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125-705: Precursors of certain aspects of cognitive therapy have been identified in various ancient philosophical traditions, particularly Stoicism . For example, Beck's original treatment manual for depression states, "The philosophical origins of cognitive therapy can be traced back to the Stoic philosophers". Albert Ellis worked on cognitive treatment methods from the 1950s (Ellis, 1956). He called his approach Rational Therapy (RT) at first, then Rational Emotive Therapy (RET) and later Rational Emotive Behavior Therapy (REBT). Becoming disillusioned with long-term psychodynamic approaches based on gaining insight into unconscious emotions, in

250-454: A Corinthian , but a citizen of the world." They held that external differences, such as rank and wealth, are of no importance in social relationships. Instead, they advocated the brotherhood of humanity and the natural equality of all human beings. Stoicism became the most influential school of the Greco-Roman world, and produced a number of remarkable writers and personalities, such as Cato

375-501: A conceptual framework and a clinical approach for understanding common cognitive processes of mental disorders while specifying the unique features of the specific disorders. Cognitive restructuring involves four steps: There are six types of automatic thoughts: Other major techniques include: Socratic questions are the archetypal cognitive restructuring techniques. These kinds of questions are designed to challenge assumptions by: "What might be another explanation or viewpoint of

500-424: A deterministic perspective; in regard to those who lack Stoic virtue, Cleanthes once opined that the wicked man is "like a dog tied to a cart, and compelled to go wherever it goes". A Stoic of virtue, by contrast, would amend his will to suit the world and remain, in the words of Epictetus , "sick and yet happy, in peril and yet happy, dying and yet happy, in exile and happy, in disgrace and happy", thus positing

625-515: A "completely autonomous" individual will, and at the same time a universe that is "a rigidly deterministic single whole". This viewpoint was later described as " Classical Pantheism " (and was adopted by Dutch philosopher Baruch Spinoza ). Philosopher Julian Baggini has characterized what constitutes one being a Stoic: "To become a stoic is to endorse the truthfulness of its worldview and accept its prescription for how you ought to live, not just to like how it makes you feel." Baggini asserts that

750-513: A "fuzzy prototype " that can never be precisely defined, or conversely that the concept always involves a mixture of scientific facts and subjective value judgments. Although the diagnostic categories are referred to as 'disorders', they are presented as medical diseases, but are not validated in the same way as most medical diagnoses. Some neurologists argue that classification will only be reliable and valid when based on neurobiological features rather than clinical interview, while others suggest that

875-410: A Stoic is not just a set of beliefs or ethical claims; it is a way of life involving constant practice and training (or " askēsis "), an active process of constant practice and self-reminder. Epictetus in his Discourses , distinguished between three types of act: judgment, desire, and inclination. which Hadot identifies these three acts with logic, physics and ethics respectively. Hadot writes that in

1000-554: A beginning or end to the Universe. According to the Stoics, the logos was the active reason or anima mundi pervading and animating the entire Universe. It was conceived as material and is usually identified with God or Nature. The Stoics also referred to the seminal reason (" logos spermatikos "), or the law of generation in the Universe, which was the principle of the active reason working in inanimate matter . Humans, too, each possess

1125-410: A belief in human kinship with Nature or God, a sense of the innate depravity—or "persistent evil"—of humankind, and the futility and temporary nature of worldly possessions and attachments. Both encourage Ascesis with respect to the passions and inferior emotions, such as lust, and envy, so that the higher possibilities of one's humanity can be awakened and developed. Stoic influence can also be seen in

1250-460: A category for enduring personality change after a catastrophic experience or psychiatric illness. If an inability to sufficiently adjust to life circumstances begins within three months of a particular event or situation, and ends within six months after the stressor stops or is eliminated, it may instead be classed as an adjustment disorder . There is an emerging consensus that personality disorders, similar to personality traits in general, incorporate

1375-442: A category of relational disorder , where the diagnosis is of a relationship rather than on any one individual in that relationship. The relationship may be between children and their parents, between couples, or others. There already exists, under the category of psychosis, a diagnosis of shared psychotic disorder where two or more individuals share a particular delusion because of their close relationship with each other. There are

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1500-443: A certain way; I am the father of my children, the fellow citizen of my fellow citizens, disposed in a certain way in relation to something else. The Stoics propounded that knowledge can be attained through the use of reason . Truth can be distinguished from fallacy —even if, in practice, only an approximation can be made. According to the Stoics, the senses constantly receive sensations: pulsations that pass from objects through

1625-491: A clear and unbiased thinker allows one to understand the universal reason ( logos ). Stoicism's primary aspect involves improving the individual's ethical and moral well-being: " Virtue consists in a will that is in agreement with Nature." This principle also applies to the realm of interpersonal relationships; "to be free from anger, envy, and jealousy", and to accept even slaves as "equals of other men, because all men alike are products of nature". The Stoic ethic espouses

1750-438: A cognitive therapist often practice more flexible ways to think and respond, learning to ask themselves whether their thoughts are completely true, and whether those thoughts are helping them to meet their goals. Thoughts that do not meet this description may then be shifted to something more accurate or helpful, leading to more positive emotion, more desirable behavior, and movement toward the person's goals. Cognitive therapy takes

1875-545: A diagnosis. Services for mental disorders are usually based in psychiatric hospitals , outpatient clinics , or in the community , Treatments are provided by mental health professionals. Common treatment options are psychotherapy or psychiatric medication , while lifestyle changes, social interventions, peer support , and self-help are also options. In a minority of cases, there may be involuntary detention or treatment . Prevention programs have been shown to reduce depression. In 2019, common mental disorders around

2000-440: A dimension or spectrum of mood, is subject to some scientific debate. Patterns of belief, language use and perception of reality can become dysregulated (e.g., delusions , thought disorder , hallucinations ). Psychotic disorders in this domain include schizophrenia , and delusional disorder . Schizoaffective disorder is a category used for individuals showing aspects of both schizophrenia and affective disorders. Schizotypy

