Cognitive behavioural therapy Flashcards

1
Q

Figure who described operant conditioning

A

B. F. Skinner

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2
Q

Type of response to a behaviour which reduces the frequency of the behaviour

A

Punishment

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3
Q

Type of response to a behaviour which increases the frequency of the behaviour

A

Reinforcement

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4
Q

Type of conditioning where something pleasant is imagined to increase the target behaviour e.g. imagining spending your paycheck to stay at work

A

Covert reinforcement

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5
Q

Type of conditioning where something unpleasant is imagined to decrease the target behaviour, e.g. imagining having lung cancer to stop smoking

A

Covert punishment

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6
Q

Technique in conditioning where gradually closer approximations towards the target behaviour are rewarded

A

Shaping

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7
Q

Technique in conditioning where a behaviour is broken into a sequence of events and each segment is reinforced

A

Chaining

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8
Q

Idea that in conditioning the emotional response to a stimulus increases if the stimulus is experienced often for short periods of time

A

Incubation

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9
Q

Figure who described learned helplesness

A

Seligman

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10
Q

Idea that when someone cannot escape from a negative stimulus, they stop trying to escape

A

Learned helplesness

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11
Q

The idea that one stimulus can lead to a behaviour because of the association between the two in the past, and that someone can avoid the behaviour by avoiding the initial stimulus

A

Stimulus control/cue-exposure control

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12
Q

Example of stimulus control

A

Someone has always associated going to their local pub with drinking alcohol - they avoid drinking alcohol by avoiding being near their local pub

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13
Q

The idea that repeated exposure to a stimulus decreases the resulting behaviour

A

Habituation

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14
Q

The idea that repeated exposure to a stimulus increases the resulting behaviour

A

Sensitisation

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15
Q

Developed systemic desensitisation therapy

A

Wolpe

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16
Q

Two behavioural principles that systemic desensitisation therapy relies on

A

Counter conditioning
Reciprocal inhibition

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17
Q

Idea that if an anxiety provoking stimulus and a relaxed state occur at the same time then the anxiety reduces

A

Reciprocal inhibition

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18
Q

Three steps within systemic desensitisation

A

Relaxation training
Making a hierarchy of anxieties
Desensitisation of the stimulus

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19
Q

Example of a hierarchy of anxieties

A

Someone who is scared of wasps -
Look at a picture of a wasp
Watch a video of a wasp
Walk through a park where wasps might be present
Stay in an outside space close by to a wasp
Stay in an enclosed room with a wasp in

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20
Q

Relaxation technique where people relax different muscle groups in a specific order

A

Progressive relaxation

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21
Q

Technique where someone directs their attention to a specific body part while carrying out a relaxation exercise

A

Autogenic training

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22
Q

Technique where someone deliberately tenses parts of their body to avoid fainting

A

Applied tension

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23
Q

Example phobia where applied tension is used

A

Phobia of needles/blood

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24
Q

Type of therapy technique where the patient is exposed to the anxiety at the top of their hierarchy without any graded exposure

A

Flooding

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25
Q

Type of therapy technique which uses imagined flooding rather than real life

A

Implosion

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26
Q

Type of therapy used in tic disorders where the patient is asked to purposefully carry out the tic at specified time intervals

A

Massed negative practice

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27
Q

Conditions which habit reversal training is used for

A

OCD
Tic disorders

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28
Q

Components of habit reversal training

A

Awareness training - thinking what situations trigger an unwanted response
Competing response training - performing an opposite response to the unwanted response e.g. if the patient normally clenches their fist deliberately relaxing the hands
Contingency management - positive reinforcement for doing the competing behaviour not the unwanted behaviour
Relaxation training
Generalisation training once one component is mastered

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29
Q

Therapy technique where patients observe a therapist’s response and start doing a new behaviour by imitating the therapist’s response when they are ready

A

Modelling

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30
Q

Therapy which uses the idea that the autonomic nervous system functions can be altered by experiencing feedback about them

A

Biofeedback

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31
Q

Examples of biofeedback

A

Wearing sensor bands around the chest which measure respiratory rate and then focussing on decreasing the respiratory rate when tachypnoeic
Wearing a sensor that detects blood pressure and when it is reading high carrying out relaxation techniques

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32
Q

Three forms of social skills training

A

Basic model
Social problem solving model
Cognitive remediation model

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33
Q

Type of social skills training where complex social situations are broken down into individual steps which are practiced through role playing then practiced in real life

A

Basic model

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34
Q

Type of social skills training which looks at improving information processing so that the patient can then improve their social skills

