The role of self-regulation in treating depression: applications of research to psychotherapy

Abstract

In the past few decades, the field of psychology has given increased attention to the concept of self-control, particularly in connection with the emergence of a large body of empirical research on self-control strength (also termed willpower). To this point, there has been little consideration given to how this research can inform clinical work. Given the significant problems with self-regulation that accompany many cases of Major Depressive Disorder, findings from willpower studies have great relevance for the treatment of the disorder. This dissertation reviews the research on willpower, ego depletion, and related concepts. Next, it evaluates two empirically supported psychotherapies for the treatment of depression, Cognitive Therapy and Interpersonal Psychotherapy, in terms of their compatibility with the strength model of self-control and related research. Finally, it proposes strategies and interventions for applying willpower research to existing psychotherapies for treating adults with major depression.