Cognitive approaches Flashcards

1
Q

what is the congnitive approach?

A

ognitive processes such as memory, attention, perception etc. Shape our behaviour and emitons we experience

Sometimes these processes can become dysfunctional and contribute to maladaptive behaviours/emotions

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2
Q

how did Bandura contribute to the field of the cognitive approach?

A

Behaviourists look at explaining behaviour as a response to a stimulus
Bandura- developed early cognitive behavioural perspective – trained in behaviourism

Cognitive psychologists: also look at behaviour is determined by the way we process information taken in from our environment

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3
Q

What is Ellis’ ABC model

A

Ellis’ ABC model

A- activating events

B- internal beliefs

C- consequences (emotional)

Irrational beliefs: Misguided or innacurate assumptions; absolutes; unrealistic views of the world

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4
Q

Outline REBT

A

REBT designed – to challenge irrational beliefs – to restructure a person’s belief system and self-evaluation, to gain more self-worth
■ REBT therapist searches for – patient’s irrational beliefs, – highlighting the impossibilities of fulfilling them, and – persuades patient to adopt a more realistic belief
■ Also uses behavioural techniques – homework given to encourage clients to have new experiences, in order to break negative chains of behaviour
therapist directly challenges the patient’s belief during therapy “That’s impossible! That’s irrational!”
Ellis Linking to mental disorders…

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5
Q

who was Beck?

A

Developed cognitve therpay for depression first, then later other disorders e.g anxiety

Influenctial to CBT  

Also focuses on irrational thoughts of people with psychological problems…and much more ■ The way we interpret events and experiences determines our emotional reactions to them
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6
Q

outline how the view of Beck and Ellis differ

A

“Psychological problems are not necessarily the product of mysterious, impenetrable forces or irrational beliefs], but may result from usual processes such as faulty learning…

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7
Q

what did Beck view caused mental health issues?

A

Past experinces/learning influence
–> SCHEMA Organized network of accumulated knowledge

–> Interpreter of the situation

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8
Q

what is a schema?

A

An underlying representation of knowledge (relatively stable network of core beliefs) that serves to guide our processing of information and may lead to distortions in attention, memory and comprehension

Ambiguous situations harder to interpret and need substantial input from our schemas

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9
Q

outline the positive and negative effect of schemas

A

People develop different schemas – Self-schemas: about ourselves, who we are (might be in future), roles we have, etc. – About world around us, other people, social roles, events – Future
POSITIVE ASPECT: Enable us to focus on relevant/important information among influx of information available to us
NEGATIVE ASPECT: But also a source of psychological vulnerability if distorted and inaccurate

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10
Q

how are new expereinces incorperated into existing schemas?

A

Assimilation: incorporate new experiences into existing cognitive frameworks
– Even if new information has to be reinterpreted or distorted to make it fit
– Results in clinging to existing assumptions and rejecting new information that contradicts them
■ Accommodation: changing existing framework in order to incorporate new information that doesn’t fit
– More difficult and threatening
– Accommodation - basic goal of cognitive and cognitivebehavioural therapies

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11
Q

how do schemas impact mental health issues

A

Different psychological problems are characterised by different maladaptive schemas

-> cognitive disrotions or biases –> emotional reactions to them

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12
Q

Outline Beck’s cognitive theory of depression

A

Cognitive theory of depression:

Negative triad: negative views of self, future and world

Negative schema triggered–> becomes a distortion when ued to interpret new info –> e.g. over generalising; see a pattern based on a single event this leads to cognitive disortions which leads to depression

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13
Q

give the issues of Beck’s cognitive theory of depression

A

He then extended this model to other disorders.
Scientific evidence:
Cognitions aren’t observable so difficult to study
Great deal of info is processed non-consciously, hence difficult to study and change
But there is evidence for distorted processing
Memory bias in depression
-attention bias in depression
Interpretation bias in anxious and chronic pain groups.

Cognitive approach has been considerably advanced by sophisticated information processing studies, which do not rely on self-report techniques
■ And also, more and more evidence accumulates for the efficacy of CBT for various disorders

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14
Q

give evidence for memory bias in depression

A

Example experimental procedure:
■ Patients and controls are presented with a list of randomised single words, such as: depression, neutral…. words
■ These are carefully controlled experiments & participants are unaware of study aims
■ Words are presented briefly (e.g. 3 seconds), followed by a brief delay (e.g. 500 milliseconds)…
■ Participants given a ‘surprise’ memory test later, and asked to recall as many words as possible – Depressed patients display recall bias for depression stimuli – This indicates an underlying maladaptive scheme

