Lecture 46: Introduction to Cognitive-Behavioral Theory Flashcards
What is the cognitive model?
Based on the premise that emotional disorders involve
i. systematic biases
ii. distortions
iii. deficits in thinking
That cause people to have exaggerated MALADAPTIVE REACTIONS to manageable situations
Thus hampering good decision-making, and keeping people feeling UNNECESSARILY helpless/hopeless
What is the point of CBT?
To teach those who feel helpless/hopeless the skills to cope and be a functioning member of society
- a health skeptic of own pessimistic thoughts - how to carefully weigh pros and cons of impulsive decision
What are the basic tenets of CBT?
I. Is active and directive (50/50 split of who is doing the talking)
II. Strives to use time effectively (only if they are willing to change)
III. Is psycho-educationa;: patients are taught cognitive cognitive-behavioral skills
IV. Utilizes a therapeutic relationship model of “collaborative empiricism”
-time is used very effectively so patients are not allowed to go on tangents!
What does CBT focus on?
The CONSCIOUS thought process rather than unconscious
The “unwritten rules” by which individuals conduct their lives
-focuses on the present/future
What are early maladaptive schemas?
“unwritten rules” of patients that they live their lives by
Example: someone who avoids new situations/opportunities like the plague
Incompetency schema = thinking that you are not good enough to do anything so you don’t do anything lol
What do CBT therapists most frequently ask their patients?
What is going through your mind right now?
-idea that someone will tell you whats wrong lol…don’t have to probe their unconscious
Who is the father of cognitive therapy?
Aaron Beck
How are myths of CBT untrue?
It is NOT anti-pharmacotherapy (half of patients take pills)
Does NOT omit discussions of emotions/interpersonal relationships (there is emotion in Cognitive therapy lmao)
Is NOT synonymous with the “power of positive thinking” lmaooo because positive thinking avoids/denies problems
-it is power of OBJECTIVE thinking
Recognizes importance of therapeutic relationship
How are CBT therapists trained?
To think like empiricists
-do what the evidence suggests
Which patients can benefit from CBT?
- Depression
- Bipolar disorder (with meds)
- Panic disorder
- Social anxiety disorder
- PTSD
Basically everything lmaooooo
-can be done for individuals, couples, family, group, cross-cultural
Efficacy different for different disorders
What are the key elements of a CBT session?
- Agenda
- Mood check
- Prioritization of topics
- don’t have to have business like agenda
- prioritize as necessary
- Capsule summaries/feedback
- always get feedback from patients
- Focus on key cognitions and behaviors
- Homework
- A collaborative alliance
What are the standard techniques of CBT?
- Rational Responding
- Self-monitoring
- Behavioral “Experiments”
What is Rational Responding?
A standard technique of CBT
Teaches patients how to monitor own thinking to change unproductive thought processes (helpless, hopeless) to productive thought processes (broadening view point, problem solving)
Sample questions:
-How else can you view this situation?
-What evidence supports/refutes viewpoints about your life?
Automatic Thought Records help guide rational responding
What is Self-Monitoring?
A standard technique of CBT
Purpose: to take stock of oneself and collect data
-observational, nonjudgemental
-done through documentation (journal, activity log)
Learn facts about oneself rather than to adhere to impressions of oneself
Example: keeping a log of one’s smoking/drinking
Keeping log of how many hours you spend a day studying lmaooo
What are behavioral “experiments”?
A standard technique of CBT
Purpose: do something positive you’ve been avoiding. Note the results
Document the thoughts and feelings that accompany or get in the way of the above
-do multiple repetitions,, then take it to next level
-compare before and after “self”
Testing yourself…doing new shit…ala Eleanor Roosevelt
