ABSTRACT

In this chapter, we examine the nature of the changes occurring as a consequence of cognitive therapy that may account for the prophylactic effect associated with that approach. In particular, three models of cognitive change during treatment are evaluated; deactivation, accomodation, and compensation, any or all of which may describe the process of change during cognitive therapy. Each of these models should be associated with different patterns of consequences and each should have different implications for the nature and stability of the changes produced. These three models are examined in light of the recently completed cognitive-pharmacotherapy (CPT) project, which found clear evidence of relapse prevention following treatment with cognitive therapy.