10/11 Flashcards

1
Q

Mention three key people and their contributions to Cognitive Behavioral Therapy.

A

Albert Ellis – founder of REBT Aaron Beck – Founder of Cognitive therapy. Donald Meichenbaum – Cognitive behavior therapy

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2
Q

What is Albert Ellis’s emphasis in therapy? What techniques would he use?
Describe how a warm and personal client/therapist relationship has relevance?

A

The client needs to feel unconditional positive regard from the therapist. Therapist does not blame or condemn clients; rather, he or she teaches them how to avoid rating and condemning themselves.No warm relationship is required.

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3
Q

What are cognitive distortions? List at least three cognitive distortions and give an example of how a client may present this in therapy.

A

Beck maintains that systematic errors in reasoning lead to faulty assumptions and misconceptions, which he terms “cognitive distortions.” Examples include arbitrary inference, selective abstraction, overgeneralization, magnification and minimizations, labeling and mislabeling, dichotomous thinking, and personalization.

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4
Q

What is the purpose of Cognitive Behavior Modification? Who is the founder? Give an example of a client who would benefit from this form of therapy.

A

Meichenbaum’s cognitive behavioral modification process consists of helping clients interrupt the downward spiral of thinking, feeling, and behaving, and teaching them more adaptive ways of coping using the resources they bring to therapy.

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5
Q

What is the process to uncover faulty thinking in the client? For what purpose is this technique utilized in cognitive behavior therapy?
Who is Glasser? What are the major contributions and beliefs of this person?

A

Reality therapy was developed by William Glasser in the 1950s and 1960s. Choice theory is concerned with the phenomenological world of the client and stresses the subjective way in which clients perceive and react to their world from an internal locus of evaluation.

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6
Q

Cognitive behavior modification (CBM)

A

A therapeutic approach that focuses on changing the client’s self-verbalizations.

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7
Q

Cognitive behavior therapy (CBT)

A

A treatment approach that aims at changing cognitions that are leading to psychological problems.

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8
Q

Cognitive distortions

A

In cognitive therapy, the client’s misconceptions and faulty assumptions. Examples include arbitrary inference, selective abstraction, overgeneralization, magnification and minimizations, labeling and mislabeling, dichotomous thinking, and personalization

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9
Q

Cognitive restructuring

A

A process of actively altering maladaptive thought patterns and replacing them with constructive and adaptive thoughts and beliefs.

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10
Q

Cognitive structure

A

The organizing aspect of thinking, which monitors and directs the choice of thoughts; implies an “executive processor,” one that determines when to continue, interrupt, or change thinking patterns.

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11
Q

Cognitive therapy

A

An approach and set of procedures that attempts to change feelings and behavior by modifying faulty thinking and believing.

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12
Q

Cognitive Triad

A

A pattern that triggers depression.

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13
Q

Collaborative empiricism

A

A strategy of viewing the client as a scientist who is able to make objective interpretations. The process in which therapist and client work together to phrase the client’s faulty beliefs as hypotheses and design homework so that the client can test these hypotheses.

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14
Q

Constructivist approach

A

A recent development in cognitive therapy that emphasizes the subjective framework and interpretations of the
client rather than looking to the objective bases
of faulty beliefs.

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15
Q

Constructivist narrative perspective

A

An approach that focuses on the stories that people tell

about them themselves and others regarding significant events in their lives.

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16
Q

Coping skills

A

A behavioral procedure for helping clients deal effectively with stressful situations by learning to modify their thinking patterns.

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17
Q

Dichotomous thinking

A

A cognitive error that
involves categorizing experiences in either-or
extremes.

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18
Q

Distortion of reality

A

Erroneous thinking that disrupts one’s life; can be contradicted by the client’s objective appraisal of the situation.

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19
Q

Homework

A

Carefully designed and agreed
upon assignments aimed at getting clients to
carry out positive actions that induce emotional
and attitudinal change. These assignments are
checked in later sessions, and clients learn effective ways to dispute self-defeating thinking.

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20
Q

Internal dialogue

A

The sentences that people
tell themselves and the debate that often goes on
“inside their head”; a form of self-talk, or inner
speech.

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21
Q

Irrational belief

A

An unreasonable conviction

that leads to emotional and behavioral problems.

