The problem is of course the title: it puts the book in the "thinner thighs" niche, and this is no quick fix, fairy tale book. This is not a superficial or simplistic book, though it is simple. The book was originally written for a 10 day workshop for disadvantaged people of various types who had one thing in common: major depression. As such, it's sort of an inpatient book. Most of us can't do it in 10 business days, either because of the time required or because of the emotional stamina it would require.
I've read hundreds of self-help books over the years, and many of them have fine ideas. Like diets, though, we don't DO them. The point of this book is to put Burns' lessons down on paper, because that's the only way you learn. Keeping it in your head simply does not work(I've tried), no matter who you are.(I have three Ivy League degrees blah blah, but that's not worth a hill of beans in emotional healing or learning how to have a mental, spiritual, and physical life coexist happily.) CBT (cognitive behavioral therapy)has been shown effective for people with not much education. It's the effort that counts, according to studies cited in his books.
I read Burns' first book over 10 years ago, but put it aside because it just was too much; it wasn't helpful to me at that point. I've come a long way since then, and now have the patience, persistence, and yes desperation, to do whatever I can. Luckily I stumbled across the first book again recently and recognized it for the gem it is. This workbook forces me to actually do the work instead of thinking about it. That has been extraordinarily valuable, because I am depressed, can't be bothered to do things, and don't want to do potentially painful things. Depression is a fierce, dangerous thing, and until I recognized it for what it is, I would not have taken the time and effort to do the book. FWIW.
I personally have fun drawing stick figures as the book suggests. Not much about depression work is fun, so I'll take it where I can get it, especially if it is also the most practical route to a better life.