School of Behavioral Sciences
Doctor of Education in Community Care and Counseling (EdD)
Tracy N. Baker
CBASP, depression, chronic depression, therapy
Counseling | Psychology
Long, Lee R., "Dismantling Cognitive Behavioral Analysis System of Psychotherapy: A Pilot Study to Identify the Active Ingredients" (2023). Doctoral Dissertations and Projects. 4263.
Chronic depression affects approximately 6% of the world’s population, and according to the American Psychiatric Association’s Diagnostic and Statistical Manual – Fifth Edition, chronic depression is a disorder known today as persistent depressive disorder. It presents with a chronic clinical course of greater than 2 years and exhibits at least two of the following symptoms: appetite increase or decrease, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, and feelings of hopelessness. The negative effects of chronic depression and the need for an effective treatment for patients with a persistent depressive disorder are important concerns for the mental health community and the general community at large. This study will investigate a recent therapy model, the Cognitive Behavioral Analysis System of Psychotherapy, which empirical research has repeatedly validated as an effective treatment for persistent depressive disorder. Cognitive Behavioral Analysis System of Psychotherapy involves two distinct treatment ingredients: (a) a problem-solving strategy labeled Situational Analysis, and (b) a therapist role ingredient known as Interpersonal Discrimination Exercise, which helps patients perceptually differentiate the psychotherapist from toxic, maltreating significant others who have harmed the patient and contributed to the onset of the disorder. Research has yet to dismantle the two active ingredients to determine if one or both contribute to the previously reported significant treatment effects. This pilot investigation used an intensive case study design to address the dismantling question as it compares the two components when administered separately and when administered together. Keywords: CBASP, depression, chronic depression, therapy