Week 11 - CBT Flashcards
describes how people’ perceptions of, or spontaneous thoughts about situations influence their emotional, behavioral (and often physiological) reactions.
cognitive model
individuals’ perceptions are often distorted and dysfunctional when they are ____.
distressed
individuals can learn to identify and evaluate their ___ ___.
automatic thoughts
spontaneously occurring verbal or imaginal cognitions
automatic thoughts
therapists use a gentle Socratic questioning process to help patients evaluate and respond to their automatic thoughts and beliefs - and they also teach them to engage in this evaluation process themselves.
CBT
name the 4 main concepts in the schema therapy model.
- early maladaptive schemas
- schema domains
- coping styles
- schema modes
broad, pervasive themes regarding oneself and one’s relationship with others, developed during childhood and elaborated throughout one’s lifetime, and dysfunctional to a significant degree
schema
the ways the child adapts to schemas and to damaging childhood experiences.
coping styles
the moment-to-moment emotional states and coping responses that we all experience
schema modes
name the 4 goals of schema therapy.
- to help patients to stop using maladaptive coping styles
- to heal their early schemas
- to learn how to flip out of self-defeating schema modes as quickly as possible
- to get their emotional needs met in everyday life
the process of observational learning, in which a person learns a new social skill by watching someone else use that skill
modeling
the reinforcement of successive steps toward a desired goal; complex skills are broken down into component steps and taught one at a time over multiple trials
shaping
the process of repeatedly practicing a skill to the point at which it becomes automatic
overlearning
the transfer of skills acquired in one setting to another, novel setting
generalization
critical for management of stress and illness; trial and error approach
problem-solving
name the 6 steps of problem-solving.
- identification of problem
- generation of strategies for solving the problem, brainstorming
- weighing the pros and cons of each alternative strategy
- selection and development of strategy
- implementation
- follow-up evaluation
- temporary placement in competitive work
- explore different types of jobs
transitional employment
placement in real job “integrated setting” with training and long-term support
supported employment
federal legislation that authorizes grant programs for vocational rehabilitation, supported employment, independent living, and client assistance.
rehabilitation act of 1973
continually need to prove that our opinions and actions are correct
always being right
hold other people responsible for our pain, or blame ourselves for every problem
blaming
expect disaster to strike, no matter what - what if reasoning
catastrophizing
magnifying negative details while filtering out all positive aspects of the situation
filtering
determine how people are feeling toward us
jumping to conclusions
things are either “black or white.” we have to be perfect or we’re a failure.
polarized thinking
generalized conclusion based on a single incident or piece of evidence
overgeneralization
everything others do or say is some kind of direct, personal reaction to the person
personalization
list of rules about how others and we should behave - leads to anger and guilt
shoulds
balancing negative with the positive - finding the “middle ground”
reframing
using a self efficacious event to gain perspective - “I did that I can do this.”
anchoring
making mistakes is part of learning, “normalizing”
emotive techniques
detach from emotional pain; refocus the mind - remain neutral
mental grounding
breaking free of unhealthy thoughts
thought stopping
providing comforting internal dialogue
self soothing talk
focuses on problem-solving and skill-building, often requires several weekly sessions consisting of a combination of individual and group treatment
DBT
name the 4 modules of DBT.
- core mindfulness skills
- interpersonal effectiveness
- distress tolerance
- emotion regulation
evidence-based shorter term treatment focusing on changing thoughts and behaviors
CBT
a 20-24 week, manual-based, group treatment designed to improve social functioning of individuals with schizophrenia and other psychotic disorders who have interpersonal difficulties, by way of social cognition.
SCIT (social cognition and interaction training)
refers to the thinking processes that people use to navigate the social world.
social cognition
name the 3 phases of SCIT.
- emotions
- figuring out situations
- integration
thinking that you have to be perfect or nothing at all
all-or-nothing thinking
applying thoughts and factors to many situations that typically wouldn’t apply
overgeneralization
taking out the good and only seeing the negative
mental filter
pretending that something is greater or lesser than it actually is
magnification and minimization
decision-making is driven by emotions
emotional reasoning
personalizing events that aren’t really related to oneself; thinking that it’s their own fault
personalization
being able to attend to and interpret social cues
receptive behaviors
what to do to fit in in the current environment; can counsel someone on how to anticipate this in advance
social intelligence
while you’re trying to counsel pt. with one problem, they’re trying to flood you with other problems
problem flooding
reject anything that you’re trying to offer - all they want to do is complain
help rejecting complainer
changing topics while you’re trying to solve a problem
distraction
what is one of the most common groups that OTs will run in MH settings?
stress management
- huge issue with seriously mentally ill population
- illness can interfere with ability to do this
work
- explore work interests, values, self-efficacy
- reassess work skills and abilities
- resume skills
pre-vocational
