Chapter 12

Question 1

Efficacy v/s effectiveness

Answer 1

→ efficacy - tested in the lab/controlled environment
→ effectiveness-if intervention is working in the real world

Question 2

CBT for depression- describe different phases.

Answer 2

Phase ①
→ assessment - diagnosis, comorbidity. life circumstances, social relationships,resources& strengths, precipitating life events or stressors & risk
→ . . case formulation
→ treatment options
→ info on depression.
Phase ②
→ behavioural activation-not-enjoying what I usually would so lack of motivation but mot. Can be secondary start by setting small goals & activity scheduling
→ alternating negative thoughts that occur en their own & are polarising in nature
→ altering dysfunctional beliefs
Phase ③: relapse prevention
→ review new skills & gains
→ anticipate challenges
→ prepare for future stressors

Question 3

What is a meta-analysis?

Answer 3

Set of statistical proceed qualitativelysummariang results of a research domain

Question 4

What has been done to understand if therapy works?

Answer 4

① meta - analysis of overall effects of psychotherapy
② meta- analyses of treatments for specific disorders and sub-groups of clients

Question 5

What is the exposure response prevention for OCD?

Answer 5

Vicious cycle of obsessive thought →anxiety/fear → * compulsion → temporary relief leading to negative reinforcement
* apply ERP here
→ ERP helps habituate - create a hierarchy of feta invokingideas/things/objects
→ rules for ERP: everything during exposure & nothing during response prevention

Question 6

What are the different phases of ERP?

Answer 6

① intake & intro.
s gather info on the obsessive thought, compulsion
→ gather relevant info
→ psychoeducation about CBT models
→ hw. To record, thought, compulsion & time spent.
Session ② - introduce ERP
> examine H.W.
> develop partial exposure hierarchy.
> vicious cycle & ERP exposure rational
>discuss treatment commitment needed
> determine 1st in person exposure session

Question 7

ERD continued…

Answer 7

→ session ③ 90 minute - first exposure
> r review hierarchy h.w.& purpose of ERP
> complete exposure using everything nothing rules.
> reinforce tolerating versus removing emotion
> choose next exposure
> h-w: practice exp. Everyday at home.
Session ④ to⑨ - continue exposures using hierarchy
→ review TRP tracking hw.
→ repeat session 3 structure
→ adjust # of session

Question 8

Relapse prevention and termination phase of ERP

Answer 8

Session 10-11 s relapse prevention
→ review progress. & start planning prevention
→ make exp.a lifestyle skill
→ how to respond to unplanned exposures.
Session 12: termination
→ congratulate
→ provide at home self help supports
-Plan for long term.- boaster/follow-up.

Question 9

What is an effectiveness trial?

Answer 9

Studies to evaluate whether evidence based treatments work in routine clinics

Question 10

Discuss PTSD & prolonged exposure therapy

Answer 10

→ PTSD develops after trauma
→ pe: evidence based
→ how it works → tell the story of the trauma
→ so it becomes a memory than a. feeling
→ re-telling a difficult memory & a practice feeling being in those dangerous places people start to feel comfy
→ pe: 3 months of weekly appointments

Question 11

Benchmarking strategy is……

Answer 11

Use of data from empirical studies provide comparison against which effectiveness of clinical services can be gauged..