Theories Flashcards
Cognitive Behavioral Therapy (CBT)
B.F. Skinner
symptoms are learned and reinforced by environment
not events perse but rather the person’s assumptions, expectations, and interpretations of events which are responsible for the production of negative emotions
effective for depression, anxiety disorders, alcohol and drug use problems, marital problems, eating disorders, and severe mental illness
emphasis on helping individuals learn to be their own therapists.
Through exercises in the session and “homework”, patients/clients are helped to develop coping skills
emphasize what is going on in the person’s current life, rather than what has led up to their difficulties.
CBT art therapy
art is a cognitive process that uses thinking, sensing, and identifying as well as understanding emotions
artist is uncovering mental images and messages, recalling memories, making decisions, and generating solutions
Art provides a concrete record of inner processes that can be discussed and altered
- identifying and recording negative thoughts
- distance from cognitions / recognize schema
- cognitive re-structuring - analysis of faulty logic, hypothesis testing, alternative interpretations, enlarging perspective, and decatastrophizing
- experimenting with physically altering a negative image through art expression.
CBT concepts
stimulus-response
behavioral conditioning
behavioral modification
simple stimulus-response behaviors: first level behaviors like automatic habits
Second-level behaviors included language, imagery, thinking, and affect.
CBT strategies to change behaviors
Facing one’s fears instead of avoiding them.
Using role playing to prepare for potentially problematic interactions with others.
Learning to calm one’s mind and relax one’s body.
six basic steps in CBT:
(1) establishing a good therapeutic rapport
(2) having a problem focus
(3) identifying irrational thoughts
(4) challenging irrational thoughts
(5) testing the validity of thoughts
(6) substituting irrational thoughts with rational ones
Core principles of CBT
unifying goal of CBTs is behavioral adaptation
Psychological problems are based, in part, on faulty or unhelpful ways of thinking.
Psychological problems are based, in part, on learned patterns of unhelpful behavior.
People suffering from psychological problems can learn better ways of coping with them, thereby relieving their symptoms and becoming more effective in their lives.
three guiding principles:
(1) context engagement—re-examining problematic situations in order to imagine novel responses
(2) attention change— helping clients sustain or shift attention in order to better adapt to various situations
(3) cognitive change —gaining perspective or altering meanings of emotionally significant situations
CBT strategies to change thinking patterns
Learning to recognize one’s distortions in thinking that are creating problems, and then to reevaluate them in light of reality.
Gaining a better understanding of the behavior and motivation of others.
Using problem-solving skills to cope with difficult situations.
Learning to develop a greater sense of confidence in one’s own abilities.
Trauma-informed therapy
The adoption of the PTSD diagnosis by the DSM III in 1980
no overarching definition
shifts focus from “whats wrong with you” to “what happened to you”
acknowledges that health care organizations and care teams need to have a complete picture of a patient’s life situation — past and present — in order to provide effective health care services with a healing orientation
Realize the widespread impact of trauma and understand paths for recovery
Recognize the signs and symptoms of trauma in patients, families, and staff
Integrate knowledge about trauma into policies, procedures, and practices
Actively avoid re-traumatization.
Narrative Art Therapy
“Finish the story”
put fragments of trauma into ITR / change story from present tense to past with a definitive end.
simple, clear drawing materials
8 drawings
“Before” and an “After” picture serve as bookends that set the story in time.
- drawings that depict each aspect of the ITR - w/ thoughts, feelings, Body sensations
Under no circumstances should the therapist let the client leave a session without making certain he or she is grounded and fully oriented
“And now, we see that this very important story in the life of (client’s name) is truly over—and we can finally say, ‘The end!’”
The Instinctual Trauma Response (ITR)
Tinnin and Gantt (2014)
startle
attempt to fight or flee
freeze
altered state of consciousness (ASC)
Automatic obedience
Efforts at self-repair
Body sensations accompany each aspect
Humanistic
umbrella term for client centered, existential, gestalt, logotherapy, and narrative therapy.
focuses on a person’s individual nature, rather than assuming that groups of people with similar characteristics have the same concerns
emphasis on positive traits and behaviors and developing ability to use instincts to find wisdom, growth, healing, and fulfillment
since humanistic therapists may not focus on diagnosing a client, those with symptoms of certain personality disorders may not achieve success with this approach
therapist’s ways of being and attitudes are more influential, in terms of helping clients change, than are techniques or interventions designed to get clients to change
Humanistic art therapy
Josef Garai
three primary tasks
(1) being present, accessible, and open to clients
(2) honoring clients’ thoughts and feelings in the immediate experience
(3) engaging in artistic self-expressive activity along with clients
Gestalt Therapy
Fritz Perls
art therapy - Janie Rhyne
experiential and present focused
integration of thoughts, feelings, and actions
hot seat
empty chair
role playing
psychodrama
here and now focus of time
Gestalt art therapy
Janie Rhyne, Joseph Zinker, Violet Oaklander, Mala Betensky
genuine contact with client
emphasis on here and now
Gestalt: whole form or configuration which is greater than the sum of its parts.
