D. Westen, IMPLICATIONS OF COGNITIVE SCIENCE FOR PSYCHOTHERAPY - PROMISES AND LIMITATIONS, Journal of psychotherapy integration, 4(4), 1994, pp. 387-399
The target articles show the promise of research in cognitive science
for psychotherapy as well as the limitations of cognitive models. All
three papers demonstrate the utility of empirical research for clinica
l thinking, but they point as well to four issues that must be address
ed by cognitive scientists if their research is to inform clinical pra
ctice and to withstand challenges from clinical data. First, cognitive
models must increasingly address the issue of consciousness, and wres
tle with some of the clinical implications of distinguishing implicit
and explicit mental processes, particularly those involving affect and
motivation. Second, cognitive models need to address defensive proces
ses if they are to be accurate as conceptual models or useful to clini
cians. Third, knowledge generation should be viewed as a dialectical p
rocess, in which conceptualizations that emerge in the laboratory and
the clinic mutually inform and correct one another, rather than a line
ar process, in which scientists impart the latest knowledge to clinici
ans.