Lesson 10 Flashcards

1
Q

Cognitive Behavioural Therapy (CBT)

A
  • Beck (also developed the cognitive triad)
  • Can be done individually or in small groups
  • Focuses on present experiences, not the past
  • Encourages thought-catching or negative thoughts and turning them into more positive ones that can impact their behaviour
  • Patients are encouraged to be ’scientists’ and test out their negative thoughts in real life and keep a diary of events to help them challenge their negative thoughts. They can look back and see that good things do happen.
  • Attending weekly sessions
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2
Q

Strengths of CBT

A
  • Widely respected and it is cost effective and economical
  • Praised as it normally gets to the root of the issue. Medication and drugs are sometimes just a a ‘plaster’. Can work as a cure
  • Can be a long term cure for depression, relapse rates are low compared to other treatments
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3
Q

Cujipers (2013)

A
  • Weakness of CBT
  • Found that CBT on its own its less ineffective than if it paired with anti-depressant drugs
  • Drugs require less ‘effort’
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4
Q

Weaknesses of CBT

A
  • Cujipers (2013)
  • Better for people with mild depression, not as effective in severe cases. Drugs may be more appropriate
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5
Q

Rational Emotive Behavioural Therapy

A
  • Ellis (1975)
  • Using the ABC model to challenge irrational thinking
  • Patients are encouraged to practice positive and optimistic thinking, as negative thinking results in negative self-statements
  • Patients are given homework to try and ‘test’ irrational beliefs
  • Patients are encouraged to participate in behavioural activation, which is being more active and doing pleasurable activities that they enjoy.
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6
Q

Steps of REBT

A

D - Logical disputing (“Does this way of thinking make sense?)

- Empirical Disputing ("There is little proof of everyone hating you")

E - Effects on attitudes on life, disputing can turn negative beliefs into positive ones and rational interpretations on events

F - Feelings, as the patient will feel more positive and have a more positive and rational outlook

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7
Q

Strengths of REBT

A
  • Flannaghan et al (1997)
  • David (2008)
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8
Q

Weaknesses

A
  • Cause and effect, is negative thinking the cause or symptom of depression? If it is purely a symptom, REBT would not be getting to the root cause, and relapse could occur
  • Relies on the patient being able to comfortably talk about their feelings and communicate effectively. Those with severe depression may not be able to do this
  • Psychologists need to develop a good relationship with the client and generally be very skilled for REBT to be effective
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9
Q

Flannaghan (1997)

A
  • Supports REBT
  • Suggests that REBT can be effective on certain groups of patients, as people with depressive strokes gained more positive thoughts and behaviours
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10
Q

David (2008)

A
  • Supports REBT
  • 170 depressive patients who were put on 14 weeks of REBT had better long term outcomes than patients who were put on fluoxetine. REBT is more effective than drug therapy
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11
Q
A
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