Midterm Flashcards
Emphasizes the role of thinking in how people feel and what they do (behavior)
Cognitive Behavior Therapy
Study of observable behavior
Behaviorism and Learning Theory
Theoretical underpinnings of behavior therapy
Systematic Desensitization
Contingency Management
Two cognitive approaches that put cognition into the forefront of psychotherapy
Beck: Cognitive therapy
Ellis: Rational Emotive therapy
Aaron Beck
Cognitive Therapy
-looked for new ways of understanding depression
Cognitive Triad
An alternative to psychoanalysis
-focus on unconscious memories and emotions from the past vs. conscious mind in the present
-educating the client about the relationship between thoughts and feelings
Cognitive Triad
Cognitive triad results in negative thinking errors in which individuals misinterpret facts and experiences and make negative assumptions about the self, the world, and the future
-e.g., situation: bad score on test
Albert Ellis
Rational Emotive Therapy
- individuals hold a unique set of assumptions/beliefs about themselves and their world that affect their reactions to the various situations they encounter
- some assumptions/beliefs are largely irrational, rigid, absolute that lead to emotional disturbance
- musterbation
- activating events -> (irrational) belief -> emotional consequence -> disputing thoughts -> effective thoughts
Musterbation
i must achieve well or I’m a failure; others must treat me well or they are bad; conditions must be perfect or my life is wrong
Donald Meichenbaum
- focused on children as well as adults
- self-statements guide one’s behavior
- self-instructional training
- replace maladaptive behavior and emotional responses with self-statements that facilitate control of those
- model self-instruction; child practices overtly and then covertly
Common Principles
- problems are conceptualized in terms of current cognition and behavior
- learning principles: maladaptive behaviors and cognitions are learned as adaptive ones are learned
- focuses on specific, clearly defined goals
- collaboration between client and therapist
- structured and time limited
Common Treatment Components
- psycho-education
- identifying beliefs and assumptions
- teaching cognitive and behavioral strategies
- practicing and applying new coping strategies outside therapy
- relapse prevention
Case Conceptualization
- Framework for making sense of assessment data
- a set of hypothesis about the factors that cause/maintain the target behaviors
- roadmap for target assessment and treatment (what to treat, how to treat, treatment monitoring/evaluation)
- guided by empirical data, theoretical orientation
Steps in Case Conceptualization
- identify target behaviors and contributing factors
- arrive at a diagnosis/diagnostic impression
- synthesize the data and produce hypotheses regarding contributing and maintaining factors for each problem
- treatment planning
- outcome monitoring and evaluation plan
Identifying Target Problems
- consider response ‘modes’ (behavior, affective/emotional, cognitive
- topography (frequency, intensity, duration)
- operationalization (stranger test)
- rank the target behaviors in terms of treatment priority
- developmental history
- contextual information
- other contributing factors (individual, protective and resiliency factors)
Assessment of Target Problems
- record review
- interviews
- rating scales
- observations
Consideration for Children and Adolescents
identifying target behaviors
- use graphics, drawing, and metaphors
- use items from rating scales
- invite collaboration
- somatic symptoms associated with emotional problems
- listen and avoid advice giving