2125-591: A disciple of Socrates . Zeno's most influential successor was Chrysippus , who followed Cleanthes as leader of the school, and was responsible for molding what is now called Stoicism. Stoicism became the foremost popular philosophy among the educated elite in the Hellenistic world and the Roman Empire to the point where, in the words of Gilbert Murray , "nearly all the successors of Alexander [...] professed themselves Stoics". Later Roman Stoics focused on promoting

2250-476: A disorder, it generally needs to cause dysfunction. Most international clinical documents use the term mental "disorder", while "illness" is also common. It has been noted that using the term "mental" (i.e., of the mind ) is not necessarily meant to imply separateness from the brain or body . According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV ), published in 1994,

2375-427: A disorder. Obsessive–compulsive disorder can sometimes involve an inability to resist certain acts but is classed separately as being primarily an anxiety disorder. Substance use disorder : This disorder refers to the use of drugs (legal or illegal, including alcohol ) that persists despite significant problems or harm related to its use. Substance dependence and substance abuse fall under this umbrella category in

2500-403: A dysfunction in the individual. DSM-IV predicates the definition with caveats, stating that, as in the case with many medical terms, mental disorder "lacks a consistent operational definition that covers all situations", noting that different levels of abstraction can be used for medical definitions, including pathology, symptomology, deviance from a normal range, or etiology, and that the same

2625-399: A few anxiety disorders tend to appear in childhood. Some other anxiety disorders, substance disorders, and mood disorders emerge later in the mid-teens. Symptoms of schizophrenia typically manifest from late adolescence to early twenties. The likely course and outcome of mental disorders vary and are dependent on numerous factors related to the disorder itself, the individual as a whole, and

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2750-400: A focus on the underlying "schema"—the underlying ways in which people process information about the self, the world or the future. This new cognitive approach came into conflict with the behaviorism common at the time, which claimed that talk of mental causes was not scientific or meaningful, and that assessing stimuli and behavioral responses was the best way to practice psychology. However,

2875-406: A job soon." Beck also identified a number of other cognitive distortions , which can contribute to depression, including the following: arbitrary inference, selective abstraction, overgeneralization, magnification and minimization . In 2008, Beck proposed an integrative developmental model of depression that aims to incorporate research in genetics and the neuroscience of depression. This model

3000-599: A life in harmony within the universe within which we are active participants. Scholars usually divide the history of Stoicism into three phases: the Early Stoa, from Zeno's founding to Antipater ; the Middle Stoa, including Panaetius and Posidonius ; and the Late Stoa, including Musonius Rufus , Seneca , Epictetus , and Marcus Aurelius . No complete works survived from the first two phases of Stoicism. Only Roman texts from

3125-449: A mental disorder is a psychological syndrome or pattern that is associated with distress (e.g., via a painful symptom ), disability (impairment in one or more important areas of functioning), increased risk of death, or causes a significant loss of autonomy; however, it excludes normal responses such as the grief from loss of a loved one and also excludes deviant behavior for political, religious, or societal reasons not arising from

3250-455: A mistake at work, a man may believe: "I'm useless and can't do anything right at work." He may then focus on the mistake (which he takes as evidence that his belief is true), and his thoughts about being "useless" are likely to lead to negative emotion (frustration, sadness, hopelessness). Given these thoughts and feelings, he may then begin to avoid challenges at work, which is behavior that could provide even more evidence for him that his belief

3375-416: A mixture of acute dysfunctional behaviors that may resolve in short periods, and maladaptive temperamental traits that are more enduring. Furthermore, there are also non-categorical schemes that rate all individuals via a profile of different dimensions of personality without a symptom-based cutoff from normal personality variation, for example through schemes based on dimensional models. An eating disorder

3500-500: A number of uncommon psychiatric syndromes , which are often named after the person who first described them, such as Capgras syndrome , De Clerambault syndrome , Othello syndrome , Ganser syndrome , Cotard delusion , and Ekbom syndrome , and additional disorders such as the Couvade syndrome and Geschwind syndrome . The onset of psychiatric disorders usually occurs from childhood to early adulthood. Impulse-control disorders and

3625-482: A person behaved. To live a good life, one had to understand the rules of the natural order since they believed everything was rooted in nature. Stoicism flourished throughout the Roman and Greek world until the 3rd century CE, and among its adherents was Roman Emperor Marcus Aurelius . It experienced a decline after Christianity became the state religion in the 4th century CE. Since then, it has seen revivals, notably in

3750-563: A person causes themselves disturbance by labeling an upcoming situation as "awful", rather than envisaging how the situation may actually unfold, and Must-ing, when a person places a false demand on themselves that something "must" happen (e.g. "I must get an A in this exam.") According to Beck's theory of the etiology of depression, depressed people acquire a negative schema of the world in childhood and adolescence; children and adolescents who experience depression acquire this negative schema earlier. Depressed people acquire such schemas through

3875-445: A portion of the divine logos , which is the primordial Fire and reason that controls and sustains the Universe. The foundation of Stoic ethics is that good lies in the state of the soul itself, in wisdom and self-control. One must therefore strive to be free of the passions . For the Stoics, reason meant using logic and understanding the processes of nature—the logos or universal reason, inherent in all things. The Greek word pathos

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4000-693: A separate axis II in the case of the DSM-IV. A number of different personality disorders are listed, including those sometimes classed as eccentric , such as paranoid , schizoid and schizotypal personality disorders; types that have described as dramatic or emotional, such as antisocial , borderline , histrionic or narcissistic personality disorders; and those sometimes classed as fear-related, such as anxious-avoidant , dependent , or obsessive–compulsive personality disorders. Personality disorders, in general, are defined as emerging in childhood, or at least by adolescence or early adulthood. The ICD also has

