Hey Mike,
I agree with Laura above. There are too many people who come to be "parents" after generations of neglect, absent, aggressive and rejecting parenting practices that they experienced beginning in infancy themselves. These "parents" can't regulate their emotions because they haven't had a regulating other there for them. They dissociate a lot and can often experience the needs of an infant as terrifying or even Rage Provoking. Most of them will not know how to regulate a new baby. They will not know what a baby needs developmentally. They never had their own basic needs met.
These folks certainly aren't going to be able to talk to an aggressive and arrogant, know it all therapist and complete some worksheets about their automatic negative thoughts and have that work for them or their kids in real life as they dissociate to a rage state when a baby cries. These people need someone there to show them how to recognize infant cues and to model SENSITIVE parenting (someone who responds timely and appropriately to a baby's cues instead of roughly putting the baby down in a crib and slamming the door and walking away or propping a bottle and just leaving a crying infant alone).
A mother who rejects her infant especially when this happens over and over and over is doing serious damage to that baby's developing brain. Babies HAVE to have loving interactions with adults who help them learn to regulate emotions starting from the time of birth. A childhood full of these kinds of experiences devoid of love and filled only with contempt, rage and hate just doesn't respond to CBT. CBT cannot take Posterior, Right Excess Beta and lack of alpha brainwaves and normalize that. CBT cannot fix greater Right Hemispheric Beta than Left Hemispheric Beta (because of Left Hemispheric arrested development). CBT cannot normalize Left Frontal Alpha and Theta Excess or fix a Beta Reversal.
Thanks