Psychopathology - The Cognitive Beheavioural Therapy - Treating Depression

Question 1

What is CBT?

Answer 1

cognitive behavioural therapy

Question 2

What is becks general idea for CBT?

Answer 2

To challenge and restructure negative thinking so that they become more positive and rational

Question 3

In what conditions can CBT be done and how regularly

Answer 3

In small groups of individually
Weekly sessions

Question 4

What does CBT entail?

Answer 4

Focuses on present experiences
Patient is encouraged to ‘thought catch’ and challenge their neg thoughts and test them out as if they are scientist
Reinforcement of positive thoughts is encouraged

Question 5

What does beck believe the impact of positive thinking will be

Answer 5

Positive thinking will lead to positive behaviour

Question 6

What does beck use as a basis for CBT

Answer 6

Cognitive triad (neg thoughts abt self, world and future would be addressed)

Question 7

Adv of CBT- respected

Answer 7

• widely respected
• supported by vast amount of research
• cost effective
  -quite economical compared to other approaches e.g. psychodynamic

Question 8

Strength of CBT - root cause

Answer 8

• under covers the underlying issues that caused depression in the first place
• unlike drugs which merely act as a plaster and mask symptoms of depression
• therefore CBT is a proper cure

Question 9

Strength of CBT - long term

Answer 9

• has lasting positive outcomes
• low chance of patient relapsing compared to drugs
• High chance patient has actually been cured
• cost effective for the NHS
• unlikely to return to hospital

Question 10

Disadv of CBT - effort

Answer 10

• most popular treatment is ant-depressant drugs
• drugs require a lot less effort than CBT
• however cujiper (2013) found that CBT is very effective with drug therapy, so maybe CBT on its own is not very effective

Question 11

Disadv of CBT- mild

Answer 11

• very effective with those w mild depression and helps prevent it from getting worse
• not effective w those w severe depression, they would have to use. Drugs and medication

Question 12

What does REBT stand for

Answer 12

Rational emotive behavioural therapy

Question 13

Who developed REBT

Answer 13

Ellis

Question 14

What is the genera idea of REBT

Answer 14

Irrational thoughts causes negative self statements so therapy involves making the depressed patients thing more rationally and in a positive manner

Question 15

what are the three main things REBT involves (not the DEF)

Answer 15

Challenging - reinterpreting ABC model in a more positive and logical manner
Homework - assignments between therapy sessions testing out irrational beliefs in real world and replacing them w rational and possible beliefs
Behavioural activation - become more active and engaged in activities they used to take part in

Question 16

What does DEF stand for

Answer 16

disputing irrational thought and behaviour
Effects of disputing and effective attitude to life
Feelings/emotions

Question 17

What Is ‘disputing irrational thought and behaviour’

Answer 17

There are two ways of disputing
Logical disputing - used when beliefs don’t make sense logically and then are tested out ‘does this make sense’
Empirical disputing - whereby beliefs are not consistent in reality e.g. ‘everyone hates me’ there is no proof for this

Question 18

What are the ‘Effects of disputing and effective attitude to life’

Answer 18

Changing self defeating beliefs into more rational beliefs, resulting in the client moving away from neg and irrational thinking

Question 19

What are the feelings/emotions the patient would feel

Answer 19

More positive and rational, they will feel better
Having a positive impact on their behaviour

Question 20

Adv of REBT - specific

Answer 20

• Flannaghan supports its effectiveness to treat depressive stroke victims
• suggesting REBT is effective for specific groups of people and can help them become more positive

Question 21

Adv of REBT - drug vs REBT

Answer 21

• David (2008)
• compared 170 patients who had 14 weeks of REBT and compared w those who had drug fluoxetine treatment
• compared 6 months after the treatment
• REBT had better long term treatment compared to drug therapy

Question 22

Disadv of REBT -unclear

Answer 22

• unclear if distorted neg thinking causes depression or whether it’s a symptom
• if it’s a symptom REBT is not getting to the root cause and depression may return in future
• this client is not cured

Question 23

Disadv of REBT - articulating

Answer 23

• requires latent to be articulate and walking to talk abt their problems coherently
• thus not good treatment for those w severe depression if they’re unable to communicate well or those whi aren’t comfortable
• other treatment would be needed to be used

Question 24

Disadv of REBT - skills

Answer 24

• success of treatment depends on the skills and expertise of the therapist
• the more skilled the better the therapeutic outcomes for the depressed client - essential for effectiveness
• thus psychologist must be highly skilled and develop a good rapport w client for effective treatment