depression (approach) Flashcards
cognitive approach to EXPLAINING depression
Beck’s negative triad
Ellis’ ABC model
Beck’s negative triad
1) FAULTY INFORMATION PROCESSING
- if depressed we tend to focus only on the negative aspects of life and ignore anything positive
2) NEGATIVE SELF SCHEMA
- interpret information about ourselves in a negative way
3) THE NEGATIVE TRIAD
- negative view of the worldd
- negative view of the future
- negative view of the self
Ellis’ ABC model
A = activating event
B = beliefs, or depression these beliefs are irrational
C = consequences, rational beliefs lead to healthy emotions and the ability to have a ‘normal’ life
- irrational beliefs lead to unhealthy emotions and could develop into depression
evaluation of cognitive EXPLANATIONS
real world application
research support
ethics
real world application : EVALUATION OF COGNITIVE EXPLANATIONS
Beck’s Depression Inventory (DBI) allows us to assess depressive symptom in patients and develop cognitive therapies
Ellis developed REBT which can challenge irrational belief and relieve depressive symptoms
research support : EVALUATION OF COGNITIVE EXPLANATIONS
Boury et al
- monitored students negative thoughts with Becks BDI
- found that depressives misinterpret facts and experiences in a negative fashion and feel helpless about the future
ethics : EVALUATION OF COGNITIVE EXPLANATIONS
- the cognitive approach blame the patient for their depresion
- fails to acknowledge other influences other than their on irrational thoughts
cognitive approach to TREATING depression
Beck’s Cognitive Therapy
Ellis’ Rational Emotive Behavioural Therapy
Beck’s Cognitive Therapy
- aims to challenge irrational and dysfuntinal thought processes
- identifying and testing the negative beliefs
- they may have homework to complete in which they record positive events
Ellis’ Rational Emotive Behaviour Therapy
- effective disputing can change the way we think about things and allow for more rational thought processing
- adds ‘DEF’ steps to the ABC mode
D = dispute
E = effect
F = feelings - different type of disputing use logic, empirical evidence and pragmatic disputing
evaluation of cognitive TREATMENTS
effectiveness
time consuming
effects are not immediate
effectiveness : EVALUATION OF COGNITIVE TREATMENT
March et al
- compared CBT with drugs and a combination of the two in 327 adolesents
81% of CBT improved
81% of drug group improved
86% of combination improved
- CBT is just a effective as antidepressants and works well alongside drugs
time consuming : EVALUATION OF COGNITIVE TREATMENT
- cognitive therapy is time consuming and expensive
- there can be waiting lists
- relapse rates can be high in the long term
Shehzad Ali et al
- 53% within a year relapse
effects are not immediate : EVALUATION OF COGNITIVE TREATMENT
- can’t be used for severe cases
- the patient must wait until the drug kicks in and which makes them more alert and motivated to take part