Cognitive & Behaviouris Flashcards

1
Q

Behaviourism

A

*Dominant force – 1920s to 1960s
*The new approach, behaviour therapy (BT), was a major shift away from the prevailing psychiatric treatment for psychological disorders (mainly medications and physical treatments), and fundamentally different from the psychoanalytic method.
*Deliberate move towards new school of psychology – revolution not evolution
*Psychology is the science of behaviour not the study of consciousness

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2
Q

The main players in behaviour

A

John B Watson

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3
Q

History of behaviourism

A
  • Roaring 20s
  • Brought hope – focus on environment meant
    anyone could become anyone. - American Dream
  • Jesuits- Give you a child until the age of 7 and I will show you the man
  • Egalitarian approach - if there is no such thing as human nature than no difference between people based on race/gender etc
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4
Q

What changed within spychology in the second half of the 20th century

A

While many behaviour therapists remain staunchly committed to the basic operant and respondent paradigm, in the second half of the 20th century, many therapists coupled behaviour therapy with the cognitive therapy, of Aaron Beck, Albert Ellis, and Donald Meichenbaum to form cognitive behaviour therapy

Desire to pay more attention to the humanistic concerns of
clients.

What was once labelled separately as behavioural and as
cognitive has now become irretrievably linked together as
cognitive-behavioura

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5
Q

1980’s psychology

A

In 1980s – emergence of the Third Wave – Mindfulness Third
wave methods emphasized such issues as mindfulness,
emotions, acceptance, the relationship, values, goals, and meta- cognition. New models and intervention approaches included acceptance and commitment therapy, dialectical behaviour therapy, mindfulness-based cognitive therapy, functional analytic psychotherapy, meta-cognitive therapy, and several others

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6
Q

What is Habituation

A

Simplest form of learning
Decline in a tendency to respond to stimuli
that are familiar due to repeated exposure
We get used to things
Important to notice something when it’s
new – can’t keep noticing
Used to study the minds of non-verbal beings

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7
Q

What is Classical Conditioning

A

*Ivan Pavlov (1849-1936)
*Pavlov’s contributions to behavioural therapy were
accidental.
*Dog with food with bell
*Unconditioned stimulus – food
*Unconditioned response – salivating
*Pair unconditioned stimulus with neutral bell – neutral
stimulus becomes a conditioned stimulus

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8
Q

Operant conditioning

A

*Championed by Skinner
*Learning what works and what doesn’t – choice
*How animals learn -
*Law of effect - tendency to perform an action is increased if
rewarded and decreased if not
*Positive Reinforcement & Negative Reinforcement
*Everywhere in daily lives – not much that we do that hasn’t
been influenced by operant conditioning

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9
Q

What is behaviorism today

A

Classroom – ‘behaviour modification – star charts, time outs.
Prisons – Token systems
Parenting
Drug & Alcohol
Social Learning Theory
Phobias – Desensitisation

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10
Q

Cognitive Therapies – 2nd Wave

A

*Ellis (Rational Emotive Behaviour Theray ) and Beck (CBT)
dissatisfied with ideas offered by Psychoanalysis
*Echo the idea of Greek, Roman & Eastern Philosophers who argued that the way we think about the world plays a role in our emotions & behaviours
*How we think (cognition), how we feel (emotion) and how we act (behaviour) all interact together. Specifically, our thoughts determine our feelings and our behaviour.
*Humans are biologically programmed to be both rational and irrational in their thinking
*The future of the client is not determined by the past. People have the power to change their thoughts, behaviours & feelings

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11
Q

What is the A-B-C Model

A

A – Activating Event
B – Perception of the Event guided by our
rational/irrational beliefs
C – Our belief determines the consequence

A does not cause C but is influenced by B

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12
Q

Where do problems come from?

A

11 irrational beliefs
These irrational ideas constitute the major causes
of emotional problems and maladaptive behaviour.

Ellis’s two most common irrational beliefs center
on approval from others (e.g., “If I am not liked and
approved by others, that is awful, and I am no
good”) and perfection (“If I don’t always do a good
job, then I am worthless”)

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13
Q

What are Schemas

A
  • the unspoken rules or underlying core beliefs often
    learned through childhood experiences
  • Schemas can be adaptive or maladaptive
  • Schemas act as filters – filter out unwanted information so we can attend to that which we consider important

-Unhealthy schemas – prone to Negative Automatic Thoughts

  • Developed to incorporate biological & evolutionary perspectives - genetic predisposition & stress responses – Negative Cognitive Triad
  • These beliefs heighten impact of stressful or negative life events
  • Negative Thoughts – Trigger Corresponding Emotions – Behavioural Responses
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14
Q

What are the Negative Automatic Thoughts? ( Ways of thinking that hinder our coping.)

