Cognitive-Behavioural perspectives represent an amalgam of  biomedical, intrapsychic, and environmental approaches  to human      behaviour.Generally speaking, the Cognitive-Behavioral  therapist  assumes that both adaptive and maladaptive behavior are determined  by:

  1. biological factors (genetic as well as transient biochemicalvariables).
  2. psychological factors (e.g.,  the phenomenologically perceive dstressor, irrational thought patterns, misperceived contingencies, and learned coping skills).
  3. environmental factors (e.g., the density, clarity, nature, and compatibility of current stimulation).

The relative contribution of  each of these elements may vary from   one case to another and one individual to another. Likewise, Cognitive-Behavioural therapists vary in their attention to these respective    variables. This perspective defends both intrapersonal (psychological and biochemical) determinants  as well as environmental influence.     It likewise recognizes that the two arbitrar classes are interdependent and continuously interactive, suggesting that arguments about the  primacy of person or environment are misdirected. Inter-actionism,      or “reciprocal determinism,”  is suggested as a more appropriate conceptualization.

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