ABSTRACT
This chapter describes the way in which CBT has been practiced over the years from the 1960s through today, and how it is likely to be practiced tomorrow. CBT has evolved over the years and we will discuss its “three waves.” As noted in the Introduction, counselors today seem to resonate with the overall values of these new “third wave” approaches since they emphasize the therapeutic relationship, identification of client strengths and resources, sensitivity to diversity and culture, and client empowerment, which are deeply held values for most counselors. This chapter will introduce these third wave approaches as well as the more traditional first and second wave CBT approaches. It begins with a thumbnail sketch of the evolution in terms of waves. Then separate sections briefly describe each of the waves: first wave, second wave, and third wave. Next, we will highlight the evidence-based support of CBT approaches and review research on clinical outcomes in counseling. Finally, the chapter will close with a brief discussion of the therapeutic relationship and multicultural competence and sensitivity.
