Article: Development and Cognitive Therapy

Some years ago, developmentally oriented clinicians and researchers began to consider the impact of cognitive development on the process and outcome of psychotherapy with children and adolescents (Durlak, Fuhrman, & Lampman, 1991; Shirk, 1988a). It was noted that children enter therapy with abilities that often differ markedly from their adult counterparts. As Shirk (1988a) observed, "child psychotherapy is embedded in, and at times, constrained by the course of cognitive development" (p. 331).

Put simply, cognitive developmental level represents a potentially important moderator of treatment effectiveness (Shirk, 1999). This perspective is supported by a recent, comprehensive ...

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