A
  • Selective Abstraction –> Forming conclusions based
    on isolated events
  • Arbitrary inferences –> Draw conclusions about
    events without sufficient evidence
  • Overgeneralisation - holding extreme beliefs on the basis
    of a single incident
  • Magnification & minimisation –> events are exaggerated
  • Labelling and mislabelling
  • Personalisation –> relating external events to ourselves
    even when no basis for connection
  • Dichotomous or black/white thinking –> always/never rather than sometimes
  • Mental Filtering
  • Mind reading –> ssuming we know what
    others are thinking about us
  • Emotional Reasoning –> Assume our emotions
    represent the way thingsactually are
  • Catastrophising
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15
Q

How does this approach support change?

A

*Focus is on the present, here and now, not on the past
*Therapist established link between maladaptive behavior and client’s thoughts
*Identify Specific goals for change
*Use Socratic questioning
*Assist clients to restructure their thoughts/schema
*Clients learn new functional self-statements, alternative interpretations, different perspectives

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16
Q

What are Therapeutic Techniques

A
  • Cognitive Restructuring
  • Psychoeducation
  • Establish link between maladaptive behaviour and client’s automatic thoughts.
  • thoughts monitoring
  • Trace the ‘stream of thought’ to identify the core belief.
  • Use socratic questioning to challenge and restructure thoughts and core beliefs.
  • Exposure & Response Prevention
  • Use of homework to apply learning to real life situations.
  • Client learns new self-statements, alternative interpretations, and different perspectives
17
Q

Third Wave – Mindfulness, Values,
Goals, Acceptance of Emotions

A

Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), mindfulness-based cognitive therapy, functional analytic psychotherapy and more

18
Q

What does this approach say about
people?

A
  • Questions The Assumption of Healthy Normality
  • High rates of divorce, sexual concerns, abuse, violence, bullying, prejudice, loneliness
  • The Normal thinking process of a healthy mind naturally create psychological suffering
  • Psychological problems are maintained by excessive avoidance of painful experiences (thoughts, feelings, memories, etc)
  • It’s not possible to control what you think and feel - think happy thoughts
19
Q

How do problems arise?

A
  • Difficulties occur due to a “narrowing behavioural repertoire” that is gradually created due to unhelpful strategies to cope with thoughts and emotions.
  • Lack of Psychological Flexibility
  • Cognitive Fusion – being ‘tangled’ in our thoughts and beliefs, and responding to the world according to these.
  • The thought and the person thinking the thought become one, so the situation feels real, rather than being based in language.
  • We use fight or flight to avoid painful thoughts and feelings
  • Experiential Avoidance – when the pain brought on by thinking is avoided or suppressed.
  • Escaping private events, feelings, and sensations
20
Q

How does this approach
support change?

A

*The goal of ACT is to increase psychological flexibility.

Does this by:
* Using acceptance & mindfulness processes to develop more flexible patterns of responding to psychological problems
* Reduce the impact of thoughts and self stories on behaviour
* Help the client be in contact with their actual experiences
* Increase the frequency of value-based behaviour

In ACT, there is no goal of symptom reduction. Symptom reduction frequently happens, but it is simply a fortuitous by-product, not a goal.

21
Q

What is the Therapeutic Process

A

acceptance – accept what is there without defense
or judgement

Defusion – Create distance from thoughts to help
shape & guide behaviour

Contacting the Present Moment - use of mindfulness & other techniques

Self as Context - Help clients become aware that they have a self which they can observe difficult thoughts & feelings without being caught up in them

Values –Clarifying with client what’s really important

for them – then evaluate if behaviors align

Committed action – engage in behavior change strategies to support them to take value based action

22
Q

What are Therapeutic Techniques

A

Psychoeducation
Mindfulness
Cognitive Defusion – Leaves on a
stream, clouds in the sky
Defusion Techniques – I’ve noticed that
I’m having the thought….
Values Exercises
Contact with the Present moment –
Grounding activities
Journaling
Struggle Switch