Theories Flashcards
CBT Change occurs through…
Learning to modify dysfunctional thought patterns
CBT Role of Therapist
Collaborative teacher using structured learning experiences, teach coping skills, provides homework
CBT Treatment Goals
Recognize negative thought patterns, replace them with healthier ways of thinking, symptoms/problems are relieved, develop coping skills
CBT Negative Cognitive Triad
- View of self 2. View of the world 3. View of future
CBT Automatic Thoughts
Thoughts that individuals are often not aware of and are not assessed for accuracy
CBT Schemas
Network of rules for information processing that are shaped by developmental influences and other life experiences
These rules dictate how individuals think about and interpret the world and play a role run self-worth and coping skills
CHANGING SCHEMAS = MAJOR TARGET OF CBT
CBT Interventions
Psychoed on negative triad
Socratic questioning
Reframing
Cognitive restructuring
Homework
Self-monitoring
Behavioral experiments
Systematic desensitization
Anxiety management training
Assertiveness training
Behavioral activation
Communication skills training
Downward arrow
Exposure
Finding alternatives
Labeling distortions
Mastery/pleasure ratings
Opposite action
Problem-solving training
Relaxation training
Successive approximation
Three-column technique
Thought record
CBT Beginning Phase
Therapeutic relationship, functional analysis to assess/define the problem and negative thought patterns, educate and explain CBT, set collaborative goals
CBT Early/Middle Phase
Identify negative thought patterns, uncover negative schemas, assign homework to self-monitor, label cognitive distortions, reframe thoughts, learn/practice new skills
CBT End Phase
Review gains, identify skills learned, rehearse for new situations, anticipate future struggles
CBT Sub Modalities
CBT
Rational Emotive Behavior Therapy (REBT)
DBT
Reality Therapy
REBT Changes occurs through…
Changing irrational beliefs to rational beliefs
REBT Role of Therapist
Instructor, confrontational, direct
REBT Tx Goals
Help clients alter illogical beliefs and thinking patterns in order to overcome psychological problems and mental distress
REBT ABC
A = Activating event
B = Beliefs
C = Consequences
REBT Main Concepts
ABC
Common irrational beliefs
Self-acceptance
Other-acceptance
Life-acceptance
REBT Beginning Phase
Psychoed about REBT, identify underlying irrational thought patterns/beliefs and resulting feelings and Bx
REBT Middle Phase
Challenge mistaken beliefs, dispute using direct and confrontational methods, change unwanted Bx using meditation, journaling, guided imagery, etc.
DBT Change occurs through…
Mindfulness, developing skills to manage distress tolerance and emotion regulation, improving interpersonal problem-solving skills
DBT Role of Therapist
Ally, validation, offer alternatives, coach
DBT Tx Goals
Improve emotional and cognitive regulation
DBT Interventions
Mindfulness
Distress tolerance
Interpersonal effectiveness
Emotion regulation
Homework
DBT Beginning Phase
Move client from being out of control to achieving behavioral control, teach mindfulness and distress tolerance skills, address self-harm Bx
DBT Middle Phase
Fuller emotional experience, support client to learn to live, define life goals, build self-respect, find peace and happiness
DBT End Phase
Finding deeper meaning through spiritual experience
REALITY Change occurs through…
identifying and meeting needs, satisfying relationships
REALITY Role of therapist
nurturing/supportive/nonjudgmental
- patient coach
REALITY Key concepts
choice: sense of control, empowerment, responsibility
we all have 5 needs: love/belonging, power/achievement, freedom, fun/relaxation, survival
all behavior is seeking to have needs met
act irresponsibly when imbalanced/needs unmet
REALITY Interventions
self-evaluation
focus on present choices, avoid past problems
explore wants, needs, perceptions (not feelings)
action plans
humor
CLIENT/PERSON-CENTERED Change occurs through…
Creating conditions for Ct to grow through therapeutic relationship with presence of congruence/genuineness, unconditional positive regard, empathy
HUMANISTIC
CLIENT/PERSON-CENTERED Role of therapist
Nondirective
