Mindfulness Flashcards
cog based and mindful therapies represent a reaction to
both behavioral and psychodynamic therapy
the goal of cognitive therapy is to
increase logical thinking and fix faulty thinking because the way we think/interpret effects how we respond to events
What are the 3 steps to revising cognitions?
o Identify illogical cognitions (automatic thoughts)
o Challenge them
o Replace them with more logical cognitions
how do therapists function with clients?
as teachers
o Educate clients about the cognitive model o Use handouts, mini-lectures, readings
o Written assignments/homework
o Aspire for clients to ultimately be able to use the lessons learned to teach themselves rather than remaining dependent on the teacher
what is an example of written homework?
Keep a record of events, interpretations, and feelings
what is an example of behavioural homework?
Perform certain behaviors to examine the validity of a
cognition that may be illogical
what is a potential homework outline?
- describe sitch
- mood
- thought
- evidence for the thought
- evidence against the thought
- alternative thoughts
- rate mood
Cog therapy is typically (3)
o Relatively brief—often 15 sessions or less
o Structured and planned: Sessions may not be as free-flowing or spontaneous as
in other therapies
o Focused on particular goals determined by client and therapist at the outset
What is Albert Ellis’s approach to cog?
Rational Emotive Behaviour Therapy (REBT)
Rational Emotive Behaviour Therapy (REBT) Emphasizes a connection between
rationality and emotion
What is Albert’s ABCDE model?
o Activating Event (studying)
o Belief (NEED to pass)
o Emotional Consequence (anxiety)
o Dispute (who says you do?)
o Effective New Belief (its not the end of the world
• These five columns provide a format for written records of client experiences
• Also provide a model of understanding and change for client
What is Beck’s approach to Cog?
the cognitive triad
what is the cognitive triad?
Thoughts about self, external world, future all contribute to our mental health
Beck has the Dysfunctional Thought Record instead of
ABCDE format for recording client experiences
• Different column headings, but similar concepts
Beck listed some common thought distortions…
- All-or-nothing thinking (no gray area)
- Catastrophizing (unrealistically expecting the worst)
- Magnification/minimization (mountain out of molehill)
- Personalization (assume too much responsibility)
- Overgeneralization (negative thoughts applied too broadly)
- Mental filtering (ignoring positive events and focusing only on negative events)
- Mind reading (presuming to know what others think)
what is Beck approach to cog therapy?
says out beliefs are hypothesis and even thought we may think there facts in therapy we put them to the test
mindfulness and acceptance based therapies are known as the
third wave therapies
What is acceptance and commitment therapy? (ACT)
- Learn to Accept internal psychological experience and stop avoiding
- C= Commit to one’ own personal values
- T = taking action consistent with one’s own values
- Move from FEAR to ACT
What is dialectic behaviour therapy for ? why?
- borderline personality disorder BPD
- conceptualized as problem of emotional regulation
What are the 3 core practices of DBT?
o Problem solving: think through stressful situations
o Validation – get offended very easily. If they lash out, they only remember what the other person did not what they did that may have hurt the other person.
o Dialectics - resolving simultaneous contradicting feelings (wanting to kill yourself but wanting to live)
what is emotional regulation?
o – identifying, describing, and accepting rather than avoiding negative emotions;
what is Distress tolerance
being able to tolerate the pain, emphasizes the development of self-soothing techniques, impulse control
Interpersonal effectiveness
o clients determine appropriately assertive social skills in order to preserve relationships that might otherwise be damaged by extreme emotional outbursts;
Mindfulness skills
– if you’re ever nervous to pull yourself back to the ‘now’
What are symptoms of BPD?
o Avoid real or imagined abandonment
o Pattern of unstable/intense interpersonal relationships
o Unstable self-image or sense of self
o Impulsivity in 2 areas self-damaging (e.g., substance abuse, sex to make the pain go away)
o Suicidal behavior/self-mutilation
o Emotion dysregulation
o Chronic feelings of emptiness (loneliness, almost like grief)
o Difficulty controlling anger
o Stress related paranoid ideation
Therapists’ Working Assumptions about the Client
1) The client wants to change, and despite appearances, is trying his/her best as a particular time.
2) His/her behavior pattern is understandable given his/her background and present circumstances.
3) In spite of this, he/she needs to try harder if things are able to improve
4) Clients cannot fail at DBT
how does the therapist need to be?
- Accepting
- Centered & firm
- Nurturing, but benevolently demanding – the attitude someone has to have when working with these clients
- Almost like authoritative parenting
Warm
Clear Limits
