To put it more simply: could meditation be used as a substitute for CBT? If not, does Buddhism encourage or discourage CBT?
I don't have formal education in this but from what i've so far figured, in general the Dhamma superceeds in explaining behavioral conditioning but the general principles of CBT are similar.
When treating addiction a therapist might ask for something like a three page essay on how a patient's life could be in 5 years if managed to the best one's ability; and another essay on the worst possible outcomes and failure.
This is generally how The Buddha trains people as well;
"Kesi, I train a tamable person [sometimes] with gentleness, [sometimes] with harshness, [sometimes] with both gentleness & harshness.
"In using gentleness, [I teach:] 'Such is good bodily conduct. Such is the result of good bodily conduct. Such is good verbal conduct. Such is the result of good verbal conduct. Such is good mental conduct. Such is the result of good mental conduct. Such are the devas. Such are human beings.'
"In using harshness, [I teach:] 'Such is bodily misconduct. Such is the result of bodily misconduct. Such is verbal misconduct. Such is the result of verbal misconduct. Such is mental misconduct. Such is the result of mental misconduct. Such is hell. Such is the animal womb. Such the realm of the hungry shades.'
"In using gentleness & harshness, [I teach:] 'Such is good bodily conduct. Such is the result of good bodily conduct. Such is bodily misconduct. Such is the result of bodily misconduct. Such is good verbal conduct. Such is the result of good verbal conduct. Such is verbal misconduct. Such is the result of verbal misconduct. Such is good mental conduct. Such is the result of good mental conduct. Such is mental misconduct. Such is the result of mental misconduct. Such are the devas. Such are human beings. Such is hell. Such is the animal womb. Such the realm of the hungry shades.'" https://www.accesstoinsight.org/tipitaka/an/an04/an04.111.than.html
This kind of training is also similar to behaviorism theory as operant conditioning because it modifies the motivation circuitry by giving of attention to reward & punishment.
However The Dhamma training goes further in modifying the circuitry than classical psychological conditioning because it sets one up to experience life-changing 'religious' experiences through meditation.
In psychology this aspect of behavioral modification is poorly understood and the closest thing is research on psychedelic experiences which proved to have drastic effects on changing character.
Psychology & psychiatry is connected to quantum mechanics through a niche discipline of 'general semantics' which posits that sanity is basically synonymous with having an understanding of the nervous system and it's coming into play as to observation mechanics.
General semantics is concerned with how events translate to perceptions, how they are further modified by the names and labels we apply to them, and how we might gain a measure of control over our own responses, cognitive, emotional, and behavioral.
...
The influence of Ludwig Wittgenstein and the Vienna Circle, and of early operationalists and pragmatists such as Charles Sanders Peirce, is particularly clear in the foundational ideas of general semantics. Korzybski himself acknowledged many of these influences.[45]
The concept of "silence on the objective level"—attributed to Korzybski and his insistence on consciousness of abstracting—are parallel to some of the central ideas in Zen Buddhism. Although Korzybski never acknowledged any influence from this quarter, he formulated general semantics during the same years that the first popularizations of Zen were becoming part of the intellectual currency of educated speakers of English. On the other hand, later Zen-popularizer Alan Watts was influenced by ideas from general semantics.[46]
General semantics has survived most profoundly in the cognitive therapies that emerged in the 1950s and 1960s. Albert Ellis (1913–2007), who developed rational emotive behavior therapy, acknowledged influence from general semantics and delivered the Alfred Korzybski Memorial Lecture in 1991. The Bruges (Belgium) center for solution-focused brief therapy operates under the name Korzybski Institute Training and Research Center.[47] George Kelly, creator of personal construct psychology, was influenced by general semantics.[48] Fritz Perls and Paul Goodman, founders of Gestalt therapy are said to have been influenced by Korzybski[49] Wendell Johnson wrote "People in Quandaries: The Semantics of Personal Adjustment" in 1946, which stands as the first attempt[citation needed] to form a therapy from general semantics.
Ray Solomonoff (1926–2009) was influenced[50] by Korzybski. Solomonoff was the inventor of algorithmic probability, and founder of algorithmic information theory (a.k.a. Kolmogorov complexity).
https://en.m.wikipedia.org/wiki/General_semantics
I doubt that Korzybski was exposed to Buddhist texts because his work's expression is quite different, he falls short of drawing many conclusions and the expression is much aligned with the physicists, therefore itt Buddhist influence is redundant.
Imo they probably mostly worked it out from experiments done on dogs where pavlov's students would confuse make dogs crazy and theory of quantum mechanics.
Thus being connected to both QM and Sanity, this is the closest behavioral disciplines have come and it is very far imo.
However behavioral therapy doesn't offer any categorically new experiences such that would override the base motivations like sensuality and therapy is generally aimed at finding outlets and damage control.
Dhamma offers training that will uproot defilements altogether through meditative attainments.
Whether it is good to expose oneself to anxiety & fear.
Setting oneself up to experience anxiety & fear can be good and necessary if the fear & anxiety are irrational.
If the fear & anxiety is rational then it is stupid to set oneself up to experience this. An example would be fear of blame from smart people and shame of wrong-doing associated with hypocrisy. That fear & shame guards the world from bad behavior and it is proper.
Whether desensitization is optimal for this or that person, that depends..
Another thing is that people in the west don't really know much of what the Buddha taught, nothing beyond rebirth and some heavenly nirvana thing. Therefore Buddhist convictions would be classed as magical thinking by many therapists, if one was fixated in that. It's kind of ironic.
The alignment with Buddhism isn't evident if one isn't familiar with the general course of development. People know only a few words like mindfulness as they read it about in a popularization of a popularization.
Also as psychologists aren't deep into physics, GM isn't taught in universities as it's very complicated to include for a psych major, one need not to be able to explain what precisely is a feeling to learn practical therapy. Therefore one can't really expect practicing clinicians to know the connection.
