CBT structure and intervention Flashcards
What are conceptual frameworks?
They influence everything from visual perception to social interactions to moods
Conceptual frameworks are also known as schemas.
Define schemas.
Generalised knowledge structure in memory that represents the world, the future, and the self.
What do schemas govern?
- Attention
- Interpretation
- Memory
How do schemas help us?
They help us to create predictions about our environment.
What are unhelpful thinking styles?
Cognitive distortions driven by underlying schemas.
What are core beliefs?
An individual’s most central ideas about the self, others, the world, and/or the future.
How are core beliefs characterized?
- Verbal representations of schema
- Unconditional, fundamental, inflexible, absolute, and generalized beliefs
Give an example of a helpless core belief.
I am helpless.
List some unlovable core beliefs.
- I am unlovable
- I am unworthy
- I am undesirable
- I am unattractive
- I am unwanted
How are core beliefs revealed in therapy?
By peeling back the layers through continued questioning.
What does selective attention in schemas lead to?
Seeing only information that supports the schema and related core beliefs.
How are schemas resistant to change?
They have been held for a long time.
What is the 5P model in case conceptualization?
- Presenting Problem
- Predisposing factors
- Precipitating factors
- Perpetuating factors
- Protective/Positive factors
What distinguishes a CBT formulation from other formulations?
CBT is based in the experimental method and is continuously tested and modified.
What do early sessions in CBT focus on?
Devising an initial hypothesis and treatment plan.
What role do significant past experiences play in CBT?
They form a key part of CBT formulation as predisposing factors.
What are conditional assumptions or intermediate beliefs?
Beliefs related to core beliefs, often framed in ‘if-then’ or ‘must’ terms.
How do intermediate beliefs affect behavior?
They shape behavior, thoughts, and feelings based on core beliefs.
What is the Downward Arrow Technique?
A method to identify underlying core beliefs using progressively deeper questioning.
What is a key aspect of sharing formulation in CBT?
It is a collaborative process with the client.
List the five questions for challenging dysfunctional assumptions.
- What is the evidence for this belief?
- Is this belief always true for you?
- Does this belief look at the whole picture?
- Does this belief promote your wellbeing and/or peace of mind?
- Did you choose this belief on your own or did it develop out of your experience of growing up in your family?
What is involved in modifying core beliefs?
- Examining the evidence for and against the belief
- Developing new positive beliefs
How can extreme contrasts help in modifying core beliefs?
By reducing absolutist thinking using a continuum scale.
Fill in the blank: Core beliefs are often linked to ______ factors.
predisposing
