Behavior Therapy

Question 1

Unconditioned response - reflexive, ex:?

Answer 1

Kiss

Question 2

Conditioned response - learned, ex:?

Answer 2

Heart rate goes up

Question 3

Stimulus, ex:?

Answer 3

Favorite song

Question 4

Operant conditioning (操作性条件反射)

Answer 4

Ex: messy room:
1. Pos: kid gets lewt for cleaning room, cleans room.
2. Neg: kid doesn’t get solding(责骂) from mom, cleans room.
3. Aversive (厌恶的): kid gets scolding from mom, doesn’t clean room

Question 5

Premack principle

Answer 5

Ex: do chores before can watch TV
Use person’s preferred behavior as pos reinforcement

Question 6

Extinction (灭绝，废止)

Answer 6

Pos reinforcement withheld to reduce undesirable behavior

Question 7

Contingency contracting

Answer 7

Desired behaviors, reinforces, neg consequences explicitly written on a contract

Question 8

Time-out

Answer 8

Removal from environment with undesirable behaviors

Question 9

Reciprocal inhibition (相互抑制)

Answer 9

Introduce a more adaptive behavior to reduce incompatible behavior

Question 10

Overt sensitization (明显的敏感化)

Answer 10

Unpleasant consequences produced for undesirable behavior

Question 11

Covert sensitization (隐性的敏感化)

Answer 11

Ex: treat fingernail biting
Visualize unpleasant mental image to avoid performing

Question 12

Systematic desensitization (系统脱敏)

Answer 12

Pt practice relaxation through systematic hierarchy of anxiety producing events

Question 13

Flooding

Answer 13

Flooded with continuous phobic stimulus until no longer increase anxiety
Don’t use in pt with heart disorders!

Question 14

CBT influenced by: dysfunctional assumptions, automatic thoughts, schemas (core beliefs)

Answer 14

1. Neg thoughts > pos thoughts
2. Mostly neg, examples of common cognitive errors see next card
3. Dev early in life from experience

Question 15

Automatic thoughts (common cognitive errors)

Answer 15

1. Arbitrary inference(任意推论): sent a gift to relatives but received no answer, you: they must think I have poor taste.
2. Overgeneralization (absolute thinking): submit article but rejected, you: no on will ever like anything I wrote
3. Dichotomous thinking (二元思维): submit article but returned and asked to rewrite a section, you: I’m a bad writer.
4. Selective abstraction: good grade and scholarship but you only focus on the scholarship you didn’t get.
5. Magnification: heard coworker is having a party but you are not invited, you: she doesn’t like me.
6. Minimization: father feels lonely so called son and asked to come visit but son is busy and can’t at the moment, father then calls grandpa twice bust still feels unloved by son.
7. Catastrophic thinking (灾难性思维): first day at job and submit a document, boss returns and red circled a minor typo and asked you to fix it, you: that’s it, I’ll surely be fired.
8. Personalization: gave a 2hr presentation but customer says thanks but I’m not going to buy a car, you: I’m a lousy salesman.

Question 16

Techniques of CBT: didactic/educational aspects, cognitive/5 W techniques, behavioral interventions

Answer 16

1. Prepare pt to be their own therapists, provide assignment to enhance learning
2. Question the evidence, look at options and alternatives, talk about cognitive thoughts (who what where when why)
3. Schedule activity (rate 0-10), graded task assignments (break down overwhelming activities to pt), distraction (engage pt in activity direction their thinking), misc techniques (relaxing, social skill training)