4125-414: A severe psychiatric disability. Disability in this context may or may not involve such things as: In terms of total disability-adjusted life years (DALYs), which is an estimate of how many years of life are lost due to premature death or to being in a state of poor health and disability, psychiatric disabilities rank amongst the most disabling conditions. Unipolar (also known as Major) depressive disorder

4250-440: A skill-building approach, where the therapist helps the person to learn and practice these skills independently, eventually "becoming their own therapist." "Consistent with the cognitive theory of psychopathology, CT is designed to be structured, directive, active, and time-limited, with the express purpose of identifying, reality-testing, and correcting distorted cognition and underlying dysfunctional beliefs". The cognitive model

4375-543: A sleep center for analysis, during which doctors ask for a detailed sleep history and sleep records. Doctors also use actigraphs and polysomnography . Doctors will do a multiple sleep latency test, which measures how long it takes a person to fall asleep. Sleep apnea, when breathing repeatedly stops and starts during sleep, can be a serious sleep disorder. Three types of sleep apnea include obstructive sleep apnea , central sleep apnea , and complex sleep apnea . Sleep apnea can be diagnosed at home or with polysomnography at

4500-644: A sleep center. An ear, nose, and throat doctor may further help with the sleeping habits. Sexual disorders include dyspareunia and various kinds of paraphilia (sexual arousal to objects, situations, or individuals that are considered abnormal or harmful to the person or others). Impulse control disorder : People who are abnormally unable to resist certain urges or impulses that could be harmful to themselves or others, may be classified as having an impulse control disorder, and disorders such as kleptomania (stealing) or pyromania (fire-setting). Various behavioral addictions, such as gambling addiction, may be classed as

4625-1121: A system that became known as Stoic logic and included a deductive system, Stoic Syllogistic, which was considered a rival to Aristotle's Syllogistic (see Syllogism ). New interest in Stoic logic came in the 20th century, when important developments in logic were based on propositional logic. Susanne Bobzien wrote, "The many close similarities between Chrysippus's philosophical logic and that of Gottlob Frege are especially striking". Bobzien also notes that, "Chrysippus wrote over 300 books on logic, on virtually any topic logic today concerns itself with, including speech act theory, sentence analysis, singular and plural expressions, types of predicates , indexicals , existential propositions , sentential connectives , negations , disjunctions , conditionals , logical consequence , valid argument forms, theory of deduction , propositional logic, modal logic , tense logic , epistemic logic , logic of suppositions , logic of imperatives , ambiguity and logical paradoxes ". The Stoics held that all beings ( ὄντα )—though not all things (τινά)—are material . Besides

4750-409: A unified account of the world, constructed from ideals of logic , monistic physics and naturalistic ethics. Of these, they emphasized ethics as the main focus of human knowledge, though their logical theories were of more interest for later philosophers. Stoicism teaches the development of self-control and fortitude as a means of overcoming destructive emotions ; the philosophy holds that becoming

4875-451: A very similar definition. The terms "mental breakdown" or "nervous breakdown" may be used by the general population to mean a mental disorder. The terms "nervous breakdown" and "mental breakdown" have not been formally defined through a medical diagnostic system such as the DSM-5 or ICD-10 and are nearly absent from scientific literature regarding mental illness. Although "nervous breakdown"

5000-434: A virtuous life, such as if they fell victim to severe pain or disease, but otherwise suicide would usually be seen as a rejection of one's social duty. For example, Plutarch reports that accepting life under tyranny would have compromised Cato 's self-consistency ( constantia ) as a Stoic and impaired his freedom to make the honorable moral choices. A distinctive feature of Stoicism is its cosmopolitanism ; according to

5125-486: Is anxiety or fear that interferes with normal functioning may be classified as an anxiety disorder. Commonly recognized categories include specific phobias , generalized anxiety disorder , social anxiety disorder , panic disorder , agoraphobia , obsessive–compulsive disorder and post-traumatic stress disorder . Other affective (emotion/mood) processes can also become disordered. Mood disorder involving unusually intense and sustained sadness, melancholia, or despair

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5250-462: Is insomnia , which is described as difficulty falling and/or staying asleep. Other sleep disorders include narcolepsy , sleep apnea , REM sleep behavior disorder , chronic sleep deprivation , and restless leg syndrome . Narcolepsy is a condition of extreme tendencies to fall asleep whenever and wherever. People with narcolepsy feel refreshed after their random sleep, but eventually get sleepy again. Narcolepsy diagnosis requires an overnight stay at

5375-481: Is "a rigidly deterministic single whole". This viewpoint was later described as " Classical Pantheism " (and was adopted by Dutch philosopher Baruch Spinoza ). Diodorus Cronus , who was one of Zeno's teachers, is considered the philosopher who first introduced and developed an approach to logic now known as propositional logic , which is based on statements or propositions, rather than terms, differing greatly from Aristotle's term logic . Later, Chrysippus developed

5500-499: Is a fatalistic and naturalistic pantheism : God is never fully transcendent but always immanent , and identified with Nature . Abrahamic religions personalize God as a world-creating entity, but Stoicism equates God with the totality of the universe; according to Stoic cosmology , which is very similar to the Hindu conception of existence , there is no absolute start to time, as it is considered infinite and cyclic. Similarly, space and

5625-463: Is a category used for individuals showing some of the characteristics associated with schizophrenia, but without meeting cutoff criteria. Personality —the fundamental characteristics of a person that influence thoughts and behaviors across situations and time—may be considered disordered if judged to be abnormally rigid and maladaptive . Although treated separately by some, the commonly used categorical schemes include them as mental disorders, albeit on

5750-422: Is a nervous breakdown. But that term has vanished from medicine, although not from the way we speak.... The nervous patients of yesteryear are the depressives of today. That is the bad news.... There is a deeper illness that drives depression and the symptoms of mood. We can call this deeper illness something else, or invent a neologism, but we need to get the discussion off depression and onto this deeper disorder in

