CBT IntInt Flashcards
Provocative Therapy
Aims
Appropriate
Affectionate
Affirmative
Assertive
Actualised
Thought
Heirarchy
Thought Nature
Thought Content
Thought Association
Feelings & Emotions
Behaviours
Habits & Values
Addictive
Process
CUE CRAVING
RESPONSE REWARD
Prokashka
Change
Model
Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Relapse
Values in Action
Humanity
Justice
Temperance
Transcendence
Courage
Wisdom & Knowledge
Humanity: Love Kindness Soclial Intelligence
Justice: Teamwork Leadership Fairness
Temperance: Humility Prudence Forgiveness Self-regulation
Transcendence: Appreciation Spirituality Gratitude, Humor, Hope
Courage: Zest Bravery Honesty Perseverance
Wisdom: Learning Curiosity Creativity Perspective Judgement
CBT
Environment
Questions
What else is going on in your life that could be affecting how you feel?
Are there demands at home?
Do you have (financial) difficulties
Are there difficulties at work?
Do you have someone to talk to?
CBT
Feelings
Questions
How did you feel emotionally?
How did that thought make you feel?
You seem…(sad)… when you say that?
CBT Physical
Questions
What physical symptoms did you notice?
How is the affecting you physcially?
Which symptoms bother you the most?
What was happening in your body?
CBT Behaviour
Questions
What did you do when..?
How do you usually reac in this situation?
What did you say to yourself?
Is there anything you are avoiding now?
What would you do differently if you felt better?
CBT Thought
Questions
What was going on in your mind?
Did you have any images?
What did you say to yourself?
What’s the most difficult things about this?
What’s the worst that might happen?
Depression
Screening
Questions
During the past month:
Have you been feeling down, depressed or lost hope?
Have you lost interest in things that give you pleasure?
Have you had suffered feelings of worthlessness?
Have you had poor concentration
Have you had thoughts of death?
CBT
Framework
Make sense of emotional problems
Give clear explanations
Identifiy viscious cycles that maintain depression
Identify strategies for change
Core Values
my role…
Family - role
Friendships - social lives
Education - career interests
Recreation - hobbies interests
Health - diet, exercise
Spirituality - religion, beliefs
Environment - garden etc
Interventional
Interviewing
Hornstrup & Tomm
2010
Personal Perspective
Others Perspective
Situational Outcome
Strategic Outcome
Interventional Intervewing
Situational Questions
Hornstrup & Tomm
2010
What is your main concern at the moment?
How would your colleagues describe your situation?
What is the outcome you would prefer?
How coud you move towards those outcomes?
Interventional Intervewing
Contextual Questions
Hornstrup & Tomm
2010
How has this situation arisen?
How would it be seen in a different context?
What contextual changes could be beneficial?
How could those contextual changes arise?
Interventional Intervewing
Meta Questions
Hornstrup & Tomm
2010
What else should I be asking you?
Who else might have a pivotal role or perspective?
What contextual changes could be beneficial?
What else could happen to transform the situation?
What would have to happen to enable this catalyst?
How Questions Influence
Intentionality
Orientating
Influencing
Lineal - Circular
Orientating - Influencing
Assumptions
Intent
Questions
Questions
Lineal
Circular
Reflexive
Strategic
Lineal - problem explanation & definition
Circular - behavioural & relationship affect
Reflexive - observer & futuristic perspective
Strategic - leading & generative
4 Major Types of Questions
- Lineal questions
2 Circular questions
Lineal questions
Intent is to generate a cause and effect understanding for the interviewer
Clarify the sequence of events over time
Circular questions
Intent is to generate a contextual understanding for the interviewer
Clarify the here and now situation and patterns of interaction in relationships
4 Major Types of Questions 2
- Reflexive questions
- Strategic Questions
Reflexive questions
Intent is to influence clients respectfully
Open space for alternative meanings that are healing or enhance an understanding that supports wellness
Selectively mobilize clients’own knowledge and competencies
Manner is invitational and enabling (not imposing)
Strategic Questions
Intent is to influence clients correctively–
Close space for clients to continue with their own problematic ideas
Pressure clients to accept the interviewer’s ideas as better
Manner is directive and impositional (less inviting)
Question Directives
Investigative Corrective
Exploratory Facilitative
Intent Consequences
Investigative - Corrective
Exploratory - Facilitative
Client Effects -Therapist Effects
INVESTIGATIVE INTENT
Conservative effect on client - Judgmental effect on therapist
EXPLORATORY INTENT
Liberating effect on client - Accepting effect on therapist
FACILITATIVE INTENT
Generative effect on client - Creative effect on therapist
CORRECTIVE INTENT
Constraining effect on client - Oppositional effect on therapist