art allows people to know themselves as a whole person in a short time
encourage and insist on responsible, honest, direct, and authentic communication between the person and therapist
individuals can deal effectively with their life problems
stresses assumptions of personal responsibility for the course of one’s life
Dreams are assumed to represent existential messages that reflect current ways of being in the world
perceiving and becoming aware of what is obviously there
Without pushing for interpretations, we explore the dimensions of the drawing and elaborate its impact, through active, present experiencing
focus on the active movement in the art done by clients.
client-centered treatment
requires the therapist to be empathic, open, honest, congruent, and caring
every person has worth, dignity, the capacity for self-direction, and an inherent impulse toward growth
assist people in becoming more autonomous, spontaneous, and confident
therapists genuineness
complete acceptance
Person-Centered Expressive Arts Therapy
- Natelie Rogers
- believe in ability of individuals to find appropriate self-direction
- psychological climate is empathic, honest, and caring
- use the arts to let go, to express, and to release
- All people have an innate ability to be creative.
- Personal growth and higher states of consciousness are achieved through self-awareness, self-understanding, and insight
- Self-awareness, self-understanding, and insight are achieved by delving into our emotions.
- Our feelings and emotions are an energy source
- The expressive arts lead us into the unconscious.
- “the creative connection.” - one art form can lead into another easily
Humanistic techniques
Congruence: being authentic, open, and genuine as they interact with the individual who is in therapy.
Empathetic understanding: not only understanding what the client is feeling and saying, but also communicating that understanding to the client. The individual should feel heard, seen, and understood.
Reflective listening: actively listening to the individual and then summarizing what the client has said in their own words. This strategy can help reinforce what the client is saying, allow them to reflect back on their own words, and clear up potential misunderstandings.
Unconditional positive regard: accepting the individual without judgment. It is characterized by a caring attitude that plays an important role in fostering self-worth, personal growth, and self-awareness.
Existential
Friedrich Nietzsche and Soren Kierkegaard
death, freedom, isolation, meaninglessness
focuses on concepts that are universally applicable to human existence including death, freedom, responsibility, and the meaning of life
therapy should be
aimed at challenging individuals to find meaning and purpose in life
focus on individual not symptoms
All people have the capacity for self-awareness.
Each person has a unique identity that can be known only through relationships with others.
People must continually re-create themselves because life’s meaning constantly changes.
Anxiety is part of the human condition.
emphasizes a person’s capacity to make rational choices and to develop to their maximum potential
Existential art therapy
- Bruce Moon
- primary thrust of therapy is engaging the client in a creative struggle with the ultimate concerns of human existence
- one of the underlying realities of human existence is that we are ultimately alone
using the art process as a metaphor for choice and free will
(1) the capacity for self- awareness
(2) freedom and responsibility
(3) creating one’s identity and establishing meaningful relationships with others
(4) the search for meaning, purpose, values, and goals
(5) anxiety as a condition of living
(6) awareness of death and non- being
Who existential therapy is good for
treating psychological concerns that are thought to result from an inhibited ability to make authentic, meaningful, and self-directed choices
Interventions often aim to increase self-awareness and self-understanding.
Symptoms: excessive anxiety, apathy, alienation, nihilism, avoidance, shame, addiction, despair, depression, guilt, anger, rage, resentment, embitterment, purposelessness, psychosis, and violence
life-enhancing experiences: relationships, love, caring, commitment, courage, creativity, power, will, agency, presence, spirituality, individuation, self-actualization, authenticity, acceptance, transcendence, and awe.
Existential Approaches
responsibility and freedom focus
find meaning in the face of anxiety
confronting negative internal thoughts rather than focusing on external forces like societal pressures or luck.
Fostering creativity, love, authenticity, and free will
The goal: To make more willful decisions about how to live, drawing on creativity and love, instead of letting outside events determine one’s behavior.
Transpersonal Therapy
Abraham Maslow and associates in the 1960 - stemmed from Carl Jung
emphasis on role of healing spirit
spiritual traditions and rituals
positive influences and role models
focus on a broader conception of how a person achieves meaning, purpose, and happiness
increase sense of empowerees
“reaching beyond humanistic concerns.”
Maslow’s Hierarchy of Needs
self actualization
self esteem
love and belonging
safety and security
physiological needs
Transpersonal Approaches
honesty, open mindedness, self-awareness
address the person’s needs to improve other areas of life such as relationships or life satisfaction and spiritual emergencies
draw from a variety of different religions and spiritual practices for tools and methods
Meditation
Guided visualization
Hypnotherapy
Dream work
Art-marking
Music therapy
Journaling
Holotropic breathwork
Spiritual Therapy
Mimi Farrelly-Hansen
part of a holistic approach to treating mental health symptoms and diagnoses
integrates spiritual or religious beliefs and practices into the therapeutic process.
acknowledges that you have unique spiritual and existential beliefs, values, and experiences about what it means to be human, that influence your understanding of yourself, others, and the world around you
the spirit is the most powerful and most important factor in a complete healing
techniques:
mindfulness
sacred texts
prayor
rituals