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22
Q

Musturbation

A

A term coined by Ellis to refer
to behavior that is absolutist and rigid. We tell
ourselves that we must, should, or ought to do or
be something.

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23
Q

Overgeneralization

A

A process of holding extreme beliefs on the basis of a single incident
and applying them inappropriately to dissimilar
events or settings.

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24
Q

Personalization

A

A tendency for people to relate external events to themselves, even when
there is no basis for making this connection.

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25
Q

Rational emotive behavior therapy (REBT)

A

A theory that is based on the assumption that cognitions, emotions, and behaviors interact significantly
and have a reciprocal cause-and-effect relationship.

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26
Q

Rational emotive imagery

A

A form of intense mental practice for learning new emotional and physical habits. Clients imagine themselves thinking, feeling, and behaving in exactly the
way they would like to in everyday situations.

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27
Q

Rationality

A

The quality of thinking, feeling,
and acting in ways that will help us attain our
goals.

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28
Q

T F 1. REBT makes use of both cognitive
and behavioral techniques, but it
does not use emotive techniques.

A

F

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29
Q

T F 2. REBT stresses the importance of
the therapist demonstrating unconditional positive regard for the
client.

A

T

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30
Q

T F 3. Cognitive therapy for depression

was developed by Meichenbaum.

A

F

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31
Q

T F 4. A major contribution made by Ellis,
the Becks, and Meichenbaum is
the demystification of the therapy
process.

A

T

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32
Q

T F 5. Ellis shares Rogers’s view of the client–therapist relationship as a condition for change to occur within
clients.

A

F

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33
Q

T F 6. Beck developed a procedure known

as stress-inoculation training.

A

F

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34
Q

T F 7. To feel worthwhile, human beings

need love and acceptance from significant others.

A

F

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35
Q

T F 8. Ellis maintains that events themselves do not cause emotional
disturbances; rather, it is our evaluation of and beliefs about these
events that cause our problems.

A

T

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36
Q

T F 9. A difference between Beck’s cognitive therapy and Ellis’s REBT is
that Beck places more emphasis on
helping clients discover their misconceptions for themselves than
does Ellis.

A

T

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37
Q

T F 10. According to Beck, people become
disturbed when they label and evaluate themselves by a set of rules
that are unrealistic.

A

T

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38
Q
each question within the framework of cognitive behavior therapy.
 11. Which of the following is not a part 
of stress inoculation training?
 a. Socratic discovery-oriented 
 inquiry
 b. relaxation training
 c. behavioral rehearsals
 d. self-reinforcement
 e. exception questions
A

E

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39
Q

REBT is based on the philosophical
assumption that human beings are
a. innately striving for selfactualization.
b. determined by strong unconscious
sexual and aggressive forces.
c. potentially able to think rationally but have a tendency toward
irrational thinking.
d. trying to develop a lifestyle to
overcome feelings of basic
inferiority.
e. determined strictly by environmental conditioning.

A

c

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40
Q
  1. REBT stresses that human beings
    a. think, emote, and behave simultaneously.
    b. think without emoting.
    c. emote without thinking.
    d. behave without emoting or
    thinking.
A

A

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41
Q
  1. REBT views neurosis as the result of
    a. inadequate mothering during
    infancy.
    b. failure to fulfill our existential
    needs.
    c. excessive feelings.
    d. irrational thinking and behaving.
A

d

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42
Q
  1. In cognitive behavioral group therapy
    a. there is some research that
    shows that this approach is effective for treating a wide range
    of emotional and behavioral
    problems.
    b. the group leader assumes a
    blank screen demeanor so as to
    enhance transference feelings of
    the members.
    c. the assumption is that a therapeutic atmosphere is both necessary
    and sufficient for change to occur.
    d. the group leader believes that
    using techniques interferes with
    the group process.
    e. the emphasis is on having members identify and express feelings.
A

a

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43
Q
  1. REBT contends that people
    a. have a need to be loved and
    accepted by everyone.
    b. need to be accepted by most
    people.
    c. will become emotionally sick if
    they are rejected.
    d. do not need to be accepted and
    loved.
    e. need to be accepted and will become sick if they are rejected
A

