Cognitive Therapy (Shapiro Ch. 3) Flashcards

1
Q

What is the focus of cognitive therapy?

A

focuses on people’s thinking and the effects of their thoughts on their emotions and behavior.

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2
Q

What are the ABC’s of emotion?

A
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3
Q

What is rational emotive therapy (RET)?

A

based on the idea that psychological disturbances are caused by irrational thinking and, therefore, treatment that strengthens the rationality of clients’ thinking will lead to the resolution of their disturbances.

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4
Q

What is cognitive therapy?

A

is based on the idea that human life is largely interpretive: Events have different emotional effects on different people, depending on how they interpret the events

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5
Q

What are the 3 levels of cognition?

A
  1. self talk (or automatic thoughts)
  2. intermediate beliefs
  3. schemas or core beliefs.
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6
Q

What is self talk?

A

The running commentary that goes through our minds from moment to moment in a habitual, unexamined way. Automatic thoughts can involve visual images as well as words.

Vance often had the automatic thought, “I just can’t be happy without Kelsey.”

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7
Q

What are intermediate beliefs?

A

are the general rules, attitudes, and assumptions that structure our responses to events. We articulate these when asked about our beliefs. Vance had the intermediate belief, “I don’t think I’ll ever have another girlfriend as good as Kelsey”

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8
Q

What are schemas/core beliefs?

A

deep-level cognitions concerning our most basic sense of ourselves and other people. Schemas cannot be articulated without reflection and effort because they seem self-evidently “the way things are.” After some time in therapy, Vance articulated a core belief that he was a mediocre person, so no wonderful girl would want to be with him.

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9
Q

According to the cognitive perspective, what causes mental health problems?

A

mental health problems are caused by maladaptive automatic thoughts, rules, attitudes, assumptions, and, at the deepest level, maladaptive schemas, which result in misinterpretations of events, irrational beliefs, and failures to see the world and the self in a realistic, adaptive fashion

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10
Q

What happens when core beliefs are unrealistic?

A

perceptions of ongoing events and situations will frequently be distorted, because information that does not fit a schema cannot be assimilated. The person’s perceptions are so dominated by the effects of her past experiences that she cannot see new events and situations for what they are.

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11
Q

What is the moderation principle?

A

implies that extreme forms of functioning are likely to be maladaptive, and there is evidence for this idea in findings that black-and-white thinking is associated with
maladjustment

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12
Q

What are the 2 steps of assessment in cognitive therapy?

A

First, a general, descriptive assessment of the child’s mental health problems and functioning must be done.

Then, clinicians can investigate the client’s thinking in search of cognitive factors playing a role in his disturbance.

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13
Q

What does the change process involve in cognitive therapy?

A

Primary strategy is to test the accuracy, validity, and utility of the client’s beliefs

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14
Q

What is the primary change agent of cognitive therapy?

A

modifying the cognitions underlying the client’s emotional and/or behavioral problems. Cognitive therapy focuses on the B segment of Ellis’s model and attempts to change the thoughts occurring in between events and emotional consequences.

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15
Q

Generally, what do cognitive therapists’ styles look like?

A

They focus on reason and evidence, but, rather than engaging in debate, they use the Socratic method, gather information, and think along with their clients. These therapists try to stimulate the client’s own thinking while steering him in adaptive directions, make tentative suggestions for new cognitions and ask clients to assess their usefulness, and propose behavioral experiments for the client to perform, with the results of these experiments furnishing the basis for new cognitions.

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16
Q

What is collaborative empiricism?

A

collaborative empiricism: The client and therapist, in a cooperative working relationship, evaluate the validity and utility of beliefs by comparing them to observations and evidence from everyday life.

17
Q

What is guided discovery?

A

The discovery half of this term means that the youth does her own thinking and draws her own conclusions. The guided half means that the therapist coaches the client in her voyage of self-discovery because, although the clinician does not know what the child will find, he does know how to voyage effectively.

18
Q

What is self-monitoring?

A

clients use structured formats to notice, organize, and record their everyday experiences as they occur in the natural environment (I.e., daily thought records)

19
Q

What is self-instruction?

A

purposeful statements that people say to themselves to manage their emotions and direct their behavior.

20
Q

What is self-reinforcement?

A

the client reinforces herself for behaviors she views as positive

21
Q

What is socratic questioning?

A

a basic technique of guided discovery that leads clients toward more adaptive, realistic understandings of self and life Most children age 8 and older can benefit from this technique. the therapist and client collaborate and share control over the process. The clinician does not tell the client what to think but asks questions to help him come to his own conclusions. However, the therapist’s stance is not totally open-ended; she wants to lead the client’s thinking in more adaptive directions, although the specific cognitive steps are determined by the client. The desired conclusions differ from the client’s maladaptive cognitions

22
Q

What is cognitive restructuring?

A

a core strategy of cognitive therapy, seeks to change clients’ unrealistic beliefs and maladaptive interpretations of events

23
Q

What are tests of evidence?

A

the therapist helps the client evaluate the evidence for and against his beliefs and, if appropriate, revise those beliefs based on the evidence

24
Q

What are personal experiments?

A