Cognitive Behavioral Therapy (Bandura, Seligman, Ellis, Beck) Flashcards

1
Q

Behavioral Theory focused on

A

-Observed behaviors (rather than internal personality traits)
-The importance of learning (grounded in learning theory)
-Directive and active nature of treatments
-Importance of assessment and evaluation (treatment is of an empirical nature)
(Kazdin, 1984)

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2
Q

the 3 C’s of behavior therapy

A
  • counter-conditioning
  • contingency management
  • cognitive behavior modification
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3
Q

Theory of psychopathology from behavioral theory

A
  • Anxiety is the root of most behavior disorders
  • Anxiety is primarily a pattern of responses of the sympathetic nervous system when an individual is exposed to a threatening stimulus.
  • Anxiety is learned when a neutral stimulus can be paired contiguously with a threatening stimulus classical conditioning
  • Through the process of generalization stimuli physically similar to the original conditioned stimulus such as other dogs (who are considerably less cute and less manly than Todd), can also evoke anxiety
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4
Q

Generalized Anxiety Disorder

A
  • clients have been conditioned to fear stimuli that are omnipresent
  • conditioned anxiety frequently leads to avoidance (automatically terminates the anxiety)
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5
Q

symptom substitution

A

“theoretical myth” of those who see all behavior as interconnected by a single underlying dynamic conflict

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6
Q

2 factor model (Mowrer, 1960)

A
2 stages of fear and avoidance, combined classical and operant conditioning
-person is first classically conditioned to avoid a stimulus and then secondarily experiences operant conditioning further exacerbating the fear
-explains the development of OCD, OCD develops as anxiety that produces distress, whereby anxiety is then reduced by an opperantly conditioned avoidant response
	Stage 1: neural stimulation acquires anxiety evoking properties by being paired with UCS
	Stage 2: aversive properties of stimulus cause avoidance responses to be developed, which are ritualistic behaviors (compulsions) that serve to reduce anxiety
	Stage 1 represents classical conditioning and can be used to understand etiology of anxiety from a behavioral perspective
Classical Conditioning (Pavlov, 1905, 1927)
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7
Q

Skinner’s (1938) ABC Model (operant conditioning)

A

A- Antecedent
B- Behavior
C- Consequence

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8
Q

Skinner’s (1938) Theory of psychopathology

A
  • Maladaptive Behaviors are likely to increase if they are reinforced
  • Maladaptive Behaviors are likely to decrease if they are followed by punishments or unrewarded
  • Environmental stimuli can serve as cues
  • Discriminative Stimuli - certain stimuli serve as cues that reinforcement is likely to follow a response when that response is emitted in that particular situation (but not in others)
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9
Q

Skinner’s (1938) functional analysis

A
  • The process of specifying the stimulus situation that set the occasion for the maladaptive behavior (antecedents)
  • Operationalizing the behavior itself
  • And detailing the reinforcement contingencies that follow (consequences)
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10
Q

Skinner’s (1938) behavioral problems often falling into 3 categories

A
  • Behavioral excess (e.g., excessive hand-washing)
  • Deficits (often a lack of learning)
  • Inappropriateness (e.g., public masturbation)
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11
Q

Skinner’s (1938) consequences are dependent on the individual:

A

consequence is only reinforcing if it increases the probability the response will be repeated

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12
Q

Skinner’s (1938) depression

A

-From an older behavioral perspective, withdrawal deprives a person of the ability to obtain positive reinforcement via operant conditioning and so the person does not feel motivated to perform any further behaviors.

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13
Q

Barlow’s (2007) depression

A

Behavioral withdrawal is common in depressed individuals and it reinforces their depression because they are unable to experience feedback from the environment which could potentially challenge their depressive beliefs and attributions

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14
Q

Lewinson’s (1974) depression

A
  • Due to inadequate/low rate of response –contingent positive reinforcement (due to decreased potential reinforcers in the environment)
  • Depressed person doesn’t interact with the environment, so adequate reinforcement is lost
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15
Q

Abraham, Seligman, and Teasdale’s (1978) depression

A

-Causal attributional style/reformulated learned helplessness
-Vulnerability to depression comes from a habitual style of explaining the causes of life events
-Depressogenic attribution style: previous events are seen as uncontrollable and the person expects the same from future events
3 dimensions of attributional style:
 internal v. external
 global v. specific
 stable v. unstable
-depressed persons attributional style is internal global, stable
-It’s my fault, everything is my fault, there is no hope for change
-hopelessness, there is nothing I can do to change the outcome of the situation

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16
Q

Bandura’s (1977) depression

A
  • social learning theory

- people learn to be depressed by observing significant others who are depressed

17
Q

Seligman’s (1967, 1975, 1978) depression

A
  • Theory of learned helplessness
  • Originally based in behavioral theory, evolved from an earlier version of learned helpless model
  • Depression arrives from expectation of uncontrollability, you learn to be helpless after repeated experiences, you develop a belief that things are out of your control, an acquired belief that one is helpless and unable to affect the outcomes in one’s life
  • The person encounters a meaningful event and interprets it to have been caused by global, unchanging, personal characteristics
  • Founder of Positive Psychology
  • preparedness hypothesis
  • Seligman- we are genetically/evolutionarily prepared for certain adaptive survival fears
18
Q

Rachman’s (1977) 3 pathway hypothesis

A
  • similar to Bandura’s observational/vicarious learning
  • combines classical conditioning for fear acquisition, vicarious conditioning/ learing and information and/or instruction
19
Q