D

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44
Q
17. According to REBT, we develop 
emotional disturbances because of
a. a traumatic event.
b. our beliefs about certain events.
c. abandonment by those we depend on for support.
d. withdrawal of love and acceptance.
A

b

45
Q
18. Meichenbaum’s focuses on 
helping clients become aware of 
their self-talk and the stories they 
tell about themselves. 
 a. self-instructional training
 b. narrative therapy
 c. self-awareness conditioning
 d. self-talk analysis
e. cognitive behavioral training
A

a

46
Q
19. In cognitive therapy the assumption 
is that psychological problems stem 
from processes such as
 a. faulty thinking.
b. making incorrect inferences on 
the basis of inadequate or incorrect information.
c. failing to distinguish between 
fantasy and reality.
d. negative automatic thoughts.
e. all of the above.
A

e

47
Q
20. Cognitive therapy is based on the 
assumption that
a. our feelings determine our 
thoughts.
b. our feelings determine our actions.
c. cognitions are the major determinants of how we feel and act.
d. the best way to change thinking 
is to reexperience past emotional 
traumas in the here and now.
e. insight is essential for any type 
of change to occur.
A

c

48
Q
21. In cognitive therapy techniques are 
designed to
a. assist clients in substituting 
rational beliefs for irrational 
beliefs.
b. help clients experience their feelings more intensely.
c. identify and test clients’ misconceptions and faulty assumptions.
d. enable clients to deal with their 
existential loneliness.
e. teach clients how to think only 
positive thoughts.
A

c

49
Q
22. The type of cognitive error that involves thinking and interpreting in 
all-or-nothing terms or categorizing 
experiences in either-or extremes is 
known as
 a. magnification and exaggeration.
 b. polarized thinking.
 c. arbitrary inference.
 d. overgeneralization.
e. none of the above.
A

b

50
Q
23. Beck’s cognitive therapy differs from 
Ellis’s REBT in that Beck emphasizes
a. a Socratic dialogue.
b. helping clients discover their 
misconceptions by themselves.
c. working with the client in collaborative ways.
d. more structure in the therapeutic 
process.
e. all of the above.
A

E

51
Q
24. Beck’s cognitive therapy has been 
most widely applied to the treatment of
 a. stress symptoms.
 b. psychosomatic reactions.
 c. phobias.
 d. depression.
 e. cardiovascular disorders.
A

D

52
Q
25. In self-instructional training, which 
of the following is given primary 
importance?
a. detecting and debating irrational 
thoughts
b. the role of inner speech
c. learning the A-B-C model of 
emotional disturbances
d. identifying cognitive errors
e. exploring feelings that are attached to early decisions
A

B

53
Q

Irrationality

A

consists of thinking, feeling,
and acting in ways that are self-defeating and
that thwart our goals

54
Q

Relapse prevention

A

Procedure for promoting
long-term maintenance that involves identifying
situations in which clients are likely to regress to
old patterns and to develop coping skills in such
situations.

55
Q

Schema

A

Core beliefs that are centrally related
to dysfunctional behaviors. The process of cognitive therapy involves restructuring distorted core
beliefs (or schema).

56
Q

Selective abstraction

A

A cognitive distortion
that involves forming conclusions based on an
isolated detail of an event.

57
Q

Self-instructional therapy

A

Self-instructional therapy An approach to therapy based on the assumption that what people
say to themselves directly influences the things
they do. Training consists of learning new selftalk aimed at coping with problems.

58
Q

Shame attacking exercises

A

Shame-attacking exercises A strategy used
in REBT therapy that encourages people to do
things despite a fear of feeling foolish or embarrassed. The aim of the exercise is to teach people
that they can function effectively even if they
might be perceived as doing foolish acts

59
Q

Socratic Dialogue

A

dialogue A process that cognitive
therapists use in helping clients empirically
test their core beliefs. Clients form hypotheses
about their behavior through observation and
monitoring.

60
Q

Stress inoculation

A

Individuals are given opportunities to deal with relatively mild stress
stimuli in successful ways, so that they gradually
develop a tolerance for stronger stimuli.

61
Q

Stress inoculation training (SIT)

A

Stress inoculation training (SIT) A form of
cognitive behavior modification developed by
Donald Meichenbaum that is a combination of
information giving, Socratic discussion, cognitive restructuring, problem solving, relaxation
training, behavioral rehearsals, self-monitoring,
self-instruction, self-reinforcement, and modifying environmental situations

62
Q

Theraputic collaboration

A

A process whereby
the therapist strives to engage the client’s active
participation in all phases of therapy

63
Q

Choice Theory

A

The view that humans are internally motivated and behave to control the world
around them according to some purpose within
them. We are basically self-determining and create our own destiny.

