Cognitive-Behavioral, Existential, Family Tx

Question 1

Cognitive: View of pathology

Answer 1

(Beck, 1976, Beck 2011)

• Faulty information processing via cognitive distortions which are reinforced
• Faulty schemas lead to cognitive vulnerabilities that can be triggered

Question 2

Cognitive: Cognitive distortions

Answer 2

(Beck 1976) OMPAA

• Overgeneralization
• Magnification/Minimization (“This is a huge deal” or “this is nothing”)
• Personalization (“This is my fault”)
• Arbitrary inference (“Because of x, y must be true”)
• All-or-nothing thinking

Question 3

Cognitive: Treatment Technique

Answer 3

(Beck 1976) 3CG

• Collaborative empiricism using the 3-column technique (automatic thoughts, cognitive distortion, rational response)
• Continuous evaluations (through homework, rating scales)
• cognitive specificity (autoprogramming, automatic thoughts, systematic biases)
• Guided discovery (socratic questioning and hypothesis testing)

Question 4

Cognitive: Curative factor

Answer 4

(Beck 1976)

-help client identify faulty schemas and change core beliefs to relieve symptoms

Question 5

3-column technique

Answer 5

(Beck 1976) ACR

• Automatic thoughts identified
• Cognitive distortions identified
• Rational responses identified

Question 6

REBT: Cause, result and maintenance of pathology

Answer 6

(Ellis 1960)

• Irrational beliefs lead to emotional disturbances
• Irrational beliefs come from childhood, dogmas, and superstitions
• Reindoctrination of irrational beliefs occurs; we pick out things that support our belief system which conditions us

Question 7

REBT: Summary

Answer 7

(Ellis 1960) A B C D E F

• Activating event
• Belief (rational or irrational)
• Consequences (emotional or behavioral)
• Disputing, debating, discriminating
• Effective philosophy is developed
• Feelings are created

Question 8

REBT: Technique

Answer 8

(Ellis 1960) ARRIDHP (formerly APHRAID)

• Responsibility, acknowledge it
• Practice REBT for the rest of life
• Hard work emotionally and behaviorally
• Recognize emotional problems come from irrational beliefs
• Accept we have to change
• Identify irrational beliefs
• Dispute foolish beliefs rigorously

Question 9

Logotherapy

Answer 9

(Frankl, 1946)

• The meaning of life is always changing but never ceases to be
• we can discover meaning through
  1) creating a work or doing a deed
  2) experiencing something or encountering someone
  3) the attitude we take toward unavoidable suffering

Question 10

Structural Therapy: Technique

Answer 10

(Minuchin 1974)

• Therapist joins the system and uses accommodation or mimesis
• Therapist reframes from different family member perspectives
• Therapist encourages members to enact conflicts to bring awareness

Question 11

Structural Therapy: Curative factor

Answer 11

(Minuchin 1974)

-Therapist may confirm, block, or challenge family patterns