The Cognitive Therapy Flashcards
CBT
Name the cognitive therapy
Cognitive Behavioural Therapy (CBT)
What are the three main components of CBT?
Dysfunctional thought diary, challenging dysfunctional thoughts, pleasant activity scheduling
What is the aim of CBT?
Challenge negative maladaptive thoughts/negative dysfunctional thoughts and replacing them with healthy thinking/ positive and more constructive thoughts
What are people often unaware of in CBT?
That there is anything maladaptive with their thinking
What is a Dysfunctional Thought Diary?
A record of events leading up to unpleasant emotional experiences, rate how much they believe in automatic negative thoughts associated with events (scale), write rational response to thoughts, re-rate belief
What is challenging dysfunctional thoughts?
Used to identify and change dysfunctional thinking patterns, questions: where is the evidence? or what is the worst that could happen?, replace dysfunctional thoughts with more constructive ones
What is pleasant activity scheduling?
Plan for each day or week one pleasant activity they will engage in, give them sense of achievement or break from normal routine, induce more positive emotions and detract from negative thoughts, called behavioural activation, keep record of activity and how felt, client realises has control over negative thinking patterns
What is behavioural activation?
Helping the clients to change their behaviour
Give two examples of what people may do when their dysfunctional thoughts are not challenged?
Catastrophise, over-generalise
What is the negative cognitive triad and who hypothesised it?
Belief that depressed people have a negative cognitive triad, unrealistic thoughts about themselves, the world and the future, Beck
What do those with faulty thinking patterns also develop?
A negative self-schema
Explain the Cahill et al study (effective)
71% of patients who completed CBT showed significant reduction in symptoms, but compared to only 13% who did not complete program - effective
Explain the Jarret et al study (CBT effective)
Compared effectiveness of CBT with antidepressants, 108 patients with severe depression, study lasted 10 weeks, CBT was as effective as antidepressants and more effective than the placebo
Explain the Kuyken and Tsivrikos study (not effective)
Therapist competence impacted therapy outcomes, 15% of the effectiveness of CBT is as a result of therapist competence
What are the three ethical considerations with CBT?
Patient blame, ‘sadder but wiser’ effect, attempts to cure cause rather than symptoms