5875-477: Is a serious mental health condition that involves an unhealthy relationship with food and body image. They can cause severe physical and psychological problems. Eating disorders involve disproportionate concern in matters of food and weight. Categories of disorder in this area include anorexia nervosa , bulimia nervosa , exercise bulimia or binge eating disorder . Sleep disorders are associated with disruption to normal sleep patterns. A common sleep disorder

6000-407: Is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context .  Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting . There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder

6125-523: Is an old diagnosis involving somatic complaints as well as fatigue and low spirits/depression, which is officially recognized by the ICD-10 but no longer by the DSM-IV. Factitious disorders are diagnosed where symptoms are thought to be reported for personal gain. Symptoms are often deliberately produced or feigned, and may relate to either symptoms in the individual or in someone close to them, particularly people they care for. There are attempts to introduce

6250-456: Is known as major depression (also known as unipolar or clinical depression). Milder, but still prolonged depression, can be diagnosed as dysthymia . Bipolar disorder (also known as manic depression) involves abnormally "high" or pressured mood states, known as mania or hypomania , alternating with normal or depressed moods. The extent to which unipolar and bipolar mood phenomena represent distinct categories of disorder, or mix and merge along

6375-399: Is not rigorously defined, surveys of laypersons suggest that the term refers to a specific acute time-limited reactive disorder involving symptoms such as anxiety or depression, usually precipitated by external stressors . Many health experts today refer to a nervous breakdown as a mental health crisis . In addition to the concept of mental disorder, some people have argued for a return to

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6500-603: Is one aspect of mental health . The causes of mental disorders are often unclear. Theories incorporate findings from a range of fields. Disorders may be associated with particular regions or functions of the brain. Disorders are usually diagnosed or assessed by a mental health professional , such as a clinical psychologist , psychiatrist , psychiatric nurse, or clinical social worker , using various methods such as psychometric tests , but often relying on observation and questioning. Cultural and religious beliefs, as well as social norms , should be taken into account when making

6625-467: Is only through reason that we gain clear comprehension and conviction ( katalepsis ). Certain and true knowledge ( episteme ), achievable by the Stoic sage, can be attained only by verifying the conviction with the expertise of one's peers and the collective judgment of humankind. According to the Stoics, the Universe is a material reasoning substance ( logos ), which was divided into two classes:

6750-417: Is our own doing." These suggest a space that is up to us or within our power. A simple example of the Stoic categories in use is provided by Jacques Brunschwig: I am a certain lump of matter, and thereby a substance, an existent something (and thus far that is all); I am a man, and this individual man that I am, and thereby qualified by a common quality and a peculiar one; I am sitting or standing, disposed in

6875-502: Is red, it would be because some part of a universal red body had entered the object. They held that there were four categories : The Stoics outlined that our own actions, thoughts, and reactions are within our control. The opening paragraph of the Enchiridion states the categories as: "Some things in the world are up to us, while others are not. Up to us are our faculties of judgment, motivation, desire, and aversion. In short, whatever

7000-471: Is regarded by many as the father of early versions of cognitive behavioral therapy (CBT). Stoic philosophy was the original philosophical inspiration for modern cognitive psychotherapy , particularly as mediated by Albert Ellis' Rational-Emotive Behaviour Therapy (REBT), the major precursor of CBT. The original cognitive therapy treatment manual for depression by Aaron T. Beck et al. states, "The philosophical origins of cognitive therapy can be traced back to

7125-449: Is still plausible. The World Health Organization (WHO) concluded that the long-term studies' findings converged with others in "relieving patients, carers and clinicians of the chronicity paradigm which dominated thinking throughout much of the 20th century." A follow-up study by Tohen and coworkers revealed that around half of people initially diagnosed with bipolar disorder achieve symptomatic recovery (no longer meeting criteria for

7250-415: Is sufficient for happiness ", a sage would be emotionally resilient to misfortune. The Stoics also held that certain destructive emotions resulted from errors of judgment, and they believed people should aim to maintain a will (called prohairesis ) that is "in accordance with nature ". Because of this, the Stoics thought the best indication of an individual's philosophy was not what a person said but how

7375-459: Is the only evil; no cause for anger—for others cannot harm you. The Stoics arranged the passions under four headings: distress, pleasure, fear and lust. One report of the Stoic definitions of these passions appears in the treatise On Passions by Chrysippus (trans. Long & Sedley, pg. 411, modified): Two of these passions (distress and delight) refer to emotions currently present, and two of these (fear and lust) refer to emotions directed at

7500-747: Is the third leading cause of disability worldwide, of any condition mental or physical, accounting for 65.5 million years lost. The first systematic description of global disability arising in youth, in 2011, found that among 10- to 24-year-olds nearly half of all disability (current and as estimated to continue) was due to psychiatric disabilities, including substance use disorders and conditions involving self-harm . Second to this were accidental injuries (mainly traffic collisions) accounting for 12 percent of disability, followed by communicable diseases at 10 percent. The psychiatric disabilities associated with most disabilities in high-income countries were unipolar major depression (20%) and alcohol use disorder (11%). In

7625-644: Is true for mental disorders, so that sometimes one type of definition is appropriate and sometimes another, depending on the situation. In 2013, the American Psychiatric Association (APA) redefined mental disorders in the DSM-5 as "a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning." The final draft of ICD-11 contains

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7750-461: Is true. As a result, any adaptive response and further constructive consequences become unlikely, and he may focus even more on any mistakes he may make, which serve to reinforce the original belief of being "useless." In therapy, this example could be identified as a self-fulfilling prophecy or "problem cycle," and the efforts of the therapist and patient would be directed at working together to explore and change this cycle. People who are working with

7875-553: The Meditations , "Each maxim develops either one of these very characteristic topoi [i.e., acts], or two of them or three of them." Stoicorum Veterum Fragmenta is a collection by Hans von Arnim of fragments and testimonia of the earlier Stoics, published in 1903–1905 as part of the Bibliotheca Teubneriana . It includes the fragments and testimonia of Zeno of Citium , Chrysippus and their immediate followers. At first

