(3) Cognitive approaches Flashcards

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1
Q

What do cognitive psychologists believe about behaviour?

A

Cognitive psychologists extend this idea and say that our behaviour is determined by the way we process information taken in from our environment.

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2
Q

What are the two major systems in the cognitive approach?

A
  • Rational-emotive (Albert Ellis 1962)

- Cognitive theory of depression (Aaron T Beck 1967)

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3
Q

What did Albert Ellis (1913-2007) believe about psychological dysfunctions?

A
  • Event interpretation – distress – psychological dysfunction
  • Private beliefs (B) about particular activating events or situations (A) determine the emotional consequences (C) that are experienced.
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4
Q

What are Irrational beliefs (Albert Ellis)?

A

misguided and inaccurate assumptions; absolute, unrealistic views of the world – Everyone must love/like me all of the time – I must perform well or else I am inadequate – I must have the approval of others, or else I’m inadequate and worthless

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5
Q

What therapy did Ellis develop?

A

Ellis developed rational-emotive behaviour therapy (REBT) – for emotional problems

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6
Q

What is Ellis – Rational-Emotive behaviour therapy?

A
  • REBT designed – to challenge irrational beliefs – to restructure a person’s belief system and self-evaluation, to gain more self-worth
  • REBT therapist searches for patient’s irrational beliefs, highlighting the impossibilities of fulfilling them and persuades patient to adopt a more realistic belief
  • Also uses behavioural techniques – homework given to encourage clients to have new experiences, in order to break negative chains of behaviour
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7
Q

What difference is there between REBT and Beck’s approach?

A

Similar to Beck’s approach– Difference: in REBT - therapist directly challenges the patient’s belief during therapy “That’s impossible! That’s irrational!”

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8
Q

What did Aaron Beck (1921) do?

A
  • Developed cognitive therapy – first for depression, later for anxiety and other disorders – Beck was influential in the development of cognitive behavioural therapy (CBT)
  • Widely used therapies for many disorders – Cognitive therapy & CBT terms often used interchangeably
  • Also focuses on irrational thoughts of people with psychological problems
  • The way we interpret events and experiences determines our emotional reactions to them
  • Depressive symptoms, irrational beliefs
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9
Q

What is a schema?

A

An underlying representation of knowledge (relatively stable network of core beliefs) that serves to guide our processing of information and may lead to distortions in attention, memory and comprehension

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10
Q

What is the positive aspect of schemas?

A

POSITIVE ASPECT: Enable us to focus on relevant/important information among influx of information available to us

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11
Q

What is the negative aspect about schemas?

A
  • NEGATIVE ASPECT: But also a source of psychological vulnerability if distorted and inaccurate
  • Need to have particular schemas to recognise new information
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12
Q

What is Assimilation?

A
  • incorporate new experiences into existing cognitive frameworks (even if new information has to be reinterpret or distort it to make it fit)
  • Results in clinging to existing assumptions and rejecting new information that contradicts them
  • E.g. rejecting a compliment
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13
Q

What is Accommodation?

A
  • Changing existing framework in order to incorporate new information that doesn’t fit
  • More difficult and threatening
  • Accommodation – basic goal of cognitive and cognitive behavioural therapies (as well as other approaches and therapies)
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14
Q

How is psychopathology characterised?

A

Different forms of psychopathology are characterised by different maladaptive schemas that have developed as a function of adverse early learning experiences,
-and that lead to distortions in thinking - cognitive distortions

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15
Q

What are Cognitive distortions?

A

-Biased processing of negative self-relevant information such that ambiguous situations are interpreted in problematic ways.

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16
Q

-Labelling:

A

assigning labels to ourselves or other people e.g. I’m a loser

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17
Q

-Personalisation:

A

blaming yourself or taking responsibility for something which wasn’t completely your fault

18
Q

-All or nothing thinking:

A

black and white thinking, I am not perfect I’ve failed

19
Q

-Over-generalising:

A

seeing a pattern based on a single event

20
Q

-Mental filter:

A

only paying attention to certain behaviours, e.g. only focus on failures

21
Q

-Disqualifying the positive:

A

discounting the good things which have happened, e.g. that doesn’t count

22
Q

-Jumping to conclusions:

A

Mind reading (think we know what others are thinking), fortune telling (predicting the future)`

23
Q

-Magnification and minimisation:

A

blowing things out of proportion, or shrinking something to make it less important

24
Q

-Emotional reasoning:

A

assuming that we must feel a certain way what we think must be true

25
Q

What is attribution theory?

A

-Attribution: The process of assigning causes to things – E.g., ‘I failed the test because: a) I’m stupid, or b) because the teacher was unfair…’

26
Q

Why are attributions important?

A
  • The causes may or may not be objectively accurate
  • Help us explain own/other’s behaviour and to predict what we/others will do in future
  • Attributional style: characteristic way one tends to assign causes to good/bad events
  • Attributions become important parts of our view of the world
  • Have significant effects on our emotional well-being
27
Q

How would Beck use treatment for mental illness?

A
  • Depressed people perceive the world and event outcomes in terms of their own personal weaknesses and limitations
  • Therapy: persuade patients to change their opinions of themselves and the way in which they interpret life events.
  • Altering schema
28
Q

What is the Cognitive triad?

