Despite their relative recency, Cognitive-Behavioural therapies have been applied to a wide range of adult outpatient problems. To date, the most extensive documentation of their efficacy rests in the areas of anxiety disorders and depression, although considerable work is now underway in such areas as obesity, creativity, impulsivity, gerontological problems, and psychotic patterns. Overall, this research suggests that the cognitive behavioural interface may well represent a promising and progressive problem shift in clinical science. There are, of course, the enthusiastic claims that usually accompany new arrivals in the arena of psychotherapy,but a more cautious optimism would seem preferable. Whether these clinical hybrids will survive the test of critical empirical scrutiny remains to be seen, but it seems clear at this point that they have at least demonstrated the need and potential promise of that scrutiny.
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