Rational-Emotive-Behavioral Therapy (REBT) (Ellis, 1973)

A
  • ABC Model of Irrational beliefs
  • The only difference between pathology and normality is the frequency and intensity with which they emotionally upset selves by relying on irrational components of personality
  • An event in the real world (stimulus) activates irrational beliefs (e.g., I’m incompetent, I’m worthless, I’m guilty)…person processes this stimulus through the irrational beliefs they acquired in childhood which then lead to dysfunctional consequences such as depressive behavior and feelings
20
Q

REBT and anxiety (Ellis, 1973)

A
  • Irrational belief that the world is completely dangerous
  • People get anxious about being anxious
  • ABC understanding leads to disputing irrational beliefs, which leads to effective new philosophy
  • patient and therapist work together to raise the patients level of consciousness from childish demanding/absolute style to logical/rational one
21
Q

Cognitive Therapy (CT) two major theorists

A
Aaron Beck (1967, 1970, 1976, 1985)
Judith Beck (1995, 2011)
22
Q

Main points of CT (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A
  • psychopathology is the result of faulty cognitions.
  • It is not the events in a person’s life themselves that lead to depression or distress, but rather the way the person interprets those events.
  • Automatic thoughts are defined as the thoughts that pop into a person’s mind instantly and almost outside of their awareness.
  • In people who are experiencing distressing symptoms, these automatic thoughts are often irrational, and the person is often engaging in certain types of cognitive distortions.
23
Q

CT perspective of depression (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A
  • Faulty information processing is root of depression
  • life events activate schemas, give rise to cognitive distortions, result in depressed mood and maladaptive behaviors
  • patients who are depressed have schemas that set them up for depression
  • Study by Crowson and Comwell (1995) showed that depressed patients chose to listen to negative tape recording messages
  • Systematic bias in the way the person processes information
  • Thoughts center on the significant loss of something essential to happiness
  • The person anticipates negative outcomes with important tasks
  • The self is seen as deficient in goal achieving attributes
  • Gives rise to cognitive distortions in interpreting current information and imparts a vulnerability toward depression
  • Negative Core beliefs/schemas are due to traumatic or depriving childhood, early childhood experiences
24
Q

CT’s negative cognitive triad in depression (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A
  1. self is worthless
  2. world is harsh
  3. future is hopeless
    - this kind of thinking comes from a traumatic or depriving childhood
25
Q

example of negative cognitive triad in depression (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A

Depressed individuals often have automatic thoughts that perpetuate and coincide with their symptoms (e.g., when Jane’s boyfriend broke up with her she may have automatically told herself, “I’m not a good partner and that’s why he doesn’t want to be with me”, leading to depressive affect).
-They also often engage in cognitive distortions which perpetuate the depressive symptomology, such as filtering out any compliments they hear from others and only hearing insults which coincide with their own sense of worthlessness and low self-esteem

26
Q

Examples of CT’s cognitive distortions; there are 8 of them (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A
  • arbitrary inference – drawing a conclusion without appropriate evidence
  • selective abstraction – focusing on one aspect of situation while ignoring the rest
  • overgeneralization – taking one aspect and making widespread claims based on this
  • labeling/mislabeling – attaching an irrational label to an experience or event (e.g., I got a bad grade on a test, therefore I am a FAILURE; I’m an idiot)
  • magnification/minimization - giving greater weight to failure, while not acknowledging the weight of success or good fortune; magnifying the bad and minimizing the good
  • catastrophizing – giving greater weight to what might happen in terms of failure
  • emotional reasoning – acknowledging your feeling state as evidence of some supposed truth; belief that if you feel something, then it must be true (e.g., I feel stupid…so I must be)
  • filtering- pushing out all of the positives that come your way and seeing only the negatives that come your way
  • automatic negative thoughts
27
Q

CT and anxiety (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A
  • Faulty information processing
  • Schemas set them up for anxiety
  • Overpredict fear and danger, overemphasize fear and dangerousness, hypervigilant to every situations and afraid of what is to come
  • Cognitive triad- self is helpless; worthy of punishment, world is extremely dangerous and punishing, future is terrifying
  • Core beliefs are due to traumatic childhood
28
Q

CT and OCPD (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A

-characterized by a certain content, style, and structure of thought processes
-thoughts are often irrational and dysfunctional, leading to maladaptive emotions, behaviors, and physiological responses
-certain automatic thoughts
 I need to do this perfectly
 I have to do this myself or it won’t be done correctly
 that person misbehaved and should be punished
 thoughts based on certain assumptions
 there are right and wrong behaviors and emotions
 I must avoid mistakes to be worthwhile
 to make a mistake is to have failed
 if the perfect course of action is unclear, it is best to do nothing

29
Q

CT and mania (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A

manics misconstrue ambiguous life situations as self-enhancing

30
Q

Example of cognitive triad in anxiety (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A
  • self is helpless; worthy of punishment
  • world is extremely dangerous and punishing
  • future is terrifying
31
Q

Treatment of anxiety in CT (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011)

A

 Performance based
 Exposure
 Guided Mastery
 CBT

32
Q

From CT perspective, (Beck, 1967, 1970, 1976, 1985; J. Beck 1995, 2011) core beliefs in ANXIETY are due to:

A

-traumatic childhood, the world is a dangerous place, I am not competent to deal with it