Sea Bee Tea Flashcards
What is Beck’s cognitive behavior therapy (CBT) originally developed for?
Depression
CBT is now considered an evidence-based treatment for various psychiatric disorders.
List at least three disorders for which CBT is considered an evidence-based treatment.
- Bipolar disorder
- Generalized anxiety disorder
- Obsessive-compulsive disorder
What additional condition has CBT been found useful for as an adjunct treatment?
Chronic pain
For example, it helps with rheumatoid arthritis.
What are cognitive schemas?
Core beliefs developed during childhood from experience and biological factors
They can be maladaptive or adaptive.
What is the cognitive profile for depression according to Beck?
Negative beliefs about oneself, the world, and the future
Define automatic thoughts.
Verbal self-statements or mental images that come to mind spontaneously when triggered by circumstances
What characterizes negative automatic thoughts?
- Distortion of reality
- Emotional distress
- Interference with life goals
What is a Dysfunctional Thought Record (DTR)?
A tool for clients to record negative automatic thoughts outside therapy
What does the DTR include?
- Event or situation
- Automatic thoughts
- Type of emotion and intensity
- Alternative rational response
- Outcome
What are cognitive distortions?
Systematic errors in reasoning that affect thinking during stressful situations
Name two common cognitive distortions.
- Arbitrary inference
- Dichotomous thinking
What is arbitrary inference?
Drawing negative conclusions without any supporting evidence
What is the primary goal of CBT?
To correct faulty information processing and help modify assumptions maintaining maladaptive behaviors and emotions
What approach do practitioners of CBT adopt?
An active, structured approach
List two cognitive techniques used in CBT.
- Redefining the problem
- Decatastrophizing
What is collaborative empiricism?
A therapeutic alliance where therapist and client examine evidence together
What is Socratic dialogue in CBT?
Asking questions to clarify problems and evaluate maladaptive thoughts
Fill in the blank: Cognitive distortions are ______ in reasoning that often affect thinking.
systematic errors
True or False: CBT is only effective for treating depression.
False
CBT is effective for a range of psychiatric disorders.
What does Rational Emotive Behavior Therapy (REBT) attribute psychological disturbances to?
Irrational beliefs expressed in absolute terms like ‘must’s,’ ‘should’s,’ ‘ought’s,’ and ‘have to’s’
Examples of irrational beliefs include: ‘I must do well on all important projects; if not, I’m inadequate’ and ‘You must take care of me; if not, you’re not a good person.’
What are the components of the A-B-C-D-E model in REBT?
A: Activating event, B: Irrational belief, C: Emotional/behavioral consequence, D: Disputing techniques, E: Effect of techniques
This model helps explain psychological disturbances and the process of change in therapy.
What techniques are used in Rational Emotive Behavior Therapy?
Active disputation of irrational beliefs, rational-emotive imagery, systematic desensitization, skills training
REBT has been found effective for depression, anxiety, conduct problems, and anger.
What was the initial purpose of Self-Instructional Training?
To teach problem-solving skills to children with high levels of impulsivity
It has since been applied to other populations and problems.
List the five stages of Self-Instructional Training.
- Cognitive modeling stage
- Overt external guidance stage
- Overt self-guidance stage
- Faded overt guidance stage
- Covert self-instruction stage
Each stage involves increasing self-guidance and independence in task performance.
What are the four skills addressed in Self-Instructional Training?
- Identifying the nature of the task
- Focusing attention on the task and behaviors
- Providing self-reinforcement
- Evaluating performance and correcting errors
What is the focus of Stress Inoculation Training?
Improving the ability to cope with ongoing and future stressful situations
This is achieved by teaching effective coping skills.
What are the three phases of Stress Inoculation Training?
- Conceptualization/education phase
- Skills acquisition and consolidation phase
- Application and follow-through phase
What is the main assumption of Acceptance and Commitment Therapy (ACT)?
Psychological pain is universal and normal, and psychological inflexibility causes problems
Psychological inflexibility is characterized by rigid dominance of psychological reactions over chosen values.
What is the distinction between clean pain and dirty pain in ACT?
