Psychological Interventions Flashcards

1
Q

What are psychological interventions and what do they influence?

A

Influence the way we think and behave, eg used in advertising

Health behaviours - positive and negative

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2
Q

What is the cognitive model?

A
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3
Q

What are assumptions of the cognitive model?

A

We interact with the world through interpretations and evaluations that we make about our environment.

It is not the situation itself, but the thoughts + beliefs we attach to the event that produce our emotional & behavioural responses.
The results of cognitive processes are accessible via thoughts and images, and therefore have the potential to change.

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4
Q

According to Beck, what are the three levels of thinking?
specifically automatic thoughts?

A

Automatic thoughts are fleeting thoughts that pop into your mind unbidden.
They can be positive or negative.
Situation specific
Involuntary

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5
Q

According to Beck, what are the three levels of thinking, specifically intermediate beliefs?

A

Guide behaviour, set standards, and provide the ‘rules’ by which we live our lives.
can be Healthy vs unhealthy.
Often unarticulated - Assumptions can often be identified by their ‘if …..then’ construction. Rules are must and should statements.

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6
Q

According to Beck, what are the three levels of thinking, specifically core beliefs?

A

Core beliefs (Cognitive schemata) give rise to our rules, assumptions, and thoughts
Develop in early life and childhood
Centre of our beliefs
Global, absolute, rigid
Focus on self, others, world
Can be positive and/or negative

eg if carers dont care for me as a child/ abusive - will grow up to believe believe everyone is untrustworthy/ dangerous “ i cant trust anyone”

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7
Q

Negative core beliefs are usually…

A
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8
Q

Cognitive Biases are habitual ways of thinking. Give and explain some of these

A

Arbitrary Inference – Drawing conclusions on the basis of insufficient irrelevant evidence
Catastrophising – assume worst possible case scenario
Negative predictions - expecting not to enjoy something
Selective abstraction - Focusing on a detail taken out of context and ignoring other important features
Magnification and minimisation - Magnify weaknesses and minimise strengths.
Personalisation - Relating an event to oneself when there is no basis for it
Fait accompli” thinking “I didn’t mean to eat that pie. There goes my diet, may as well finish the whole pie!”

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9
Q

What are the aims of cognitive interventions?

A
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10
Q

What is the decisional balance sheet?

A
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11
Q

What is motivational interviewing?

A

Another cognitive intervention
Goal – to guide individuals to explore their own conflicting beliefs towards behaviour – Helps to reduce ambivalence.
Effective in reducing smoking, addiction, improving adherence to lifestyle changes

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12
Q

Motivational interviewing entails cognitive dissonance. What is this and what are further key characteristics of motivational interviewing?

A

Cognitive dissonance – holding opposing beliefs = psychological discomfort
Key characteristics:
Non-confrontational
Roll with resistance
Increase motivation
Supports patient autonomy

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13
Q

Another cognitive intervention is distraction techniques. What is this?

A

Deliberately moving attention away from the distress cause.
Reduces moderate to acute pain/distress
Short term – lasts as long as the person remains distracted
Distraction activities inc games/colouring, doing a puzzle, talking to a HCP, gym etc
Eg cartoon found to cause less pre op anxiety in children

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14
Q

Another psychological interventiion is behavioural. What are the aims and assumptions of this?

A

Assumptions: Maladaptive behaviour is learned
Focusing on a specific behaviour will treat specific symptoms

Aims: Substitute maladaptive behaviours for adaptive ones. Relieve symptoms

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15
Q

One of the behavioural interventions is modelling. What is this? + how used in medical training?

A

Modelling – Learning a behaviour by observing and imitating others
Most effective when the model is perceived to be of ‘higher status’ or peer, or when behaviour results in reward
Useful for surgery anxiety, phobias, learning new skills –increase confidence, adherence

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16
Q

Another behavioural intervention is reward and reinforcement, specifically operant conditioning. What is this?

What is selective reinforcement?

A

Positive reinforcement: If a behaviour is followed by reward this increases repetition of that behaviour.
If not rewarded or given unpleasant outcome, the behaviour will occur less
Negative reinforcement: If a behaviour results in a removal of unpleasant stimulus, the behaviour will be repeated.
Punishment: unpleasant behaviour= unpleasant consequence follows a behaviour to reduce the future frequency of that behaviour

17
Q

What is progressive muscle relaxation (PMR)?

A

another behavioral intervention

Systematic technique for reducing muscle tension in clinic/everyday - Involves tensing and then relaxing 16 specific muscle groups

Easy to learn, can be used anywhere and easily combined w other techniques. BUT daily practice needed, not suitable for todo (psychosis, schizoph), does not address underlying cognitive processes

18
Q

What is systematic desensitisation and flooding?

A

Gradual controlled increased exposure to the feared subject whilst having a relaxed state until fear is gone.
Flooding: inescapable continuous exposure to the fear until anxiety subsides (extinction).
Useful in treating phobias, OCD, PTSD

19
Q

What are the benefits of biofeedback?

A

Monitor the physiological stress response, eg HR, RR, BP, temp
Patient learns relaxation techniques to reduce the physiological readings.
Positive reinforcement -patient can feel/ see immediate response.
Increases confidence and self efficacy

20
Q

What are the aims of CBT?

A

Combines cognitive and behavioural interventions
Aims of CBT: Identify and modify maladaptive beliefs & strategies
Teach positive strategies for coping and managing
Empower patient to become own therapist

21
Q

What are the features of CBT?

A

Education - process and goals of CBT
Identifying maladaptive beliefs & behaviours
Guided discovery & Socratic questioning
Cognitive re-structuring
Goal setting with self-reinforcement:

  • *Homework - Self monitoring, diaries
  • *Empowering the patient to be their own therapist
22
Q

What are the advantages and limitaitions of CBT?

A

Can be used in a wide range of disorders for children and adults
Self help versions available – online
programmes, facilitated groups
Good for mild/moderate cases but can also be useful in more severe cases w medication
Brief and time limited – 5 to 20 sessions

BUT: not a magical answer and will not suit all patients
Requires ‘psychological mind set’, willingness to engage, not passive.

23
Q

Socratic questioning?

A