with and on behalf of the A CRITIQUE OF COGNITIVE THEORY
16 students will hopefully improve school climate and make students feel more comfortable and safe at school. Critique of Cognitive Theory Strengths and Limitations of the Traditional Cognitive Theory One reason I have chosen to orient myself with this theory is because of its applicability in the school setting. This approach is time-limited, empowering, is phenomenological in nature, and elicits rapid symptom reduction. It uses straightforward, concrete tools that produce measurable results (K. Lee, personal communication, February 13 th , 2012). Having a maximum of 20-30 minutes with a student is not enough time to use classic psychoanalysis or any other theory that emphasizes background. As a future school counselor I need a method that is direct, fast, and produces positive change. Although sessions run short, practicing CT in the school setting offers some immediate advantages even before the first session with your client. School clinicians can observe a students interactions with peers and staff, and they can get valuable information about grades, homework, classroom behavior, and other important academic issues (Creed et al., 2011, p. 122). This information can provide some context and save time, but should be explored more thoroughly with the student for accuracy. At first I thought one limitation of this theory would be its application to all students, especially students with learning disabilities that may have maladaptive thinking out of their control. After reviewing an article entitled Assessment of Cognitive Therapy Skills for People with Learning Disabilities, I found that people with learning disabilities are able to report thoughts that accurately mediate between the scenario and the stated emotion (Dagnan, Mellor, & Jefferson, 2009, p. 30). This article provides some evidence that some students with learning disabilities are appropriate candidates for CT and can benefit from its use. It is however always A CRITIQUE OF COGNITIVE THEORY
17 important to question does the problem that this person presents with and their willingness and interests in engaging in therapy fit with the opportunities offered by cognitive therapy? (Dagnan et al., 2009, p. 25). Overall, some limitations of this theory include being too direct, an unbalanced power differential between client and counselor, appropriateness for certain presenting problems, and the band-aid effect, or failing to address the real underlying problem. People seeking unstructured, long-term treatment that focuses on development of insight and exploration of background may view this therapy as ill suited to their needs (Seligman & Reichenberg, 2010, p. 288). The counselor is focused in the present and moving forward, so there may be a weak therapeutic alliance and the counselor may come off as being critical and holding the power. Becks CT is however less harsh than Ellis REBT concerning power differentials and determining if the clients thoughts are irrational or rational and labeling them as so. Cognitive theory is well received by most people because it is clear and logical and not intrusive (Seligman & Reichenberg, 2010, p. 289). Strengths and Limitations from a Multicultural Paradigm This theory has many strengths when working with multicultural populations. It is a phenomenological approach that considers the client to be the expert of his or her own life, ultimately allowing the counselor to gain insight to their worldview. It focuses on present thoughts so there is not a high need for disclosure of past or feelings. For cultures that generally do not have high disclosure of emotions this approach may be suitable for them. The strong structure also appeals to certain populations. Cognitive therapy is appropriate for people throughout the developmental lifespan since it has shown to be an effective treatment with children, adolescents, and adults and for most of the major Axis I disorders, particularly A CRITIQUE OF COGNITIVE THEORY
18 depression, PTSD, and anxiety disorders (Seligman & Reichenberg, 2010, p. 284). The most common concerns presented for treatment in counseling are depression and anxiety and many people can alleviate their symptoms with CT. A multicultural limitation is that the counselor may have a strong Western worldview of the nature of people and may unknowingly be culturally encapsulated, ignoring how the clients culture may be affecting them. Since CT traditionally does not include multicultural counseling this item may never have to be addressed which can be impeding or detrimental to client progress. The techniques and interventions used in CT ignore the socio-cultural context of the client (M. Ratts, personal communication, March 5 th , 2012). Historically marginalized groups have disproportionately been affected by difficulties, and discounting their experiences, environment, and culture is of no benefit to the client. In fact, ignoring cultural values and imposing on the client the Western ideal is inappropriate and can be even more detrimental to the clients health and dysfunction. An effective counselor will be aware of this tendency and guard against letting it negatively impact our work and the clients progress. Being aware of this and incorporating multicultural counseling techniques such as the ADDRESSING model, following the goals of multicultural counseling, and employing individual multicultural counseling can help reduce the limitations of traditional cognitive theory. Strengths and Limitations from a Social Justice Advocacy Paradigm Cognitive therapy is a Eurocentric theory based on individualism, and historically has disregarded how culture and environment can affect the client. While there isnt much strength for the social justice component in traditional CT there are many limitations. The biggest problem I have with the traditional CT and its fit with social justice is that it focuses only on A CRITIQUE OF COGNITIVE THEORY