8000-455: The Renaissance ( Neostoicism ) and in the contemporary era ( modern Stoicism ). Philosophy does not promise to secure anything external for man, otherwise it would be admitting something that lies beyond its proper subject-matter. For as the material of the carpenter is wood, and that of statuary bronze, so the subject-matter of the art of living is each person's own life. The Stoics provided

8125-469: The Universe have neither start nor end, rather they are cyclical. The current Universe is a phase in the present cycle, preceded by an infinite number of Universes, doomed to be destroyed (" ekpyrōsis ", conflagration ) and re-created again , and to be followed by another infinite number of Universes. Stoicism considers all existence as cyclical, the cosmos as eternally self-creating and self-destroying (see also Eternal return ). Stoicism does not posit

8250-448: The 1970s saw a general "cognitive revolution" in psychology. Behavioral modification techniques and cognitive therapy techniques became joined, giving rise to a common concept of cognitive behavioral therapy . Although cognitive therapy has often included some behavioral components, advocates of Beck's particular approach sought to maintain and establish its integrity as a distinct, standardized form of cognitive behavioral therapy in which

8375-451: The Church regarded Stoicism as a "pagan philosophy"; nonetheless, early Christian writers employed some of the central philosophical concepts of Stoicism. Examples include the terms "logos", " virtue ", "Spirit", and " conscience ". But the parallels go well beyond the sharing and borrowing of terminology. Both Stoicism and Christianity assert an inner freedom in the face of the external world,

8500-466: The DSM and ICD, some approaches are not based on identifying distinct categories of disorder using dichotomous symptom profiles intended to separate the abnormal from the normal. There is significant scientific debate about the relative merits of categorical versus such non-categorical (or hybrid) schemes, also known as continuum or dimensional models. A spectrum approach may incorporate elements of both. In

8625-495: The DSM. Substance use disorder may be due to a pattern of compulsive and repetitive use of a drug that results in tolerance to its effects and withdrawal symptoms when use is reduced or stopped. Dissociative disorder : People with severe disturbances of their self-identity, memory, and general awareness of themselves and their surroundings may be classified as having these types of disorders, including depersonalization derealization disorder or dissociative identity disorder (which

8750-520: The ICD). Popular labels such as psychopath (or sociopath) do not appear in the DSM or ICD but are linked by some to these diagnoses. Somatoform disorders may be diagnosed when there are problems that appear to originate in the body that are thought to be manifestations of a mental disorder. This includes somatization disorder and conversion disorder . There are also disorders of how a person perceives their body, such as body dysmorphic disorder . Neurasthenia

8875-431: The Late Stoa survived. Philosophy does not promise to secure anything external for man, otherwise it would be admitting something that lies beyond its proper subject-matter. For as the material of the carpenter is wood, and that of statuary bronze, so the subject-matter of the art of living is each person's own life. Of all the schools of ancient philosophy, Stoicism made the greatest claim to being utterly systematic. In

9000-451: The Stoic philosophers". A well-known quotation from Enchiridion of Epictetus was taught to most clients during the initial session of traditional REBT by Ellis and his followers: "It's not the events that upset us, but our judgments about the events." This subsequently became a common element in the socialization phase of many other approaches to CBT. The question of Stoicism's influence on modern psychotherapy, particularly REBT and CBT,

9125-410: The Stoics emphasized ethics as the main focus of human knowledge, though their logical theories were of more interest for later philosophers. Stoicism teaches the development of self-control as a means of overcoming destructive emotions ; the philosophy holds that becoming a clear and unbiased thinker allows one to understand the universal reason ( logos ). Stoicism's primary aspect involves improving

9250-525: The Stoics, all people are manifestations of the one universal spirit and should live in brotherly love and readily help one another. In the Discourses , Epictetus comments on man's relationship with the world: "Each human being is primarily a citizen of his own commonwealth; but he is also a member of the great city of gods and men, whereof the city political is only a copy." This sentiment echoes that of Diogenes of Sinope , who said, "I am not an Athenian or

9375-463: The Universe acts according to its own nature, and the nature of the passive matter it governs. The souls of humans and animals are emanations from this primordial Fire, and are, likewise, subject to Fate: Constantly regard the universe as one living being, having one substance and one soul; and observe how all things have reference to one perception, the perception of this one living being; and how all things act with one movement; and how all things are

9500-882: The Younger and Epictetus. In particular, they were noted for their urging of clemency toward slaves . Seneca exhorted, "Kindly remember that he whom you call your slave sprang from the same stock, is smiled upon by the same skies, and on equal terms with yourself breathes, lives, and dies." Plotinus criticized both Aristotle's Categories and those of the Stoics. His student Porphyry , however, defended Aristotle's scheme. He justified this by arguing that they be interpreted strictly as expressions, rather than as metaphysical realities. The approach can be justified, at least in part, by Aristotle's own words in The Categories. Boethius ' acceptance of Porphyry's interpretation led to their being accepted by Scholastic philosophy. The Fathers of

9625-437: The active and the passive. The passive substance is matter, which "lies sluggish, a substance ready for any use, but sure to remain unemployed if no one sets it in motion". The active substance is an intelligent aether or primordial fire , which acts on the passive matter: The universe itself is God and the universal outpouring of its soul; it is this same world's guiding principle, operating in mind and reason, together with

9750-683: The brain and body. That is the point. In eliminating the nervous breakdown, psychiatry has come close to having its own nervous breakdown. Nerves stand at the core of common mental illness, no matter how much we try to forget them. "Nervous breakdown" is a pseudo-medical term to describe a wealth of stress-related feelings and they are often made worse by the belief that there is a real phenomenon called "nervous breakdown". There are currently two widely established systems that classify mental disorders: Both of these list categories of disorder and provide standardized criteria for diagnosis. They have deliberately converged their codes in recent revisions so that

