Cognitive behavioral therapy, or CBT, is a psychotherapy technique that attempts to teach patients to correct emotional and behavioral responses to troubling situations. The treatment focuses on identifying the situations that lead to negative emotions and behaviors and then examining the thought process and beliefs of the patient that leads them to make the wrong behavioral choices. Once patients are aware that they are making the wrong choice and understand why, they can be retrained to make the right choices with the result being the elimination of the negative behavior. This is always the goal of CBT: to eliminate the negative behavior.
The treatment is effective when it is done as a systematic process and it takes time. Patients need to encounter problem situations numerous times in order to have the opportunity to retrain their thinking and thereby change their behaviors. Cognitive behavioral therapy has been successful in the treatment of eating disorders, anxiety, insomnia, obsessive compulsive disorder, and post traumatic stress disorder.
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In this case study, my supervisee and I discussed how the fact that both of us were middle aged (albeit a 15-year age difference), middle class, white women brought up issues of trust and difficulties in establishing rapport between the supervisee and the poor and ethnically different clients at her placements. We also had the opportunity to notice differences in the expectations of the therapist in Asian and Hispanic cultures, and that the expectation of a more hierarchical role was at odds with the supervisee’s preferred postmodern stance.
The supervisee was visibly upset with the father of one of her clients who was not supportive of his daughter’s lesbianism. The supervisee disclosed that she had had bisexual experiences in the past, and that her anger was counter transference and that she needed to explore her own unfinished business in this area.
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A significant amount of news coverage has been given to “Generation Y,” or “The Millennial Generation” – most often considered to be individuals born between 1980 and 1994. Growing up in the 21st century entails greater privilege and greater hardship than previous generations have faced. One thing’s for sure – members of this generation are needed to fill critical healthcare job gaps, one of which just might be massage therapy.
Massage therapy is recognized by the Bureau of Labor Statistics (BLS) as a growing career, and one with benefits beyond the immediately obvious. The massage therapy education trains students to have a comprehensive understanding of human anatomy and physiology, which is essential for effective massage treatment. The scientific background of the massage therapy certification program allows students of massage to understand how different body parts and systems work together – and how, if one system is out of whack, a massage client can feel ill or out-of-sorts all over.
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