cognitive behavioral theory Flashcards
background of cognitive behavioral
founder is Aaron Beck, he was trained as a psychiatrist (psychoanalyst), being a psychoanalyst is how people entered the field, however he found that through his experience and learning that it was better and handled better through reasoning and challenging thoughts (rather than long term analysis), understanding how negative thoughts impact behavior and emotions, REBT was more directly but Beck thought collaboration was important (gathering information), FOCUSED ON: Socratic dialogue, open ended questions, reflections and clarifications, collaborative empiricism allows client’s to gain insight into thoughts and how they are assigning meaning to each different thought; felt it was very important to ask questions, not be seen as the expert and therapy is about collaboration/ build therapeutic alliance; not trying to direct persuade or confront clients (like REBT); not reflecting (like person centered) but he is using these techniques to build relationship with client; CBT does not engage so much into insight as origins like psychodynamic; most utilized; therapist has to understand how client perceives something and this is connected to cognitive distortions
summary of process of therapy
set agendas for sessions, then problem list, then thoughts/behaviors, and by the end have an idea what might be causing it and some ways to change it
ideas of Aaron Beck’s therapy
Insight-focused therapy
-Into thoughts and how they are assigning meaning to thoughts, not origins like psychodynamic
Emphasizes changing negative thoughts and maladaptive beliefs
Theoretical Assumptions
- People’s internal communication is accessible to introspection
- Clients’ beliefs have highly personal meanings
- These meanings can be discovered by the client rather than being taught or interpreted by the therapist
basic theory of therapy
- To understand the nature of an emotional episode or disturbance it is essential to focus on the cognitive content of an individual’s reaction to the upsetting event or stream of thoughts
- People are not passive victims of their tendencies, people are actively creating and moving towards goals that are salient/vital to them
- Important for us to understand the nature of the consequences of various situations
- How does an event impact individual’s thoughts and behaviors
goals of therapy
To change the way clients think by using their automatic thoughts to reach the core schemata and begin to introduce the idea of schema restructuring
principles of therapy
automatic thoughts, intermediate thoughts, core beliefs, therapist pattern
what are automatic thoughts
personalized notions that are triggered by particular stimuli that lead to emotional responses
-Come to mind when person is faced with and responds to an event (even if the situation is positive), what we think first
intermediate thoughts
rules and guidelines and expectations we follow, if the situation (if then statements)
-If I do not do well on this exam, then …
core beliefs
schemas, deepest level of a person’s thinking
- What something means about who you are
- Ex. I’m a failure, I am worthless
- Steady throughout situations, how we view and understand selves
- Therapist tries to access these
therapist pattern
What is the problem, how do we set an agenda, column (three tiers) what are the thoughts what are the emotions what are the behaviors and what are some of the alternative ways you can be/engage, you provide them with psychoeducation
-Conceptualization, going through different situations client is dealing with, talking about the automatic and intermediate
what are cognitive distortions
(people favor assimilation over accommodation- prefer to take in information that confirms schema rather than adjusting to new information, find ways to maintain beliefs), a way to maintain maladaptive thoughts
what are arbitrary inferences
- Draw conclusions without supports
- I will be bad at yoga
selective abstraction
- Drawing conclusion based off of isolated event/situation
- I fell off the stairs last week so I will be bad at yoga
what is overgeneralization
- Taking response to one situation and applying it to everything else
- I am not good at yoga so clearly I will have balance problems when I am older
- Moving into catastrophizing (applying to different situations), my friend will hate me because I am not going to yoga with them
what is magnification and minimization
- When you magnify a flaw and minimize a strength, more emphasis on something you did poorly than something you did well
- I tried yoga and could not keep balance (minimizing fact you tried it, magnify fact you lose balance)