9875-470: The cognitive shift is the key mechanism of change. Aaron and his daughter Judith S. Beck founded the Beck Institute for Cognitive Therapy and Research in 1994. This was later renamed the "Beck Institute for Cognitive Behavior Therapy." In 1995, Judith released Cognitive Therapy: Basics and Beyond , a treatment manual endorsed by her father Aaron. As cognitive therapy continued to grow in popularity,

10000-417: The common nature of things and the totality that embraces all existence; then the foreordained might and necessity of the future; then fire and the principle of aether; then those elements whose natural state is one of flux and transition, such as water, earth, and air; then the sun, the moon, the stars; and the universal existence in which all things are contained. Everything is subject to the laws of Fate, for

10125-409: The cooperating causes of all things that exist; observe too the continuous spinning of the thread and the structure of the web. Individual souls are perishable by nature, and can be "transmuted and diffused, assuming a fiery nature by being received into the seminal reason (" logos spermatikos ") of the Universe". Since right Reason is the foundation of both humanity and the universe. Stoic theology

10250-446: The correct rational emotions. The Stoics listed the good-feelings under the headings of joy ( chara ), wish ( boulesis ), and caution ( eulabeia ). Thus if something is present which is a genuine good, then the wise person experiences an uplift in the soul—joy ( chara ). The Stoics also subdivided the good-feelings: The Stoics accepted that suicide was permissible for the wise person in circumstances that might prevent them from living

10375-427: The developmental period. Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion . The definition and classification of mental disorders are key issues for researchers as well as service providers and those who may be diagnosed. For a mental state to be classified as

10500-424: The diagnosis) within six weeks, and nearly all achieve it within two years, with nearly half regaining their prior occupational and residential status in that period. Less than half go on to experience a new episode of mania or major depression within the next two years. Some disorders may be very limited in their functional effects, while others may involve substantial disability and support needs. In this context,

10625-556: The differing ideological and practical perspectives need to be better integrated. The DSM and ICD approach remains under attack both because of the implied causality model and because some researchers believe it better to aim at underlying brain differences which can precede symptoms by many years. The high degree of comorbidity between disorders in categorical models such as the DSM and ICD have led some to propose dimensional models. Studying comorbidity between disorders have demonstrated two latent (unobserved) factors or dimensions in

10750-496: The eastern Mediterranean region, it was unipolar major depression (12%) and schizophrenia (7%), and in Africa it was unipolar major depression (7%) and bipolar disorder (5%). Suicide, which is often attributed to some underlying mental disorder, is a leading cause of death among teenagers and adults under 35. There are an estimated 10 to 20 million non-fatal attempted suicides every year worldwide. The predominant view as of 2018

10875-583: The end of the 4th century BC. Unlike the Epicureans , Zeno chose to teach his philosophy in a public space. Stoicism was originally known as Zenonism. However, this name was soon dropped, likely because the Stoics did not consider their founders to be perfectly wise and to avoid the risk of the philosophy becoming a cult of personality . Zeno's ideas developed from those of the Cynics (brought to him by Crates of Thebes ), whose founding father, Antisthenes , had been

11000-605: The endorsement of the truthfulness of the Stoic worldview and the tenets for one's behavior that follow from it, are central to what it means to be a Stoic. The name Stoicism derives from the Stoa Poikile ( Ancient Greek : ἡ ποικίλη στοά), or "painted porch", a colonnade decorated with mythic and historical battle scenes on the north side of the Agora in Athens where Zeno of Citium and his followers gathered to discuss their ideas, near

11125-431: The existing beings they admitted four incorporeals (asomata): time, place, void, and sayable. They were held to be just 'subsisting' while such a status was denied to universals. Thus, they accepted Anaxagoras 's idea (as did Aristotle) that if an object is hot, it is because some part of a universal heat body had entered the object. But, unlike Aristotle, they extended the idea to cover all accidents . Thus, if an object

11250-510: The future. Thus there are just two states directed at the prospect of good and evil, but subdivided as to whether they are present or future: Numerous subdivisions of the same class were brought under the head of the separate passions: The wise person ( sophos ) is someone who is free from the passions ( apatheia ). Instead the sage experiences good-feelings ( eupatheia ) which are clear-headed. These emotional impulses are not excessive, but nor are they diminished emotions. Instead they are

11375-456: The globe include: depression , which affects about 264 million people; dementia , which affects about 50 million; bipolar disorder , which affects about 45 million; and schizophrenia and other psychoses , which affect about 20 million people. Neurodevelopmental disorders include attention deficit hyperactivity disorder (ADHD) , autism spectrum disorder (ASD) , and intellectual disability , of which onset occurs early in

11500-460: The individual's ethical and moral well-being: " Virtue consists in a will that is in agreement with Nature". This principle also applies to the realm of interpersonal relationships; "to be free from anger, envy, and jealousy", and to accept even slaves as "equals of other men, because all men alike are products of nature". The Stoic ethic espouses a deterministic perspective; in regard to those who lack Stoic virtue, Cleanthes once opined that

11625-447: The individual's goals (by identifying thoughts, feelings or behavior that conflict with the goals). Beck initially focused on depression and developed a list of "errors" ( cognitive distortion ) in thinking that he proposed could maintain depression, including arbitrary inference , selective abstraction , overgeneralization, and magnification (of negatives) and minimization (of positives). As an example of how CT might work: Having made

11750-679: The internalizing-externalizing distinction, but also supports the formation of a third dimension of thought disorders such as schizophrenia. Biological evidence also supports the validity of the internalizing-externalizing structure of mental disorders, with twin and adoption studies supporting heritable factors for externalizing and internalizing disorders. A leading dimensional model is the Hierarchical Taxonomy of Psychopathology . There are many different categories of mental disorder, and many different facets of human behavior and personality that can become disordered. An anxiety disorder