A
  • Negative views of self, world and future
  • Negative schema triggered (e.g. no one likes me)
  • Cognitive distortions/bias
  • Depression
29
Q

What is an example of an experiment used with depressed patients?

A
  • Patients and controls are presented with a list of randomised single words, such as: depression, neutral…. Words
  • These are carefully controlled experiments & participants are unaware of study aims
  • Words are presented briefly (e.g. 3 seconds), followed by a brief delay (e.g. 500 milliseconds) …
  • Participants given a ‘surprise’ memory test later, and asked to recall as many words as possible – Depressed patients display recall bias for depression stimuli – This indicates an underlying maladaptive scheme
30
Q

What evidence is there for cognition?

A
  • Cognitions are not observable phenomenon (like behaviours), hence difficult to study ‘objectively’ – E.g. Skinner thought that the cognitive approach did not allow for an objective study of human behaviour
  • Great deal of information is processed non-consciously (outside of our awareness), hence difficult to study and change
  • Note: ‘non-conscious’ does not mean the same as ‘unconscious’ - Freud’s term which refers to primitive emotional conflicts…
31
Q

What is the emotional Stroop test?

A
  • Used as an information-processing approach to assess emotions
  • Carefully controlled experiments, participants unaware of study aims
  • Measures selective attention
  • Works by examining the response time of the participant to name colours of negative emotional words
  • Elicits certain behavioural outcomes, e.g. a slowing in response times to certain words/ coloured words
  • Appears to capture attention and slow response time due to the emotional relevance of the word for the individual
32
Q

What is interpretation bias?

A

Interpretation bias, described as the tendency to interpret social situations in a negative or threatening manner

33
Q

How did Eysenck test interpretation bias?

A
  • For instance, in Eysenck et al. (1987) study participants were asked to write down the spelling of auditory presented words
  • Some of the words were homophones (having both threat related and neutral interpretation), e.g. ‘Pane’ (as in panel or windowpane) vs. ‘Pain’ - one experiences when gets hurt
  • They reported a correlation between trait anxiety and the number of threatening homophone interpretations
34
Q

What are the pros of the cognitive approach?

A
  • CBT developed, one of them most effective psychological treatments nowadays
  • Substantial empirical support for information processing biases
  • Emphasis the link between THOUGHT, EMOTION and BEHAVIOUR
35
Q

What are the cons of the cognitive approach?

A

-Irrational or real life? Cognitive approaches have been criticised for assuming that that negative beliefs are always irrational and for ignoring the negative lives that some people truly lead.
-Woolly concepts: Schema – difficult to research, Information processing biases - great in the laboratory- but what do they mean?
-Causality: cognition vs. emotion – which one comes first

36
Q

What is the structure of CBT?

A
  • Lasts between 5 and 20, weekly, or fortnightly sessions
  • Each session will last between 30 and 60 minutes
  • In the first 2-4 sessions, the therapist checks that the patient can use CBT and feels comfortable with it
  • Although CBT concentrates on the present, sometimes the therapist will ask about the past to understand how it is affecting the patient now
  • Patient decides what they want to deal with in the short, medium and long term
  • Practitioner is a guide, empowering approach
37
Q

What is CBT?

A
  • Abnormal behaviour results from distorted thinking and information processing
  • CBT uses various techniques to help patients learn new ways of thinking, behaving and feeling
  • Focus is typically on the present, with direct efforts to change problems
  • Practical approach oriented to changing behaviour, rather than trying to understand the dynamics of personality
  • Not based on human personality theories
  • Encourages collaborative therapist-patient relationships
  • Based on evidence and empirical evaluation
  • Doesn’t look too much into the past
38
Q

What happens in CBT?

A
  • Each problem is broken down into its separate parts, patient may be asked to keep a diary
  • Therapist helps identify individual patterns of thoughts, emotions, bodily feelings and actions
  • These are analysed to evaluate if they are unrealistic or unhelpful and how they affect each other
  • The therapist helps the patient to work out how to change unhelpful thoughts and behaviours
  • Homework is given to work on these unhelpful thoughts and feelings
  • Won’t do things they don’t want to do, repeat until symptoms disappear
39
Q

What are the pros to CBT?

A
  • One of the most effective treatments for conditions characterized by anxiety and depression
  • The most effective psychological treatment for moderate and severe depression
  • As effective as antidepressants for many types of depression
  • Overall, a lot of research evidence suggesting that it is beneficial for the treatment of various types of depression, anxiety disorders, bulimia, substance abuse, etc
40
Q

What are the cons to CBT?

A
  • CBT takes time, a course of CBT may be from 6 weeks to 6 months, depending on the problem and how it is working for the patient
  • Therapist’s role is to advise and encourage - patient needs to do the work
  • Problem if patient finds it difficult to concentrate and get motivated: E.g. to overcome anxiety, patient needs to confront it- may lead to more anxiety…
  • The availability of CBT may be a problem - there may be a waiting list for treatment
  • Symptoms may return; important to keep practising CBT skills, even when feeling better - refresher courses available