In this qualitative study, we explored the experiences of clients receiving cognitive behavioral therapy (CBT) for major depressive disorder. All participants received 8 sessions of traditional CBT (based on Beck, Rush, Shaw, & Emergy, 1979) and 8 sessions of positive CBT (order counterbalanced). The aim of the study was to examine clients' experience of positive CBT and to contrast this with their experience of traditional CBT. Positive CBT structurally and selectively focuses on better moments (exceptions to the problem as opposed to the problem), strengths, and positive emotions and integrates traditional CBT with solution-focused brief therapy and positive psychology. In addition to conducting interviews with 12 individuals, the second author attended all therapy sessions of 4 clients and observed biweekly supervision sessions as further methods of data collection. Qualitative analysis showed that, despite initial skepticism, clients preferred positive CBT and indicated experiencing a steeper learning curve during positive, compared with traditional, CBT for depression. The popularity of positive CBT was attributable to 4 influences: feeling good and empowered, benefitting from upward spiral effects of positive emotions, learning to appreciate baby steps, and (re)discovering optimism as a personal strength. Qualitative analysis showed that, despite better moments and building positivity efficiently counters depressive symptoms and builds well-being. Clients perceived positive CBT's upbeat tone as stimulating and as motivating for change. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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积极回报：与传统的认知行为疗法相比，客户对积极性的看法有所下降。

在这项定性研究中，我们探讨了接受针对重度抑郁症的认知行为疗法（CBT）的客户的经验。所有参与者都接受了8次传统的CBT（基于Beck，Rush，Shaw和Emergy，1979年）和8次积极的CBT（订单抵消）。该研究的目的是检验客户对积极CBT的体验，并将其与传统CBT的体验进行对比。积极的CBT在结构上和选择性地专注于更好的时刻（相对于问题而言，是问题的例外），优势和积极情绪，并将传统CBT与以解决方案为重点的简短疗法和积极心理学相结合。除了对12个人进行采访外，第二作者参加了4位患者的所有治疗会议，并观察了每两周一次的监督会议，作为进一步的数据收集方法。定性分析表明，尽管最初持怀疑态度，但客户更喜欢积极的CBT，并表示与传统的抑郁CBT相比，积极的CBT学习曲线更为陡峭。积极的CBT的受欢迎程度可归因于4种影响：感觉良好和有能力，得益于积极情绪的向上螺旋效应，学会欣赏婴儿的脚步以及（重新）发现乐观作为个人力量。定性分析表明，尽管有更好的时机和增强积极性，但可以有效地抵抗抑郁症状并建立幸福感。客户认为CBT积极乐观的基调既刺激又激励变革。