Cognitive-Behavioural perspectives represent an amalgam of biomedical, intrapsychic, and environmental approaches to human behaviour.Generally speaking, the Cognitive-Behavioral therapist assumes that both adaptive and maladaptive behavior are determined by:
- biological factors (genetic as well as transient biochemicalvariables).
- psychological factors (e.g., the phenomenologically perceive dstressor, irrational thought patterns, misperceived contingencies, and learned coping skills).
- environmental factors (e.g., the density, clarity, nature, and compatibility of current stimulation).
The relative contribution of each of these elements may vary from one case to another and one individual to another. Likewise, Cognitive-Behavioural therapists vary in their attention to these respective variables. This perspective defends both intrapersonal (psychological and biochemical) determinants as well as environmental influence. It likewise recognizes that the two arbitrar classes are interdependent and continuously interactive, suggesting that arguments about the primacy of person or environment are misdirected. Inter-actionism, or “reciprocal determinism,” is suggested as a more appropriate conceptualization.
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