Clinical Social Work Journal

, Volume 45, Issue 1, pp 39–48 | Cite as

Embracing the Contribution of Both Behavioral and Cognitive Theories to Cognitive Behavioral Therapy: Maximizing the Richness

Original Paper


Cognitive–behavioral therapy (CBT) is one of the most popular intervention models used by social workers and other mental health professionals. CBT stems from two very distinct and unique theoretical paradigms with rich histories. Yet, in practice, the full potential of the model is not realized as behavioral theories are applied as secondary to cognitive theories. In this paper, we present a brief overview of the histories of both cognitive and behavioral theories, a summary of their explanatory and intervention theories, and describe how they have been merged to date to create an intervention model. We argue that if CBT truly acknowledged the contributions of behavioral theory, the social work perspective of the person in environment would be more closely represented by balancing the internal mental process of cognitive theory with the determining contingencies of the external environment central to behavioral theory.


Cognitive and behavioral theories CBT Clinical theory Clinical practice 


Compliance with Ethical Standards

Conflict of interest

Barbara Early and Melissa Grady declares that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


  1. Alford, B. A., & Beck, A. T. (1997). The integrative power of cognitive therapy. New York, NY: Guilford.Google Scholar
  2. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.Google Scholar
  3. Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York, NY: Guilford Press.Google Scholar
  4. Beck, A., Ruch, A., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press.Google Scholar
  5. Berlin, S. (2002a). Clinical social work practice: A cognitive-integrative perspective. New York, NY: Oxford University Press.CrossRefGoogle Scholar
  6. Berlin, S. (2002b). Remembering the self and social sources of information. Clinical social work practice: A cognitive-integrative perspective (pp. 94–174). New York, NY: Oxford University Press.CrossRefGoogle Scholar
  7. Bledsoe, S. E., Weissman, M. M., Mullen, E. J., Ponniah, K., Gameroff, M. J., Verdeli, H., et al. (2007). Empirically supported psychotherapies in social work training programs: Does the definition of evidence matter? Research on Social Work Practice, 17, 449–455.Google Scholar
  8. Corcoran, J. (2008). Cognitive–behavioral methods for social workers: A workbook. New York, NY: Pearson.Google Scholar
  9. Ellis, A. (1995). Changing rational-emotive therapy (RET) to rational emotive behavior therapy (REBT). Journal of Rational Emotive & Cognitive-Behavior Therapy, 13(2), 85–89.CrossRefGoogle Scholar
  10. Ellis, A., & Dryden, W. (1997). The practice of Rational Emotive Behavioral Therapy (2nd ed.). New York, NY: Springer.Google Scholar
  11. Gambrill, E. (1995). Behavioral social work: Past, present and future. Research on Social Work Practice, 5, 460–484.CrossRefGoogle Scholar
  12. Gambrill, E. (2004). Concepts and methods of behavioral treatment. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 32–62). Pacific Grove, CA: Brooks/Cole Publishing Company.Google Scholar
  13. Guba, E., & Lincoln, Y. S. (1994). Competing paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 105–117). Newbury Park, CA: Sage.Google Scholar
  14. Hayes, S. C., & Strosahl, K. D. (2011). Acceptance and commitment therapy (2nd ed.). New York, NY: Guilford Press.Google Scholar
  15. Hofmann, S. G., & Asmundson, G. J. G. (2008). Acceptance and mindfulness-based therapy: New wave or old hat? Clinical Psychology Review, 28, 1–6.CrossRefPubMedGoogle Scholar
  16. Linehan, M. (1993). Cognitive–behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.Google Scholar
  17. Lyddon, W. (1995). Cognitive therapy and theories of knowing: A social constructionist view. Journal of Counseling & Development, 73, 579–585.CrossRefGoogle Scholar
  18. Mahoney, M. J. (1974). Cognition and behavior modification. Cambridge, MA: Ballinger.Google Scholar
  19. Nurius, P., & Macy, R. J. (2008). Cognitive–behavioral theory. In B. Thyer (Ed.), Comprehensive handbook of social work and social welfare: Human behavior in the social environment (pp. 101–134). Hoboken, NJ: Wiley.Google Scholar
  20. Pavlov, I. P. (1927). Conditioned reflexes. New York, NY: Live-right.Google Scholar
  21. Popper, K. (1985). The problem of induction (1953, 1974). In D. Miller (Ed.), Popper selections (pp. 101–117). Princeton, NJ: Princeton University Press.Google Scholar
  22. Ronen, T. (2007). Clinical social work and its commonalities with cognitive behavior therapy. In T. Ronen & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 3–24). New York, NY: Springer Publishing Company, LLC.Google Scholar
  23. Segal, Z. V., Williams, J. M. G., & Teasdate, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.Google Scholar
  24. Skinner, B. F. (1974). About behaviorism. New York, NY: Knopf.Google Scholar
  25. Spiegler, M., & Guevremont, D. (2010). The process of behavior therapy. In Contemporary behavior therapy (pp. 47–76). Belmont, CA: Thompson/Wadsworth.Google Scholar
  26. Stallard, P. (2002). Think good-feel good: A cognitive behavioral therapy workbook for children and young people. West Sussex, England: Wiley.Google Scholar
  27. Stuart, R. B. (1974). Behavior modification: A technology of social change. In F. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (pp. 400–419). New York, NY: Free Press.Google Scholar
  28. Thorndike, E. L. (1911). Animal intelligence: Experimental studies. New York, NY: Macmillan.CrossRefGoogle Scholar
  29. Thyer, B. (Ed.). (2008). Comprehensive handbook of social work and social welfare: Human behavior in the social environment. Hoboken, NJ: Wiley.Google Scholar
  30. Tolson, E. R. (1988). The metamodel and clinical social work. New York, NY: Columbia University Press.Google Scholar
  31. Wampold, B. E. (2010). The basics of psychotherapy: An introduction to theory and practice. Washington, DC: American Psychological Association.Google Scholar
  32. Watson, J. B. (1913). Psychology as the behaviorist views it. Psychological Review, 20(2), 158–177.CrossRefGoogle Scholar
  33. Wright, J. H., Basco, M. R., & Thase, M. E. (2006). Learning cognitive–behavior therapy: An illustrated guide. Washington, DC: American Psychiatric Publishing Inc.Google Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.National Catholic School of Social ServiceThe Catholic University of AmericaWashingtonUSA

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