Therapies - CBT

Question 1

What is the cognitive approach’s therapy?

Answer 1

Cognitive Behavioural Therapy [CBT]

Question 2

What are the aims of CBT?

Answer 2

To challenge negative maladaptive thoughts and replace them with healthy thinking

Question 3

What are the components of CBT?

Answer 3

• Dysfunctional Thought Diary
• Challenging Dysfunctional thoughts
• Pleasant activity scheduling

Question 4

Describe this main component of CBT: “Dysfunctional thought diary”

Answer 4

• Keep a record of events leading up to a negative experience
• Rank this negative thought from 0-100%
• Client writes rational response and rates it, then re ranks original statement

Question 5

Describe this main component of CBT: “Challenging Dysfunctional thoughts”

Answer 5

• Client works with the therapist to change their thinking patterns
• Client asks themselves “Where is the evidence of X?” And “What is the worst thing that could happen if X were true?”

Question 6

Describe this main component of CBT: “Pleasant activity scheduling”

Answer 6

• Client plans fun activities of a time period [e.g one each day for a week]
• Helps them with a sense of achievement or will involve a break
• Referred to as behavioural action
• If something goes wrong the client thinks of how they might have changed it- shows they have control.

Question 7

What assumptions from the Cognitive Approach applies to CBT?

Answer 7

• Internal mental processes
• Schemas
• Computer analogy model

Question 8

How does Internal mental processes link to CBT?

Answer 8

• Clients pay attention to the native parts of their life / only remember the bad experiences. Also perceive the world negatively.
• CBT allows them to challenge what they pay attention to.

Question 9

How does Schemas link to CBT?

Answer 9

• Those who have faulty thinking patterns have developed negative self-schemas.
• CBT challenges these negative schemas leading tk changes in hoe they respond to events/situations.

Question 10

How does Computer Analogy Model link to CBT?

Answer 10

• Challenges the process part of the model
• If they are taught to challenge how they process an event or themselves this means the output will be different e.g their behaviours

Question 11

Name the first effectiveness point for CBT

Answer 11

• Cahill et al [2003]: 71% of patients who had fully completed the programme experiences a reduction in symptoms.
• This is compared to 13% who didn’t fully complete it.

Question 12

Name the second effectiveness point for CBT

Answer 12

• Jarrett et al [1999] compared CBT to antidepressants to 108 severely depressed patients.
• After a 10 week study was as effective as antidepressants.

Question 13

What is the 3rd effectiveness point for CBT

Answer 13

• Kuyken and Tsivrikos [2009] found that 15% of the effectiveness of CBT is the result of therapist competence.

Question 14

Name the first ethical consideration for CBT

Answer 14

• Patient blame may lead to harm.
• Psychological illnesses are caused by faulty thinking patterns: suggests the client is to blame for their illness.

Question 15

Name the second ethical consideration for CBT

Answer 15

• Individuals with depression may be more accurate at predicting outcomes
• Alloy and Abrahamson [1979] suggest people with depression see things for what they are.

Question 16

Name the third ethical consideration for CBT

Answer 16

• It is ethical because it attempts to cute the cause of the disorder rather than the symptoms.
• Irrational thoughts are the cause and attempt to change this. Drug therapy just cures the symptoms