64
Q

Commitment

A

The act of sticking to a realistic

plan aimed at change.

65
Q

Cycle of counseling

A

(1) creating the counseling environment and (2) implementing specific procedures that lead to changes in behavior.

66
Q

Paining behaviors

A

Choosing misery by developing symptoms (such as headaching, depressing, and anxietying) because these seem like the
best behaviors available at the time.

67
Q

Percieved world

A

world The reality that we experience and interpret subjectively

68
Q

Picture album

A

An image of our specific wants

as well as precise ways to satisfy these wants

69
Q

Psychological needs

A

needs The needs for belonging,
power, freedom, and fun; these are the forces
that drive humans and explain behavior

70
Q

Quality world

A

The perceptions and images we

have of how we can fulfill our basic psychological needs; another phrase for picture album

71
Q

Reality therapy Based on choice theory,

A

Reality therapy Based on choice theory, this
approach provides a way of implementing therapeutic procedures for helping individuals take
more effective control of their lives.

72
Q

Responsibilty

A

Satisfying one’s needs in ways
that do not interfere with others’ fulfilling their
needs.

73
Q

SAMIC3

A

SAMIC3
An acronym pertaining to the essence
of a good action plan: simple, attainable, measurable, immediate, involved, controlled by the
planner, committed to, and continuously done.

74
Q

Self-evaluation

A

Clients’ assessment of current
behavior to decide whether it is working and if
what they are doing is meeting their needs. It is
the cornerstone of reality therapy procedures

75
Q

Total Behavior

A

The integrated components of
acting, thinking, feeling, and physiology. Choice
theory assumes that all elements of behavior are
interrelated.

76
Q

WDEP system

A

WDEP system The key procedures applied to
the practice of reality therapy groups. The strategies help clients identify their wants, determine
the direction their behavior is taking them, make
self-evaluations, and design plans for change.

77
Q

D(disputing) what are the three components?

A

Detecting, debating, and discriminating.

78
Q

What are 2 main goals of REBT?

A

Unconditional self-acceptance (USA) + Unconditional other acceptance (UOA)

79
Q

The theoretical assumptions of cognitive therapy are:

A
  1. That peoples internal communication is accessible to introspection
  2. That clients’ beliefs have highly personal meanings
  3. That these meanings can be discovered by the client rather than being taught or interpreted by the therapist
80
Q

What are the five “genetically encoded needs:” as suggested in Choice theory?

A

we are born with five genetically encoded needs that drive us all our lives: survival, or self-preservation; love and belonging; power, or inner control; freedom, or independence; and fun, or enjoyment.

81
Q

Total behavior verb forms

A

the verb forms depressing, headaching, angering, and anxietying to describe them.

82
Q

What are the characteristics that define reality therapy?

A

What are the characteristics that define reality therapy?
emphasize choice and responsibility reject transference keep the therapy in the present avoid focusing on symptoms challenge traditional views of mental illness

83
Q

Goal of reality therapy

A

Reality therapists assist clients in making more effective and responsible choices related to their wants and needs.

Corey, Gerald (2012-01-01). Theory and Practice of Counseling and Psychotherapy (Page 340). Cengage Textbook. Kindle Edition.

84
Q

Relationships between therapist and client in reality therapy

A

Reality therapy emphasizes an understanding and supportive relationship, or therapeutic alliance, which is the foundation for effective outcomes

85
Q

TorF 1. What is important is not the way
the real world exists but the way we
perceive the world to exist.

A

T

86
Q

T F 2. Choice theory is the framework for

the practice of reality therapy.

A

T

87
Q

T F 3. A good way to change behavior is

for us to be self-critical.

A

F

88
Q

T F 4. It is important to explore the past as

a way to change current behavior.

A

F

89
Q

T F 5. One of the therapist’s functions is to

make judgments about clients’ present behavior.

A

F

90
Q

T F 6. The focus of reality therapy is on attitudes and feelings

A

F

91
Q

T F 7. The use of contracts is often part of

reality therapy

A

T

92
Q

T F 8. Reality therapy is grounded on

some existential concepts

A

T

93
Q

T F 9. It is the client’s responsibility to decide on the goals of therapy.

