Cognitive Behavioral

Question 1

Underlying Assumptions (10)

Answer 1

1. All normal/abnormal behavior is learned & maintained the same way
2. Behavior disorders are learned maladaptive behaviors (symptoms at the surface)
3. Symptoms are the disorder, not part of the disease process
4. Not essential to understand how the disorder was learned
5. Maladaptive behavior (symptoms), since learned, can be unlearned & replaced by new learned behavior patterns
6. Treatment involves scientific approach to working with people
7. Assessment is ongoing
8. Focuses on the “here and now” problems
9. Outcomes are evaluated by measurable changes
10. Research on techniques are carried out by behavioral therapists

Question 2

How Symptoms Develop? (3)

Answer 2

• caused by dysfunctional patterns of reinforcement
• by behaviors that proceed & follow system events
• events & thoughts determine the form & frequency of behavior

Question 3

Normal Family Development (4)

Answer 3

• the positives outweigh the negatives
• positive reinforcement (candy, money, attention) supports positive behavior & interaction
• negative behaviors occur, but the rewards of the relationship make acting out worth it
• problem-solving & communication skills are used to solve problems

Question 4

Goals of Therapy (2)

Answer 4

• to modify current behavior pattern to achieve symptom relief
• defined by the client

Question 5

Therapy Set-up (2)

Answer 5

• who is seen: dyadic interactions, entire family not insistent
• role of therapist: as educator (skills required) & trainer

Question 6

Therapy Process (6)

Answer 6

1. Establish therapeutic relationship
2. Develop positive expectancies (hope)
3. Define clear client concerns
4. Implement change (Intervention)
5. Client follows through with intervention
6. Assess progress

Question 7

Interventions (7)

Answer 7

1. Use clinical procedures (skills training, conflict resolution)
2. Systematic desensitization
3. Reinforcement
4. Group cooperation
5. Modeling (use examples)
6. Shaping (behavior in steps to solicit change)
7. Cognitive restructuring

Question 8

How do people change? (1)

Answer 8

• by altering the current patterns of interaction, creates new behavioral patterns