Cognitive Approaches Flashcards

1
Q

What is the cognitive approach

A
  • Looks at how people structure their experiences as well as making sense of them.
  • Relate current experiences to past experiences
  • our emotions and behaviours are as a result of our thinking patterns
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Albert Ellis (1966)
Rational Emotive Behaviour Therapy

A
  • ABC theory. Activating event, Irrational beliefs, Consequences
  • Adaptive functioning, behaving rationally
  • Maladaptive behaviour, caused by irrational beliefs
  • Irrational beliefs, unrealistic views and perfectionist values I.e. everyone hates me
  • Rational Emotive Behaviour Therapy:
    Aim, restructure beliefs
    Outcome, positive sense of self worth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Aaron Beck (1921)

A
  • Developed CBT
  • Dysfunctional Thoughts cause psychological problems
  • Cognitive Bias, the way we interpret events determined our emotional reaction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cognitive Model of Psychopathology
(Information Processing Model)

A
  • Information from environment is processed via cognitive processes such as memory and attention.
  • Problems are caused by bias processing
  • Biases distort the way people see the world.
  • Schemas are organised network of accumulated knowledge, they are biased as it depends how we interpret the situation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Attention Bias

A
  • Anxiety (Cisler & Koster, 2010) attention bias towards threat related stimuli.
  • Depression (Rosier et al, 2012), attention to negative emotional material.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Memory Bias

A
  • Depression (Rosier, Elliot & Sahakian, 2012), remember negative material
  • Anxiety (Mitte, 2008, Craske et al, 2009), implicit vs explicit memory for threat cues.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Appraisal Bias

A

Anxiety (Craske et al, 2009), situations interpreted as more threatening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a Schema

A
  • Cognitive framework which involves beliefs, knowledge and assumptions made about the world
  • Main types of schema: Object, Person, Social, Self, Role, Event
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How are Schemas Activated

A
  • Activated by experiences, they help us organise and categories the world as well as emotional responses.
    e.g. Real world event (Spider)-> Schema (Spider)-> Automatic cognitive response i.e. fear.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How are new experiences incorporated into existing Schemas

A
  • Assimilation: incorporating new experiences into existing cognitive frameworks
  • Accommodation: changing existing schema to incorporate new information that doesn’t fit.
  • Accommodation is the goal of CBT and other cognitive therapies.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When Do Schemas develop

A
  • Develop when we are children.
  • As we learn more about the world they then become more fixed
  • Schemas incorporate deeply held core beliefs about ourself, the future and the world.
  • Core beliefs are automatic thoughts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pros and Cons of Schemas

A
  • Allow us to focus on relevant information amongst all the information available to us
  • Can cause psychological vulnerability if they are not accurate.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are self schemas

A
  • They are a part of our identity, they involve our core beliefs
  • i.e. I am trustworthy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Negative core beliefs

A
  • These may occur as a result of childhood trauma
  • ‘I am unlovable’
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cognitive distortions/errors

A
  • Labelling ourselves or others: ‘they’re an idiot’ ‘I’m useless’
  • Personalisation: blaming yourself for things that weren’t your fault or blaming others for something that was your fault
  • All or nothing: either do it right or it’s completely wrong
  • Over generalising: ‘everting’ is always rubbish (broad generalisations)
  • Mental filter: only noticing failures and not success
  • Disqualifying the positive: discounting good things ‘that doesn’t count’
  • Jumping to conclusions: mind reading and fortune telling
  • Magnification: blow things out of proportion or making things not seem important
  • Emotional reasoning: what we think must be true
  • Should, Must: critical words
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Becks Cognitive Theory of Depression

A

1) Cognitive Bias
2) Negative Self schemas
3) The negative/cognitive triad

17
Q

Negative automatic thoughts

A
  • Brief thoughts caused by stressful life events that activate negative core beliefs
  • ‘I am such an idiot’ -> I am worthless
18
Q

The Cognitive Triad

A
  • The Self - negative views about one’s self
  • The World - people always ignore me
  • The future - things will never change
    Negative core beliefs
    Leads to depression
19
Q

Becks view of therapy

A
  • Collaborative work to help clients change their views of themselves and the way in which they interpret life events
  • Goal is to alter core beliefs and schemas
20
Q

What is CBT

A
  • Collaboration of client and therapist
  • Focuses on the present although aware of the past
  • Practical approach to change behaviours
  • 5-20 wks, 45-60 min sessions
21
Q

What Techniques does CBT use?

A

Techniques help clients to develop more adaptive ways of thinking that helps to lead to new behaviours and feelings
- Psychoeducation
- Behavioural activation
- Behavioural experiments
- Exposure
- Cognitive restructuring

22
Q

How is CBT carried out

A
  • Each problem is broken down into separate parts:
  • Clients keep activity log and Cognitive therapy thought record
  • Therapist identify patterns of thoughts, emotions and actions
  • Homework to practise skills learnt in the session
23
Q

What are the sections on a Cognitive Therapy Thought Record

A
  • Situation
  • Initial thought
  • Negative thinking
  • Evidence for this thinking
  • Alternative thinking
24
Q

What do clients do after a CBT session

A
  • practise changes in everyday life such as question negative thoughts and replace with adaptive one
  • Teach clients to be their own therapist
  • Continue to change after therapy
  • Emphasis on relapse presentation
25
Q

What are some of the Applications of CBT

A

Depression ( Beck)
Panic (Clark, 1986)

26
Q

Is CBT evidence bases treatment?

A
  • Follows NICE guidelines so is evidence based
  • one of the most effective empirically supported treatments for anxiety and depression
27
Q

What are some limitations of CBT

A
  • it takes a long time
  • a lot of work is involved on clients behalf
  • some clients may find it hard to overcome their anxiety
  • cbt isn’t extremely accessible
  • symptoms can come back if not practised continuously
28
Q

Third wave CBT

A
  • Mindfulness based on cbt
  • Acceptance and commitment therapy
  • Dialectical Behaviour Therapy
  • Compassion focused therapy
  • Burns unhelpful thinking styles