guest lectures Flashcards
how can we define effectiveness of treatment
symptom relief such as that of pharmacological treatments
treating the cause, self improvement, new skills, coping ability
what is psychoeducation
understanding why thinking a certain way may lead to us feeling or acting in certain ways
what is behaviour therapy?
uses conditioning replace maladaptive learned responses with adaptive ones like desensitization (conditioned calm). Works on the premise that certain emotions are incompatible and cannot happen at the same time neurologically, e.g. calm and anxiety have different biology so if you are one you cannot be the other (reciprocal inhibition)
what is reciprocal inhibition
certain emotions are incompatible and cannot happen at the same time neurologically, e.g. calm and anxiety have different biology so if you are one you cannot be the other
what is systematic desensitization
deep muscular relaxation is paired with a gradual hierarchy of phobic stimuli like picture of a spider to holding a spider
another example of how to induce calm when anxious
sexual arousal could be more easily induced and this is incompatible with anxiety
beck and ellis were the founders of cognitive therapy but what were there OG therapies?
beck- rational emotive behaviour therapy
ellis- cogntive therapy
what is the cognitive logic to why people have certain maladaptive emotions?
a persons appraisal not the situation itself is why a person reacts in a certain way- being on a bad first date for some is fine as they appraise it as a one off, if they appraise it as a problem with themself then they will hate themselves and dating
what do we call appraisals which reflect irrational ways of thinking
cognitive errors or distortions
how does cognitive therapy help people in terms of apprasials
it makes them more rational, more reasonable, more realistic, more evidenced based, keep things in perspective and be balanced in judgements
what is becks cognitive hierarchy model?
core beliefs from childhood and experiences- schema
intermediate beliefs- assumptions
automatic negative thoughts- NATs, can come in related clusters and these clusters themes can be identified during therapy
subtypes of becks cognitive distortions
- all or nothing thinking
- magnification/ minimisation
- catastrophising
- discounting the positive
- labelling
- mind reading
- fortune telling
- emotional reasoning (if i feel guilty i must be)
in what way is cognitive therapy like a science experiment
you are set tasks to gather evidence for your beliefs and thinking so you can prove yourself wrong or right
what does the phrase collaborative empircism refer to?
therapist and client working together with openess and transparency to explore the basis of the clients issues and sedt goals
what is the spot light illusion
thinking people are paying attention to you more than they are
difference between 2nd and 3rd wave CBT
2nd wave is quite focussed on changing the content of your thoughts whereas 3rd wave focusses on changing the person’s relationship to their thoughts, their metacognitions. You are not your thoughts type of thing
what is ACT- aims
Acceptance and commitment therapy
it helps people respond to distressing experiences in a mindful way which allows them to stop thinking negatively or being consumed by these events.
reduce the impact of events.
increase psychological flexibility
what is ACT- key messages
- mind is often overly cautious and you are not your mind
- respond rather than react
- be aware of your values
- serenity request (strength to change , courage to accept and wisdom to know diference)
issue with CBT delivery
we have very limited resources and clinicians to do the treatment
how can we aid the cbt resource crisis?
- since many illnesses have similar symptoms we can offer standard and low intensity interventions which are more accesible and can be carried out by less specially qualified clinicians
- can do zoom therapy, group therapy, apps, bibliotherapy
how does ACT get you to take control of your mind
- consider what the mind directly controls and what YOU directly control
- feelings happen to us so we shouldn’t feel guilty when they happen as they can be out of our control
- recognise but dont deep comparisons to others
- take the power away from the minds critique and just let them be
- dont try to suppress or focus on unwanted thoughts or feelings
what are values driven actions
doing things which are in line with your actions will feel right so you should do these things
ACT in terms of pain
- carry on as normal
- dont fight the pain
- change focus so pain isnt front of view
ACT overcoming fear
- not avoid as this reinforces that this is the best thing
- expose yourself, confront situation and accept that doing this will cause fear and anxiety
feel the fear and do it anyway
what is experiential avoidance?
avoiding doing something because we dont want the emotional outcome
what is fusion (ACT)
confusing thoughts, images and words with reality
what is defusion (act)
reminding ourselves that thoughts, images, words we think are not reality. I am a loser vs I am having the thought that i am a loser
how to identify values (ACT)
if you overheard someone saying stuff about you what would you most want them to say about you? what you pick are clearly what you value most
what is language
complex system of communication that involve the use of symbols to convey meaning.
a system of arbitrary symbols (sounds and words) by means of which a social group cooperates.
storehouses of knowledge, glue that binds communities, the basis of human culture-we can still understand things written so many years ago
language and evolutionary gain?
being able to cooperate,by means of language, increases likelihood of survival so created a selection pressure to evolve language processes
how can direct learning history demonstrate that not all language is learned?
there can be no direct learning history between two words but we can still know what something means. we can combine learned relationships to produce new novel relationships.
Dog is the same as hund, hund is the same as inu so what is dog the same as? Inu.
what is language generativity
the ability to produce sentences never before said (novel) and to understand sentences never before heard –i.e., no direct learning history.
milk milk milk test?
turns into one big sound, decontextualised the sound. demonstrates that when someone talks to us normally we don’t hear the sound we just hear the meaning. The reason people reply to us is because we came up with words to represent something to enable us to communicate it.