A

Social problem solving model

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35
Q

Type of social skills training which tries to improve more basic functions such as attention or planning, with the idea that when these are improved the improvements can be applied to social situations

A

Cognitive remediation model

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36
Q

Key figures involved in the development of social skills training

A

Bellack and Mueser

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37
Q

ABC model of functional analysis

A

Antecedents - identifying the trigger for a behaviour
Behaviour - identifying the exact behaviour
Consequences - identifying the consequences of the behaviour and why the behaviour continues

38
Q

Example of ABC functional analysis

A

A - the patient is shouted at
B - the patient screams and cries and becomes very distressed
C - the patient is comforted and given attention, which also reinforces the behaviour to happen again

39
Q

Measure of a behaviour which looks at how often is occurs

A

Repeatability

40
Q

Measure of a behaviour which looks at how long each behaviour lasts

A

Temporal extent

41
Q

Measure of a behaviour which looks at when the behaviour occurs

A

Temporal locus

42
Q

Measure of a behaviour which looks at the time gap between the antecedent stimulus and the resulting behaviour

A

Response latency

43
Q

Measure of a behaviour which looks at the amount of time between two occurrences of the behaviour

A

Inter response time

44
Q

Key figure behind cognitive therapy and cognitive behavioural therapy

A

Aaron Beck

45
Q

Three types of cognitive dysfunctions which are described in cognitive behavioural therapy

A

Negative automatic thoughts/cognitive distortions
Conditional assumptions
Core beliefs/schemas

46
Q

Type of cognitive dysfunction where someone has an automatic negative thought in response to a situation e.g. if they are meeting a friend automatically thinking that the friend doesn’t really want to see them

A

Negative automatic thoughts/cognitive distortions

47
Q

Type of cognitive dysfunction which are rules someone makes for themselves in life e.g. I should always be helpful

A

Conditional assumptions

48
Q

Type of cognitive dysfunction which are people’s beliefs about themselves e.g. I am lazy

A

Core beliefs/schemas

49
Q

Types of cognitive distortions

A

Minimisation
Magnification
Over generalising
Selective abstraction
Personalisation
Arbitrary inference
Dichotomous thinking
Catastrophisation

50
Q

Example of minimisation

A

Thinking you only passed an exam because the questions were easier than normal

51
Q

Example of maximisation

A

You are down to the final two but don’t get a job, thinking you are useless and nobody will employ you

52
Q

Example of over generalising

A

You fall out with a friend and think none of your friends like you

53
Q

Example of selective abstraction

A

You fail one exam and focus on this rather than the other exams you passed

54
Q

Example of personalisation

A

Your dance class is cancelled and you think this happened because of you

55
Q

Example of arbitrary inference

A

You break up with someone at Christmas and think the next Christmas you will also break up with soemone

56
Q

Example of dichotomous thinking

A

Thinking you will either be accepted to buy a a house and your life will come together, or you won’t be able to buy the house and your life will be a failure

57
Q

Example of catastrophisation

A

If you receive bad feedback at work, thinking that you will be fired, you will have no money and then you will lose your house

58
Q

Type of cognition where someone can only see one solution to a problem where actually multiple solutions might exist - can be thinking which increases the risk of suicide where someone thinks it is the only way out of their issues

A

Cognitive constiction/one way exit

59
Q

Type of cognition where someone thinks their thoughts are as powerful as their actions

A

Thought omnipotence

60
Q

Cognitions seen in depression

A

Negative view of self (worthlessness)
Negative view of the world/present (helplessness)
Negative view of the future (hopelessness)

61
Q

Cognition seen in panic disorder

A

Catastrophising physiological experiences e.g. having chest pain during a panic attack and thinking they are having a heart attack

62
Q

Cognition seen in paranoid personality disorder

A

Negative external attribution bias - thinking bad things happen because of them rather than because of external factors

63
Q

Cognitions seen in OCD

A

Thought omnipotence
Thinking that alternative actions can compensate for other thoughts/actions e.g. thinking about their family dying, then tapping their hands five times to stop this happening

64
Q

Things which maintain cognitive distortions

A

Avoidance/escape behaviour
Safety behaviours
Attentional deployment
Rumination

65
Q

Rationale behind avoidance/escape behaviours maintaining cognitive distortions

A

The patient leaves or avoids a situation which causes them to believe they cannot cope with the situation in the future

66
Q

Rationale behind safety behaviours maintaining cognitive disrtortions

A

The patient engages in certain safety behaviours during times of high stress, which leads them to think they can only cope with that stressful situation if they employ that particular safety behaviour