11875-617: The late 1950s Aaron T. Beck came to the conclusion that the way in which his patients perceived and attributed meaning in their daily lives—a process known as cognition —was a key to therapy. Beck outlined his approach in Depression: Causes and Treatment in 1967. He later expanded his focus to include anxiety disorders, in Cognitive Therapy and the Emotional Disorders in 1976, and other disorders later on. He also introduced

12000-418: The loss of a parent, rejection by peers, bullying, criticism from teachers or parents, the depressive attitude of a parent or other negative events. When a person with such schemas encounters a situation that resembles the original conditions of the learned schema, the negative schemas are activated. Beck's negative triad holds that depressed people have negative thoughts about themselves, their experiences in

12125-625: The manuals are often broadly comparable, although significant differences remain. Other classification schemes may be used in non-western cultures, for example, the Chinese Classification of Mental Disorders , and other manuals may be used by those of alternative theoretical persuasions, such as the Psychodynamic Diagnostic Manual . In general, mental disorders are classified separately from neurological disorders , learning disabilities or intellectual disability . Unlike

12250-422: The non-profit "Academy of Cognitive Therapy" was created in 1998 to accredit cognitive therapists, create a forum for members to share research and interventions, and to educate the public about cognitive therapy and related mental health issues. The academy later changed its name to the "Academy of Cognitive & Behavioral Therapies". The 2011 second edition of "Basics and Beyond" (also endorsed by Aaron T. Beck)

12375-558: The old-fashioned concept of nervous illness. In How Everyone Became Depressed: The Rise and Fall of the Nervous Breakdown (2013), Edward Shorter, a professor of psychiatry and the history of medicine, says: About half of them are depressed. Or at least that is the diagnosis that they got when they were put on antidepressants. ... They go to work but they are unhappy and uncomfortable; they are somewhat anxious; they are tired; they have various physical pains—and they tend to obsess about

12500-452: The public perception of the level of disability associated with mental disorders can change. Nevertheless, internationally, people report equal or greater disability from commonly occurring mental conditions than from commonly occurring physical conditions, particularly in their social roles and personal relationships. The proportion with access to professional help for mental disorders is far lower, however, even among those assessed as having

12625-507: The publication of Problems in Stoicism by A. A. Long in 1971, and also as part of the late 20th-century surge of interest in virtue ethics . Contemporary Stoicism draws from the late 20th- and early 21st-century spike in publications of scholarly works on ancient Stoicism. Beyond that, the current Stoicist movement traces its roots to the work of Albert Ellis , who developed rational emotive behavior therapy , as well as Aaron T. Beck , who

12750-456: The root of each passion. Incorrect judgement as to a present good gives rise to delight, while lust is a wrong estimate about the future. Unreal imaginings of evil cause distress about the present, or fear for the future. The ideal Stoic would instead measure things at their real value, and see that the passions are not natural. To be free of the passions is to have a happiness which is self-contained. There would be nothing to fear—for unreason

12875-414: The scientific and academic literature on the definition or classification of mental disorder, one extreme argues that it is entirely a matter of value judgements (including of what is normal ) while another proposes that it is or could be entirely objective and scientific (including by reference to statistical norms). Common hybrid views argue that the concept of mental disorder is objective even if only

13000-511: The senses to the mind , where they leave an impression in the imagination ( phantasiai ) (an impression arising from the mind was called a phantasma). The mind has the ability to judge (συγκατάθεσις, synkatathesis )—approve or reject—an impression, enabling it to distinguish a true representation of reality from one that is false. Some impressions can be assented to immediately, but others can achieve only varying degrees of hesitant approval, which can be labeled belief or opinion ( doxa ). It

13125-489: The situation? Why else did it happen?" "What's the effect of thinking or believing this? What could be the effect of thinking differently and no longer holding onto this belief?" "Imagine a specific friend/family member in the same situation or if they viewed the situation this way, what would I tell them?" Examples of socratic questions are: False assumptions are based on "cognitive distortions", such as: Rational emotive behavior therapy (REBT) includes awfulizing, when

13250-466: The social environment. Some disorders may last a brief period of time, while others may be long-term in nature. All disorders can have a varied course. Long-term international studies of schizophrenia have found that over a half of individuals recover in terms of symptoms, and around a fifth to a third in terms of symptoms and functioning, with many requiring no medication. While some have serious difficulties and support needs for many years, "late" recovery

13375-470: The stress of having to hide a condition in work or school, etc., by adverse effects of medications or other substances, or by mismatches between illness-related variations and demands for regularity. It is also the case that, while often being characterized in purely negative terms, some mental traits or states labeled as psychiatric disabilities can also involve above-average creativity, non- conformity , goal-striving, meticulousness, or empathy. In addition,

13500-428: The structure of mental disorders that are thought to possibly reflect etiological processes. These two dimensions reflect a distinction between internalizing disorders, such as mood or anxiety symptoms, and externalizing disorders such as behavioral or substance use symptoms. A single general factor of psychopathology, similar to the g factor for intelligence, has been empirically supported. The p factor model supports

13625-484: The tenets of ancient Stoicism to the human origin story, environmental education, vegetarianism and the modern challenges of sustainable development, material consumption and consumerism. Seamus Mac Suibhne has described the practices of spiritual exercises as influencing those of reflective practice . Many parallels between Stoic spiritual exercises and modern cognitive behavioral therapy have been identified. According to philosopher Pierre Hadot , philosophy for

13750-420: The terms psychiatric disability and psychological disability are sometimes used instead of mental disorder . The degree of ability or disability may vary over time and across different life domains. Furthermore, psychiatric disability has been linked to institutionalization , discrimination and social exclusion as well as to the inherent effects of disorders. Alternatively, functioning may be affected by