A

T

94
Q

T F 10. Appropriate punishment is an effective way to change behavior

A

F

95
Q
  1. The founder of reality therapy is
    a. Albert Ellis.
    b. Albert Bandura.
    c. Joseph Wolpe.
    d. Robert Wubbolding.
    e. William Glasser.
A

E

96
Q
  1. According to this approach, insight
    a. is necessary before behavior
    change can occur.
    b. is not necessary for producing
    behavior change.
    c. will come only with changed
    attitudes.
    d. can be given to the client by the
    teachings of the therapist.
    e. will be discovered by the client
    alone.
A

B

97
Q
  1. The view of human nature underlying reality therapy is
    a. that we have a need for identity.
    b. that we have the need to feel
    loved and to love others.
    c. that we need to feel worthwhile
    to ourselves and others.
    d. all of the above.
    e. none of the above.
A

d

98
Q
14. Which is not a key concept of 
reality therapy?
a. focus on the present
b. unconscious motivation
c. self-evaluations
d. involvement as part of the therapy process
e. responsibility
A

B

99
Q
15. Which of the following is not true 
of reality therapy?
a. It is based on the premise that 
acting and thinking are chosen 
behaviors.
b. Clients must make commitments.
c. Therapists do not accept excuses 
or blaming.
d. Therapy is a didactic process.
e. Working through the transference relationship is essential for 
therapy to occur.
A

E

100
Q
  1. Regarding the goals of reality therapy,
    a. it is the therapist’s responsibility
    to decide specific goals for clients.
    b. it is the client’s responsibility to
    decide goals.
    c. the goals of therapy should be
    universal to all clients.
    d. society must determine the
    proper goals for all clients.
    e. both (c) and (d) are true.
A

B

101
Q
17. In reality therapy, our quality world 
is likened to 
a. a picture album.
b. a reality TV show.
c. an expensive sports car.
d. a celebrity’s life.
e. none of the above.
A

A

102
Q
  1. Which statement is not true of reality therapy?
    a. It is based on a personal relationship.
    b. It focuses on attitude change
    as a prerequisite for behavior
    change.
    c. Planning is essential.
    d. The focus is on the client’s
    strengths.
A

B

103
Q
  1. Reality therapy was designed originally for working with
    a. elementary school children.
    b. youthful offenders in detention
    facilities.
    c. alcoholics.
    d. drug addicts.
    e. people with marital conflicts.
A

B

104
Q
20. Which of the following would not
be used by a reality therapist?
a. analysis of the transference relationship
b. hypnosis
c. the analysis of dreams
d. the search for causes of current 
problems
e. all of the above
A

E

105
Q
21. Which of the following statements 
is true as it applies to choice theory?
a. Behavior is the result of external 
forces.
b. We are controlled by the events 
that occur in our lives.
c. We can control the behavior of 
others by learning to actively listen to them.
d. We are motivated completely by 
internal forces, and our behavior 
is our best attempt to get what 
we want.
e. We can control our feelings more 
easily than our actions.
A

D

106
Q
22. According to Glasser, all of the following are basic psychological needs 
except for
a. competition.
b. belonging.
c. power.
d. freedom.
e. fun.
A

A

107
Q
  1. An axiom of choice theory is that
    a. the past is the problem.
    b. although the past may have contributed to a current problem the
    past is never the problem.
    c. all serious problems are rooted
    in unconscious drives that dictate behavior.
    d. mental illness is the cause of bad
    choices people make.
A

B

108
Q
  1. Sometimes it seems as though people actually choose to be miserable
    (depressed). Glasser explains the
    dynamics of depressing as being
    based on
    a. keeping anger under control.
    b. getting others to help us.
    c. excusing our unwillingness to do
    something more effective.
    d. all of the above.
    e. none of the above.
A

D

109
Q
25. All of the following are procedures 
in reality therapy that are said to 
lead to change except for
a. exploring wants, needs, and 
perceptions.
b. focusing on current behavior.
c. the therapist’s evaluating of the 
client’s behavior.
d. the client’s evaluating of his or 
her own behavior.
e. the client’s committing to a plan 
of action.
A

C