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15
Q

give evidence for attentional bias in anxiety

A

Example experimental procedure
■ Carefully controlled experiments, participants unaware of study aims
■ Measures selective attention
■ Works by examining the reaction time of the participant to respond to negative emotional words
■ Elicits certain behavioural outcomes, e.g a slowing in response times to certain words
■ Appears to capture attention and slow response time due to the emotional relevance of the word for the individual

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16
Q

give evidence for an interpretation bias

A

Interpretation bias, described as the tendency to interpret social situations in a negative or threatening manner
■ Can be assessed by using ambiguous sentences
■ For instance, in Eysenck et al. (1987) study participants were asked to write down the spelling of auditory presented words
■ Some of the words were homophones (having both threat related and neutral interpretation), e.g. ‘Pane’ (as in panel or windowpane) vs. ‘Pain’ - one experiences when gets hurt
■ They reported a correlation between trait anxiety and the number of threatening homophone interpretations

17
Q

explain CBT

A

Abnormal behaviour results from distorted thinking and information processing
■ CBT uses various techniques to help patients learn new ways of thinking, behaving and feeling
■ Focus is typically on the present, with direct efforts to change problems
■ Practical approach oriented to changing behaviour, rather than trying to understand the dynamics of personality
■ Not based on human personality theories
■ Encourages collaborative therapist-patient relationships
■ Based on evidence and empirical evaluation

18
Q

how does CBT procedure work?

A

Lasts between 5 and 20, weekly, or fortnightly sessions

  • Each session will last between 30 and 60 minutes
  • In the first 2-4 sessions, the therapist checks that the patient can use CBT and feels comfortable with it
  • Although CBT concentrates on the present, sometimes the therapist will ask about the past to understand how it is affecting the patient now
  • Patient decides what they want to deal with in the short, medium and long term
19
Q

what does CBT actually do?

A

Each problem is broken down into its separate parts, patient may be asked to keep a diary • See Cognitive Therapy Thought Record example
• Therapist helps identify individual patterns of thoughts, emotions, bodily feelings and actions
• These are analysed to evaluate if they are unrealistic or unhelpful and how they affect each other
• The therapist helps the patient to work out how to change unhelpful thoughts and behaviours
• Homework is given to work on these unhelpful thoughts and feelings

Patient practises these changes in everyday life: • E.g. by questioning a self-critical or upsetting thought • and, replacing it with a more helpful/realistic one… that they have developed together during the CBT

  • Therapist can help with suggestions if any of the tasks seem too hard or don’t seem to be helping
  • Patient won’t be asked to do things they don’t want to do
  • The strength of CBT – patient can continue to practise and develop skills even after the sessions have finished
  • This makes it less likely that the symptoms or problems will return
20
Q

give some strengths to CBT

A

One of the most effective treatments for conditions characterized by anxiety and depression

  • The most effective psychological treatment for moderate and severe depression
  • As effective as antidepressants for many types of depression
  • Overall, plenty of research evidence suggesting that it is beneficial for the treatment of various types of depression, anxiety disorders, bulimia, substance abuse…
  • See your textbook (chapter 16) for references, but also do you own search to find studies, especially randomized control trials (RCT)
  • An example RCT article (Weiss et al. , 2012) is uploaded on Moodle

Cognitive Behavioural Therapy

21
Q

give soem limitations to CBT

A

CBT takes time, a course of CBT may be from 6 weeks to 6 months, depending on the problem and how it is working for the patient

  • Therapist’s role is to advise and encourage - patient needs to do the work
  • Problem if patient finds it difficult to concentrate and get motivated: E.g. to overcome anxiety, patient needs to confront it- may lead to more anxiety…
  • The availability of CBT may be a problem - there may be a waiting list for treatment
  • Symptoms may return; important to keep practising CBT skills, even when feeling better - refresher courses available
22
Q

give some pros to the cognitive approach

A

CBT developed, one of them most effective psychological treatments nowadays

Substantial empirical support for information processing biases

Emphasis the link between THOUGHT, EMOTION and BEHAVIOUR

23
Q

give some limitations to the cognitive approach

A

Irrational or real life? Cognitive approaches have been criticised for assuming that that negative beliefs are always irrational and for ignoring the negative lives that some people truly lead.

Woolly concepts:
• Schema – difficult to research
• Information processing biases - great in the laboratory- but what do they mean?

Causality: cognition vs. emotion – which one comes first

24
Q

what is attribution theory?

A

has contributed to the cognitive-behavioural approach ■ Attribution: The process of assigning causes to things – E.g., ‘I failed the test because: a) I’m stupid, or b) because the teacher was unfair…’
■ The causes may or may not be objectively accurate
■ Help us explain own/other’s behaviour and to predict what we/others will do in future
■ Attributional style: characteristic way one tends to assign causes to good/bad events
■ Attributions become important parts of our view of the world
■ Have significant effects on our emotional well-being