- Clean pain: Natural levels of discomfort
- Dirty pain: Emotional suffering from attempts to control clean pain
What is the main goal of Acceptance and Commitment Therapy (ACT)?
To increase psychological flexibility
This involves addressing six core processes.
List the six core processes targeted in ACT.
- Experiential acceptance
- Cognitive defusion
- Being present
- Awareness of self-as-context
- Values-based actions
- Committed action
What does experiential acceptance in ACT counter?
Experiential avoidance
It involves actively embracing private experiences without trying to change them.
What does cognitive defusion in ACT help with?
Distancing oneself from thoughts and feelings
It allows individuals to view thoughts and feelings as experiences rather than reality.
What is committed action in ACT?
Commitment to act in ways consistent with one’s values despite obstacles
It counters inaction, impulsivity, and avoidant persistence.
True or False: ACT is considered evidence-based for conditions like chronic pain and anxiety disorders.
True
What does mindfulness refer to?
Moment-to-moment awareness of one’s experience without judgment
(Davis & Hayes, 2011, p. 198)
Name two therapeutic approaches that incorporate mindfulness.
- Acceptance and Commitment Therapy
- Dialectical Behavior Therapy
What is the core strategy of Mindfulness-Based Stress Reduction (MBSR)?
Mindfulness meditation practices
What was the original purpose of developing MBSR?
To make mindfulness meditation available and accessible in a Western medical setting while remaining true to the essence of Buddhist teachings
(Sauer & Baer, 2010, p. 4)
How many sessions does the MBSR program consist of?
Eight sessions
What types of practices are taught in MBSR?
- Awareness of breathing
- Yoga
- Sitting meditation
- Walking meditation
What does MBCT combine elements of?
- Mindfulness-Based Stress Reduction (MBSR)
- Cognitive Behavioral Therapy (CBT)
What was MBCT originally developed to treat?
Recurrent depression
(Segal, Williams, & Teasdale, 2001)
List some conditions that MBCT is effective for treating.
- Depression
- Anxiety
- Chronic pain
- Insomnia
What is the primary goal of MBCT?
To enable clients to become self-aware and learn to de-centre from distressing thoughts, feelings, bodily sensations, and behaviours
(Scott & Adam, 2017, p. 246)
What did Khoury and his colleagues conclude about mindfulness-based interventions?
They are effective for treating both psychological disorders and physical/medical conditions but are more effective for psychological disorders.
What is a frequently cited change mechanism in mindfulness-based interventions according to Gu et al. (2015)?
Decreased emotional and cognitive reactivity
True or False: Increased self-compassion is a well-supported change mechanism in mindfulness-based interventions.
False
What is the focus of Wenzel, Brown, and Beck’s cognitive therapy for suicide prevention (CT-SP)?
Prevent repeat suicide attempts by adults who recently attempted suicide
What does Bryan and Rudd’s brief cognitive-behavioral therapy for suicide prevention (BCBT) incorporate?
Many elements of CT-SP
What are the three phases of CT-SP and BCBT?
- Emotion regulation
- Cognitive flexibility
- Relapse prevention
What is the focus of Stanley et al.’s cognitive-behavioral therapy for suicide prevention (CBT-SP)?
Adolescents who recently attempted suicide
What is included in the acute phase of CBT-SP?
- Chain analysis
- Safety planning
- Psychoeducation
- Addressing reasons for living
- Case conceptualization
What does the continuation phase of CBT-SP focus on?
Generalizing and consolidating behavioral and cognitive skills and relapse prevention
What are the six steps of the Safety Planning Intervention (SPI)?
- Recognizing warning signs
- Using internal coping strategies
- Utilizing social contacts
- Contacting family or friends
- Contacting mental health professionals
- Reducing access to lethal means
Is a safety plan the same as a no-suicide contract?
No
What is one key finding regarding cognitive-behavioral therapies for suicide prevention?
They reduce suicidal ideation and suicide attempts
True or False: The benefits of cognitive-behavioral therapies occur regardless of gender and severity of suicidal ideation.
True