13875-537: The treatment group they are in. Stoicism Stoicism is a school of Hellenistic philosophy that flourished in Ancient Greece and Ancient Rome . The Stoics believed that the practice of virtue is enough to achieve eudaimonia : a well-lived life. The Stoics identified the path to achieving it with a life spent practicing the four virtues in everyday life—wisdom, courage, temperance or moderation, and justice—as well as living in accordance with nature. It

14000-419: The type of treatment). They may be single-blinded, the rater may not know the treatment the patient received, but neither the patients nor the therapists are blinded to the type of therapy given (two out of three of the persons involved in the trial, i.e., all of the persons involved in the treatment, are unblinded). The patient is an active participant in correcting negative distorted thoughts, thus quite aware of

14125-445: The view of the Stoics, philosophy is the practice of virtue, and virtue, the highest form of which is utility, is generally speaking, constructed from ideals of logic , monistic physics, and naturalistic ethics. These three ideals constitute virtue which is necessary for 'living a well reasoned life', seeing as they are all parts of a logos, or philosophical discourse, which includes the mind's rational dialogue with itself. Of them,

14250-449: The whole business. There is a term for what they have, and it is a good old-fashioned term that has gone out of use. They have nerves or a nervous illness. It is an illness not just of mind or brain, but a disorder of the entire body. ... We have a package here of five symptoms—mild depression, some anxiety, fatigue, somatic pains, and obsessive thinking. ... We have had nervous illness for centuries. When you are too nervous to function ... it

14375-401: The wicked man is "like a dog tied to a cart, and compelled to go wherever it goes". A Stoic of virtue, by contrast, would amend his will to suit the world and remain, in the words of Epictetus , "sick and yet happy, in peril and yet happy, dying and yet happy, in exile and happy, in disgrace and happy", thus positing a "completely autonomous" individual will and at the same time a universe that

14500-437: The work consisted of three volumes, to which Maximilian Adler in 1924 added a fourth, containing general indices. Teubner reprinted the whole work in 1964. Mental disorder A mental disorder , also referred to as a mental illness , a mental health condition , or a psychiatric disability , is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder

14625-461: The works of Ambrose of Milan , Marcus Minucius Felix , and Tertullian . The modern usage is a "person who represses feelings or endures patiently". The Stanford Encyclopedia of Philosophy ' s entry on Stoicism notes, "the sense of the English adjective 'stoical' is not utterly misleading with regard to its philosophical origins". The revival of Stoicism in the 20th century can be traced to

14750-418: The world, and the future. For instance, a depressed person might think, "I didn't get the job because I'm terrible at interviews. Interviewers never like me, and no one will ever want to hire me." In the same situation, a person who is not depressed might think, "The interviewer wasn't paying much attention to me. Maybe she already had someone else in mind for the job. Next time I'll have better luck, and I'll get

14875-553: Was a wide-ranging term indicating an infliction one suffers. The Stoics used the word to discuss many common emotions such as anger, fear and excessive joy. A passion is a disturbing and misleading force in the mind which occurs because of a failure to reason correctly. For the Stoic Chrysippus , the passions are evaluative judgements. A person experiencing such an emotion has incorrectly valued an indifferent thing. A fault of judgement, some false notion of good or evil, lies at

15000-743: Was described in detail in The Philosophy of Cognitive–Behavioural Therapy by Donald Robertson. Several early 20th-century psychotherapists were influenced by Stoicism, most notably the "rational persuasion" school founded by the Swiss neurologist and psychotherapist Paul Dubois , who drew heavily on Stoicism in his clinical work and encouraged his clients to study passages from Seneca the Younger as homework assignments. Similarities of modern Stoicism and third-wave CBT have been suggested as well, and individual reports of its potency in treating depression have been published. There has also been interest in applying

15125-537: Was founded in the ancient Agora of Athens by Zeno of Citium around 300 BCE. Alongside Aristotle's ethics , the Stoic tradition forms one of the major founding approaches to virtue ethics . The Stoics are especially known for teaching that "virtue is the only good" for human beings, and that external things, such as health, wealth, and pleasure, are not good or bad in themselves ( adiaphora ) but have value as "material for virtue to act upon". Many Stoics—such as Seneca and Epictetus —emphasized that because "virtue

15250-504: Was originally constructed following research studies conducted by Aaron Beck to explain the psychological processes in depression. It divides the mind beliefs in three levels: In 2014, an update of the cognitive model was proposed, called the Generic Cognitive Model (GCM). The GCM is an update of Beck's model that proposes that mental disorders can be differentiated by the nature of their dysfunctional beliefs . The GCM includes

15375-687: Was previously referred to as multiple personality disorder or "split personality"). Cognitive disorder : These affect cognitive abilities, including learning and memory. This category includes delirium and mild and major neurocognitive disorder (previously termed dementia ). Developmental disorder : These disorders initially occur in childhood. Some examples include autism spectrum disorder, oppositional defiant disorder and conduct disorder , and attention deficit hyperactivity disorder (ADHD), which may continue into adulthood. Conduct disorder, if continuing into adulthood, may be diagnosed as antisocial personality disorder (dissocial personality disorder in

15500-543: Was titled Cognitive Behavioral Therapy: Basics and Beyond, Second Edition , and adopted the name "CBT" for Aaron's therapy from its beginning. This further blurred the boundaries between the concepts of "CT" and "CBT". Therapy may consist of testing the assumptions which one makes and looking for new information that could help shift the assumptions in a way that leads to different emotional or behavioral reactions. Change may begin by targeting thoughts (to change emotion and behavior), behavior (to change feelings and thoughts), or

15625-446: Was updated in 2016 to incorporate multiple levels of analyses, new research, and key concepts (e.g., resilience) within the framework of an evolutionary perspective. Cognitive therapy has been applied to a very wide range of behavioral health issues including: A criticism has been that clinical studies of CT efficacy (or any psychotherapy) are not double-blind (i.e., neither subjects nor therapists in psychotherapy studies are blind to

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