Behavioral and Cognitive Behavioral Therapies

Question 1

Things NOT to use pharma for

Answer 1

Personalit yand substance use

Question 2

Humanistic and psychodynamic/analytic approaches

Answer 2

Focus is on free will, autonomy…change from personal growth and insight

Focus on changing behavior and experience by uncovering unconscious determinants

Question 3

Individual

Answer 3

50 minute hour

Question 4

Couples/family

Answer 4

Social unit is focus
Systems theory
Problems of patient have to be understood in social context

Question 5

Group

Answer 5

Patients learn from each other

Based on shared diagnosis (weight watchers)

Question 6

Milieu

Answer 6

Living situation structured to achieve goals

Question 7

Classical conditioning

Answer 7

Response normallyl elicited by one stimulus becomes associated with another throught pairing

Can be undone with repeated application of conditioned stimulus in the absence of the unconditioned stimulus is extinction

Question 8

Operant conditioning

Answer 8

Behavior determined by consequences

Reinforcer is any stimulus that when it follows a respo se, increases frwqunecy of that response

Question 9

Application of classical conditiong

Answer 9

Tx of phobia using systemic desensitization (extinction)

Conditioned response (fear) extinguished through graded exposure to the phobic object (conditioned stimulus)

Question 10

Operant conditioning and schizophrenia

Answer 10

Increasing normal conversation through reinforcement

Following appropriate speech, give money (reinforcer)

Following delusional, ignore (extinction)

Normal speech (conditioned response), increases

Question 11

Tension headache and operant conditioning

Answer 11

Reduce tension headache through reinforcement of relaxation

Audio feedbakc makes patient aware of muscle tension

Relaxation (conditioned response) leads to decreased audio feedback (reinforcer)

Decreased tension leads to less frequent headache

Question 12

CBT

Answer 12

Based on psychological research on thinking and emotional

Idea is that emotion follows thinking

Tx addresses thoughts

Question 13

Schemas and 3 major types

Answer 13

Patterns of mistaken thinking

Self (i’m worthless)
Others (no one likes me)
World (it’s safe out there)

Question 14

Anxiety dz

Depression
Narcissistic shcemas

Answer 14

World is threatening
Other people wont help

I am worthless
No one likes me

I’m extraordinary
Other people should defer
Everything in world is mine

Question 15

Beck’s tx for depression

Answer 15

Involves challenging and changing distortions about self, other people, and world

Question 16

Arbitrary inference
Overgeneralization
Dichotomous thinking

Answer 16

Patient interprets a neutral remark as crticial

patient sees a minor failure as typical and inevitable

Patients sees balck and white and anything other than perfection is fialure

Question 17

CBT general charactersitcis

Answer 17

Works best with intelligent and verbally adept ppl

Thrapists are active and directive