19 individual change, not systemic change. While it yields measurable, positive results it doesnt stop the injustices from happening. Cognitive therapies as well as many other intrapsychic models deemphasize affect, culture, context, and history (M. Ratts, personal communication, March 5 th , 2012). In CT thought processes are disconnected from any sociohistorical context. By helping clients to develop more adaptive thought processes we may promote conformity to the status quo (K. Lee, personal communication, February 13 th , 2012). Also by helping clients develop more adaptive thoughts we can be victim blaming or unintentionally blaming their internal deficits to explain maladaptive thoughts, completely disregarding external environmental factors. Prilleltensky (1994) stated, personal cognitive causation, in the explanation of human behavior, is the primacy given to individual thought processes that have been conceptually disconnected from the sociohistorical context (p. 90). Most aspects of our environment are not in our control and by focusing solely on the clients internal locus of control we are discounting other reasons for dysfunction. Emotions and behavior are not only the product of internal thought processes, but of external conditions as well. Using the ACA Advocacy Competencies and the ASCA National Model to guide practice will prove helpful for students and when advocating. Using techniques such as the reattribution technique and helping your client understand that they are interdependent with other systems including the school, community, and state will help alleviate some of the pressures put on them. Following the ASCA National Model, conducting needs assessments and adding guidance units to the curriculum will reach more students and is a way to advocate on the mesolevel. While I believe CT is a great theory to practice in the school setting, adding multicultural and social justice perspectives will make CT more powerful, have fewer limitations, and be helpful to A CRITIQUE OF COGNITIVE THEORY
20 historically marginalized clientele. Examining how your thoughts were formed and taking into account the internal and external reasons for such thoughts can help lessen this limitation of the traditional cognitive theory. Reflection and Conclusion While I initially thought I would solely provide a harsh critique of cognitive theory through a multicultural and social justice lens, while I was writing this paper I thought that it would be more beneficial if I figured out how these three counseling theories could be incorporated. Professionals can practice each theory alone, but I think that incorporating all three will be of more help to my clients. Aaron Beck has created a strong foundational basis of CT that I will use in future practice, but as a stand-alone theory it is lacking. To make this theory more useful when working with diverse clientele I think that incorporating Multicultural counseling is a necessity. This would make clinicians consider each clients culture and how it may affect their clients thinking. Another component that should be included is counseling for social justice. Again the biggest social justice problem I have with CT is that it doesnt work to help stop or help clients recognize the injustices that society imposes on our students. In no way am I discounting the need for, and helpfulness of, working closely with individual students in session, but I can see great benefits from advocating for our students with or on their behalf. A cognitive theory approach that considers how culture and external factors affect your thinking is a well rounded model that will be of benefit to the client in a bio-psycho-social-advocacy way. In conclusion, a theory that emphasizes social context (multiculturalism), takes an advocacy stance (social justice), and includes the traditional cognitive theory will make for a theory that perfectly aligns with my philosophy of a counseling theory. I believe that any issue presented in counseling includes some sort of maladaptive thought process, as thoughts are our A CRITIQUE OF COGNITIVE THEORY
21 stream of consciousness and are embedded in all that we feel and do. Whether created because of internal or external factors, it is our thoughts that elicit our emotions, which change our behavior. Although I acknowledge that extending CT to include multiculturalism and social justice will be challenging, I feel the additional benefits to both counselor and client justify the extra effort.
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22 References Alford, B. A., & Beck, A. T. (1997). The integrative power of cognitive therapy. New York, NY: The Guilford Press. American School Counselor Association. (2005). The ASCA national model: A framework for school counseling programs (2 nd ed.). Alexandria, VA: Author. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. NY: International Universities Press, Inc. Beck, J. S. (2005). Cognitive therapy for challenging problems. New York, NY: The Guildford Press. Creed, T. A., Reisweber, J., & Beck, A. T. (2011). Cognitive therapy for adolescents in school settings. New York, NY: The Guildford Press. Dagnan, D., Mellor, K., & Jefferson, C. (2009). Assessment of cognitive therapy skills for people with learning disabilities. Advances of Mental Health and Learning Disabilities 3(4), 25-30. Friedberg, R. D., & McClure, J. M. (2002). Clinical practice of cognitive therapy with children and adolescents: The nuts and bolts. New York, NY: The Guilford Press. Hays, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (2 nd ed.). Washington D.C.: American Psychological Association. Pederson, P. B. (1991). Multiculturalism as a generic approach to counseling. Journal of Counseling & Development, 70, 6-12. Ponzo, Z. (1974). A counselor and change: Reminisces and resolutions. Personnel and Guidance Journal, 53(1), 27-32. A CRITIQUE OF COGNITIVE THEORY
23 Prilleltensky, I. (1994). The morals and politics of psychology: Psychological discourse and the status quo. NY: State University of New York Press. Rapee, R. M., Wignall, A., Hudson, J. L., & Schniering, C. A. (2000). Treating anxious children and adolescents: An evidence based approach. Oakland, CA: New Harbinger Publications, Inc. Ratts, M. J., DeKruyf, L., & Chen-Hayes, S. F. (2007). The ACA advocacy competencies: A social justice advocacy framework for professional school counselors. ASCA Professional School Counseling, 11(2), 90-97. Ratts, M. J., Toporek, R. L., & Lewis, J. A. (Eds.). (2010). ACA Advocacy Competencies: A social justice framework for counselors. Alexandria, VA: American Counseling Association. Seligman, L., & Reichenberg, L. W. (2010). Theories of counseling and psychotherapy: Systems, strategies, and skills (3 rd ed.). Upper Saddle River, NJ: Pearson Publishing. Stone, C. B., & Dahir, C. A. (2012). The transformed school counselor (2 nd ed.). Belmont, CA: Brooks/Cole. Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Counseling and Development, 70, 477-486. Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: Theory and practice (5th ed.). New York: John Wiley and Sons.
(Cultural Critique) Cesare Casarino, Andrea Righi - Another Mother - Diotima and The Symbolic Order of Italian Feminism-University of Minnesota Press (2018)