Case Formulation Approach to CBT (Persons, 2008) Flashcards

1
Q

Operant

&

Respondent Behaviours

A

Operant: A behaviour controlled by consequences

Respondent (Pavlov/Classic Cond): A behaviour controlled by antecendents

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2
Q

Reinforcers

(pos & neg)

A

Consequences that increase the probability of a behaviour

Pos: Occurance of event (e.g., paycheck) that increases probability of behaviour that preceeded it (e.g., work)

Neg: Removal of an event (e.g., anxiety) that increases probability of behaviour that preceeded it (e.g., social stress).
Involves presence of adverse stimuli
E.g., using seatbelt to stop sound

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3
Q

Punishment & Extinction

A

Consequences that decrease the probability of a behaviour.
Most effective when combined with reinforcement of behaviours that are incompatible with (and serve the same function) as the behaviour that is beign extinguished.

Punishment: presentation or removal of an event after a response that decreases the probability of the response occuring again.
Good for immediate result and dangerous behaviours

Extinction: response that was previously reinforced is no longer followed by the reinforcment

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4
Q

Shaping

A

Develops by rewarding successive small increments of that behaviour

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5
Q

What behaviour is most resistent to exctinction?

A

A behaviour that is controlled by an intermittent consequence is always more resistent than behaviour that is always followed by a consequence

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6
Q

When do consequences exert the most control?

A

When they occur immediately after the behaviour

Natural consequences (e.g., approval and attn) are better than artificial ones; why, b/c they promote generalization of learned behaviours to other situations

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7
Q

Extinction Burst
&
Spontaneous Recovery

A

Burst: recurrence of behaviour right after extinction, often intense

Spontaneous: recurrence of behaviour after extinction, often weaker

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8
Q

Discriminate Stimulus

A

antecendent event/stimulus that indicates a certain response will be reinforced

E.g., Office hours - students only come then because that is when prof is available

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9
Q

Stimulus Ctrl

A

a behaviour is said to be under stimulu ctrl if the probability of it’s occurence depends onw what stimuli are present

E.g., going to library to write so not surrounded y dogs and TV

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10
Q

Pavlov Dog

A
  • UCS – food
  • UCR – salivation
  • CS – bell
  • CR – salivation

Pairing neutral stimulus with reflecifive response

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11
Q

Counter Conditioning

A
  • Extinguishng a response
  • E.g., fear of rabbits; give boy something he likes eating and slowly introduce rabbits
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12
Q

Contingent

A

When a consequence follows only from a specific behaviour

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13
Q

High-order conditioning

A

Pairing of CS1 with a second CS2,
so CS2 elicits a conditioned response similar to CS1

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14
Q

Lewinsohn’s Behaviour Therapy

A
  • concept: individuals exp depression from life event that causes them to lose the ability to obtain pos reinforcers
  • increase pos reinforcement by teaching them to identify and carry out acitivites they find rewarding
  • also improve social skills to increase amt of response-contingent pos reinformcent
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15
Q

Behavioural Activation

A
  • depressions arrises b/c individuals have oriented their lives in service of escape/avoidance
  • reduce reliance on escape/avoidance
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16
Q

CBASP

CB Analysis System of Psychotherapy

A
  • EST for chronic depression
  • idea that individual doesn’t have percieved functionality; loses motivation to take action and doesnt get postive reinforcement
  • combo learning-cognitive model
  • uses negative reinforcment, modeling, and skills training
17
Q

Case formulation approach to CBT

A
  • Assessment –>
  • Case formulation & Dx –>
  • Tx planning & informed consent –>
  • Tx

Progress monitoring throughout –> termination

18
Q

Elements of a Case Formulation

A
  • describe patient Sx, DO, and problems
  • propose hypotheses about mechanisms
  • propose precipirants
  • the origin of mechanisms
19
Q

Case formulation: Mechanism hypotheses

Nomothetic & Idiographic

A

Nomothetic: general

Idiographic: specific to Sx, thoughts, maladaptive BEH

20
Q

Levels of Formulation

A

Case –> Disorder/Problem –> Sx

  • case: 1+ DO/probs
  • disorder: Sx
21
Q
A