67
Q

Rationale behind attentional deployment maintaining cognitive distortions

A

Patients pay particular attention to certain body parts and start noticing small sensations that they otherwise wouldn’t notice, this then worsens their anxieties about those symptoms

68
Q

Rationale behind rumination maintaining cognitive distortions

A

The thing being ruminated about becomes more feared and the patient thinks of it as more likely than it is

69
Q

Example of escape behaviour maintaining a cognitive distortion

A

Someone has a panic attack in a busy shop and leaves. They then think they can’t cope with busy shops and stop going shopping at busy times

70
Q

Example of a safety behaviour maintaining a cognitive distortion

A

Someone has a phobia of dogs. They encounter a dog and count out loud until the dog is past. They then think they can only walk past dogs if they count out loud.

71
Q

Example of attentional deployment maintaining a cognitive distortion

A

Someone has panic attacks and is scared of the associated palpitations. They pay particular attention to their pulse and feel an occasional benign skipped beat. This causes them to think they are experiencing palpitations, panic and then develop true palpitations.

72
Q

Example of rumination maintaining a cognitive distortion

A

Someone is scared of being in a car in case they are in a car accident. They ruminate over this and begin thinking it is quite likely they will be in a car accident, because they are spending so much time thinking about it. This worsens their fear of being in a car.

73
Q

Technique used in CBT where the patient is questioned to allow them to reframe their thinking independently, without the therapist doing this directly

A

Guided discovery

74
Q

Method of behavioural experiments in CBT

A

Hypothesis is made e.g. when I have a panic attack I will not come to physical harm even if I don’t curl up in a ball
Hypothesis is tested by not curling up in a ball during a panic attack
If the hypothesis is true then this disproves that the catastrophic thinking is always true and the patient can start working on using alternate strategies

75
Q

Method of thought stopping, behavioural technique used in CBT for OCD

A

The patient shouts stop, or applies a negative stimulus e.g. tapping their hand when they are experiencing an obsessional thought

76
Q

Method of though postponement, behavioural technique used in CBT for OCD

A

The patient does not allow themselves to think a particular obsessional thought until a certain time

77
Q

Method of exposure and response prevention, behavioural technique used in CBT for OCD

A

Obsession provoking situations are carried out and the patient does not act out the related compulsion they normally would

78
Q

Inverted pyramid technique used in CBT for health anxiety

A

The patient estimates the number of people who have a particular symptom at any one time, then the number who have it for more than a day, then the number who consult their doctor, then the number who have tests, then the number who are found to have a serious problem, then the number who are not successfully treated

79
Q

Method of selective physical attention experiments for CBT for health anxiety

A

The patient asked to focus on a body part which is not anxiety provoking for them
Afterwards they note the physical sensations they noticed
They often notice minor symptoms they would not normally notice
This reinforces the consequences of symptom monitoring

80
Q

Two models of CBT used for psychosis

A

Stress-vulnerability model
Continuum model

81
Q

Focus of the stress-vulnerability model of CBT for psychosis

A

Looks at specific triggers which can trigger or worsen psychotic symptoms and find ways to deal with these

82
Q

Focus of the continuum model of CBT for psychosis

A

Aim of symptom relief from delusions and looks at the similarity/differences between normal thoughts and delusional thoughts, encouraging the patient to think about evidence that contradicts a delusion

83
Q

Primary treatment tool used in the stress-vulnerability model of CBT for psychosis

A

Coping strategy enhancement - looks at affective, behavioural or cognitive strategies to cope with triggers

84
Q

Examples of affective strategies used in coping strategy enhancement

A

Sleep
Relaxation

85
Q

Examples of behavioural strategies used in coping strategy enhancement

A

Exercise
Leaving the situation

86
Q

Examples of cognitive strategies used in coping strategy enhancement

A

Distraction
Challenging negative voices

87
Q

Psychiatric disorder associated with the cognitive element of catastrophic misinterpretation of physiological experiences

A

Panic disorder

88
Q

Psychiatric disorder associated with the cognitive element of thinking an alternate or substitute action can undo another thought or action

A

OCD

89
Q

Psychiatric disorder associated with the cognitive element of a negative global external attributional bias

A

Paranoid personality disorder

90
Q

Psychiatric problem associated with the cognitive elements of hopelessness and cognitive constriction

A

Suicidality

91
Q

Therapy type associated with Socratic questioning, which aims to elicit false beliefs

A

Cognitive therapy

92
Q

Type of therapy built around collaborative empiricism - collaboration between the client and the therapist

A

Cognitive therapy