CBT Flashcards
REBT
Ellis
ABC
activating event, belief, emo or bx that arises from B
irrational beliefs are chahrcterized by dogmatic demand (should, musts), awfulizing, low frustration tolerance, neg eval of self and others
DE
therapist’s attempts to dispute irrational beliefs, alterative thoughts and beliefs that arise from D
therapist is educational, confrontative, persuasive
Beck’s CT
cogntive schemas - core beliefs and structures. Revealed in automatic thoughts and supported by cogn distortions
automatic thoughts- surface level cogn. arise from maladaptive schemas
Cogn Distortion- systematic errors or biases
cogn profile- depression-negative triad, anxiety-survival mech in overdrive and unrealisitic fears of phys and psych threats
therapist enages in collaborative empiricism and socractic dialogue and downward arrow
Self-instructional training
Meichenbaum and Goodman
help ADHD children complete tasks
cogn modellin- model completes task while child makes self-statements
cogn participatitve modeling- cl completes task while model verbalizes instructions
overt SI- verbalizes task outloud
fading overt self-instruction- cl whispers the instructions while complin task
covert SI- completes task while saying instructions covertly
attributional retraining
based on reformulated theory of learned helplessness
help change client’s style to optimistic explanatory style
failures become attributed to external, unstable and specific factors and success become attributed to internal, stable and global factors
Coping and Problem-solving Tech
Stress inoculation ( cognitive preparation (educating client how faulty cogs prevent appropriate and adaptive coping), skills acquisition (learning and rehearsing new skills), and practice (applying skills to real or imagined situations))
problem-solving therapy (help cl dev a positive and rational problem solving style
Rehm’s Self COntrol therapy
brief and usually group
self-monitoring (selectively attend to neg)
self-eval (negative and inaacurate internal attributions, rigid and perfectionistic standard)
self-reinfroecments (low levels of self reinforcement and high rates of punishments)
Lewonsohn’s Bx Model
deprx due to low rate of rewards
bx activation
Self-Management Procedures
self-monitoring (record info on bx)
stimulus control (narrowing- restriciting bx to limited stimuli, cue strengthening- linking bx with a specific location, fading- chaning stimulus associated with bx (alternative stimuli)
Biofeedback
Process of identifying physio variables, or responses, for the purpose of helping a pt develop greater sensory awareness of body funcs
EMG (electromyography) – measures degree of relaxation or contraction/tension in muscles – used for tension headaches (= to relaxation training), as well as chronic pain , muscle stiffness, incontinence, urinary urgency, stress
ST (thermal or skin temperature) – thermal handwarming most commonly used for migraines (goal of reducing blood flow). MORE effective than relaxation therapy for treating migraines
Tx of choice for fecal incontinence and Raynaud’s disease
EEG – neurofeedback – used in tx of depression, epilepsy, and aiding in recovery from strokes and head injuries, and ADHD. More than 1 type of biofeedback and bx skills training (ie relaxation training, guided imagery) are frequently used in comb.
Diffs btwn CT and RET
RET – irrational thgts lead to maladaptive bx
CT –thgts are dysfunctional when they interfere with normal cog processes and not necessarily bc they are irrational
RET – more heavily behavioral
RET – therapist more likely to directly challenge a pt’s dysfunctional beliefs
CT – pt usually encourage to test out beliefs on his own
MI
Motivational Interviewing
Developed by Miller and Rollnick – helps pts resolve ambivalence, build commitment, and reach a decision to change
Based on transtheoretical model of change with draws on strategies from many diff psychotherapies, including psychodynamic, behavioral, humanistic, and attempts to match interventions with pts stage of readiness to change
Examination and resolution of ambivalence the central purpose
Ambivalence is the main obstacle to overcome in triggering change
Emphasizes: 1. Empathy thru reflective listening, 2. Develop discrepancy bwtn pt’s goals and current prob bx, 3. Avoid argumentation and direct confrontation, 4. Roll with resistance, 5. Support self-efficacy for change
Narrative Therapy
Narrative Therapy
Developed by Michael White and David Epston – explores the importance of the life stories people tell and the differences that can be made thru the telling and re-authoring of these stories
By re-authoring, pt externalizes the condition or problem, separates himself from the problem
Techniques – excavating unique outcomes, thickening the new plot, and linking the new plot to the past and future
Encourage pts to write stories, letters or essays
Schema Therapy
Schema Therapy
Integrates elements of CBT, attachment, gestalt, object relations, constructivist, and psychoanalytic to treat chronic characterrological aspects of disorders
Addresses the core themes – early maladaptive schemas –
Techniques – exploring the therapist-pt relationship, maladaptive coping styles and using emotive techniques
Has been blended with mindfulness meditation
Useful in treatment of chronic depression, anxiety, eating d/os, long-standing relationship diffs and substance abuse relapse