Helper who sets the stage and believes Ct is able to do what is necessary for growth and self-actualization
Ct determines goals of therapy
CLIENT/PERSON-CENTERED Tx Goals
Self-acceptance
Congruent between Ct’s idealized and actual selves
Increased self-understanding
Decreased levels of defensiveness, insecurity, guilt
More positive relationships and increased comfort with others
Increased ability to experience and express feelings in here and now
CLIENT/PERSON-CENTERED Key Concepts
Congruence (Th’s genuineness with Ct)
Unconditional positive regard
Empathy
Self-actualization
Locus of control
Non-directive therapy (Ct can lead discussion)
GESTALT Change occurs through…
Increased awareness of here and now experience
BOTH EXPERIENTIAL AND HUMANISTIC
GESTALT Role of Therapist
Authentic and present other
Non directive and non judgmental
Increase Ct awareness of present moment
GESTALT Tx Goals
Ct to become aware of what they are doing, how they’re doing it, how they can change themselves, and learn to accept themselves
GESTALT Key Concepts
Phenomenological method (Explore experience and abstain from interpretation)
Dialogical relationship (Th presence allows Ct to become fully present)
Experiential
Here-and-now focus
GESTALT Interventions
Empty chair
Experiments
Body techniques
Focus on the process
EXISTENTIAL Change occurs through…
Finding philosophical meaning in face of anxiety by choosing to think/act authentically and responsibly
EXISTENTIAL Role of Therapist
Provide encounter with “real” other
Presence
Help Ct focus on personal responsibility for making decisions
EXISTENTIAL Tx Goals
Ct discovers own life meaning, confronts anxiety inherent in living, experiences agency and responsibility in construction of their life
EXISTENTIAL Key Concepts
Self-awareness
Accept RESPONSIBILITY that comes with FREEDOM
Unique identity
Meaning of life is never fixed
ANXIETY is part of human condition
Death is basic human condition that gives significance to life
EXISTENTIAL Interventions
Focus on moment to moment process
Empathic availability
Process situation with increased support
Honoring the pain
EXPERIENTIAL/SYMBOLIC Change occurs through…
Authentic meeting of Th and Ct in present moment by expanding Ct’s range of experiences
EXPERIENTIAL/SYMBOLIC Role of Therapist
Authentic, playful, creative
EXPERIENTIAL/SYMBOLIC Tx Goals
Growth and increased flexibility
EXPERIENTIAL/SYMBOLIC Interventions
Battle for structure (Th establishes rules and atmosphere of Tx; includes need for entire family to be in therapy)
Battle for initiative (Motivation for change must come from family)
Trial of labor
Activating constructive anxiety
Play, humor, craziness
EXPERIENTIAL/SYMBOLIC Beginning Phase
Engage family as authentic people, battle for structure, all members to attend, family wins battle of initiative, gather info about boundaries/coalitions/roles/level of conflict
EXPERIENTIAL/SYMBOLIC Middle Phase
Develop sense of cohesion, create alternative interactions, highlight inappropriate boundaries, role-play situations, use play and craziness
EXPERIENTIAL/SYMBOLIC End Phase
Highlight accomplishments, identify possible blocks, role-play future scenarios, each member expresses feelings about experience of therapy
NARRATIVE Change occurs through…
Separating person from the problem and creating new narrative that emphasizes competencies and strengths
NARRATIVE Role of therapist
Collaborator
Investigator
Ct as expert
Co-author
NARRATIVE Tx Goals
Understand problem-saturated story and externalize problem
Deconstruct problem-saturated stories and create healthier narratives
Awareness of Ct strengths
Increase sense of control over direction of life
NARRATIVE Main Concepts
Problem-saturated stories
Alternate stories
Thick story (Dominant narrative)
Thin story (Alternate story)
Externalizing the problem
Deconstructive questions
Mapping the influence (Effects of problem in Ct’s life)
Unique outcomes
Enlisting a witness
Written artifact
NARRATIVE Interventions
Ct shares problem-saturated story
Externalizing questions
Map the influence
Explore unique outcomes
Assist Ct in re-authoring
Enlist a witness to hear new story
NARRATIVE Beginning Phase
Ct is invited to tell problem-saturated stories