Therapeutic pluralism in mental health nursing practice
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Therapeutic pluralism in mental health nursing practice

Laura Collins Lecturer in mental health nursing, University of Cumbria, Carlisle, England, and clinical lead, Ruskin Unit, Carleton Clinic, Cumbria Partnership NHS Foundation Trust, Carlisle, England

Cognitive behaviour therapy (CBT) is a much-debated subject in terms of its efficacy and status as the ‘treatment of choice’ for depression and anxiety. This article critically analyses the claimed merits of this therapy over others, and evaluates its efficacy as a standalone ‘combined therapy’, by examining dismantling, additive, comparative and component studies. The article examines behavioural activation in particular, as the contested active ingredient in the cognitive behavioural model, and the application of this and CBT in the context of evidence-based, person-centred and holistic mental health nursing practice.


Mental Health Practice. 20, 10,13-18. doi: 10.7748/mhp.2017.e1192

Received: 07 July 2016

Accepted: 03 October 2016

Published in print: 12 July 2017

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Conflict Of Interest

None declared