Week 6 - CBT Flashcards

1
Q

What was the origin of Beck’s theory that one’s underlying cognitive schema, or floor plan, leads to beliefs about oneself and that one can challenge beliefs that lead to self-destructive behaviors?

A

Overcoming his early negative beliefs about himself and later being one year ahead of his peers although he previously believed he wasn’t smart enough/was inept.

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2
Q

Beck realized that different disorders presented with specific BLANK, or false beliefs about the world, that fueled the disorder.

A

Cognitive distortions

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3
Q

A number of variations of CBT are often subsumed under the broader heading of cognitive-behavioral approaches, what are they?

A

-Rational emotive behavior therapy
-Dialectical behavior therapy
-ACT
-Constructivist therapy
-Multimodal therapy

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4
Q

True or False: Beck suggests that there is a genetic and evolutionary predisposition toward emotional responses that were adaptive in the distant past but can sometimes be maladaptive in today’s world (i.e. anger and anxiety)

A

True

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5
Q

What is the continuity hypothesis?

A

Beck suggests that there is a genetic and evolutionary predisposition toward emotional responses that were adaptive in the distant past but can sometimes be maladaptive in today’s world (i.e. anger and anxiety). These older, emotional responses are seen as “continuing into the modern world”.

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6
Q

What is the diathesis-stress model of mental disorders?

A

Based on one’s genetic predisposition, some individuals will tend to develop certain mental disorders when placed under stress.

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7
Q

True or False: Beck assumes that even those who do exhibit maladaptive responses can change in a relatively short amount of time, through therapeutic discourse with others, particularly if an individuals learns how to modify their cognitive processes.

A

True

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8
Q

True or False: Although some individuals have a tendency toward exhibiting maladaptive emotional responses, a proportion of these will not express them if they were taught effective skills by parents and others, even if they had a genetic predisposition toward them. And taking a rational, pragmatic, and some say constructionist perspective.

A

True

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9
Q

True or False: CBT is seen as an antideterministic, active, educative, structured, time sensitive, and empirical approach to counseling that suggests that people can manage and effect changes in their way of living in the world if given the tools understand their cognitive processes and how they affect feelings, behaviors, and physiological responses.

A

True

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10
Q

What do Beck and other cognitive therapists believe combine to produce specific core beliefs, some of which may lie dormant and then suddenly appear as the result of stress and other conditions impinging on that person?

A

-Genetics
-Biological factors
-Experiences

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11
Q

BLANK are embedded, underlying beliefs that provide direction toward the way one lives in the world.

A

Core beliefs

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12
Q

Negative core beliefs and positive core beliefs lead to what?

A

Negative feelings and dysfunctional behaviors; positive core beliefs lead to healthy ways of living.

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13
Q

Beck suggests that most individuals are not aware of their core beliefs. Instead, most such beliefs become the underlying mechanism for the creation of BLANK, which set the attitudes, rules and expectations, assumptions by which we live.

A

Intermediate beliefs

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14
Q

These attitudes, rules, expectations, and assumptions can be understood by looking at how situations lead to what are called BLANK and associated BLANK, which result in a set of behaviors, feelings, and physiological responses that end up reinforcing core beliefs. Thus the cycle is continued.

A

Automatic thoughts; cognitive distortions

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15
Q

If a counselor can accurately BLANK, that counselor can begin to make an educated guess as to some of the automatic thoughts and associated cognitive distortions, intermediate beliefs, and core beliefs the client might have.

A

Diagnose a client

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16
Q

True or False: Although CBT is mostly a present-focused approach, Judith Beck suggests that examining the past might be helpful when the client has a strong desire to do so and avoiding such a discussion could harm the therapeutic alliance and when understanding the past can illuminate why clients think the way they do and help them change their rigid thinking.

A

True

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17
Q

True or False: Cognitive therapists believe it is important to address all aspects of the individual if change is to occur relatively quickly.

A

True

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18
Q

What is the cognitive model?

A

Describes three levels of cognition: core beliefs; intermediate beliefs; automatic thoughts

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19
Q

What are core beliefs?

A

Fundamental beliefs that underlie how we think, feel, and behave

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20
Q

What are intermediate beliefs?

A

Attitudes, rules, expectations, and assumptions that are outgrowths of our core beliefs

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21
Q

What are automatic thoughts?

A

Result in our behaviors, feelings, and physiological responses and are the outgrowth of our intermediate beliefs.

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22
Q

True or False: Cognitive therapists believe it is usually important to initially focus on automatic thoughts, not core beliefs.

A

True; this is because core beliefs are seen as more embedded and less assessable than clients’ automatic thoughts, and consequently, automatic thoughts are more easily “caught” are a more natural starting point (i.e. a core belief of “I am inadequate” is much more difficult for a client to initially grasp than an automatic thought of “i will never get this report done right”)

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23
Q

How can a counselor begin to hypothesize about the intermediate beliefs that produce the automatic thoughts and ultimately begin to understand the core beliefs that fuel the intermediate beliefs?

A

By assessing and diagnosing the client and by examining the client’s automatic thoughts.

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24
Q

What are the three broad categories of negative core beliefs?

A

-Helplessness
-Unlovability
-Worthlessness

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25
Q

When situations arise, individuals respond with BLANK and BLANK that are products of their attitudes, rules and expectations, and assumptions (intermediate beliefs), which themselves are developed from one’s core beliefs.

A

Automatic thoughts and images

26
Q

Automatic thoughts that are the result of negative core beliefs are closely associated with BLANK, which are inaccurate statements of beliefs about the world that result in problematic behaviors and feelings.

A

Cognitive distortions

27
Q

What are examples of cognitive distortions?

A

-All-or nothing thinking: black and white
-Catastrophisizing
-Disqualifying or discounting the positive
-Emotional reasoning
-Labeling
-Magnificiation/minimization
-Mental filter
-Mind-reading
-Over-generalization
-Personalization
-“Should” and “must” statements
-Tunnel vision

28
Q

What are helpless core beliefs?

A

I am incompetent, ineffective, needy, trapped, a failure, not good enough, a loser, powerless, weak, vulnerable, a victim, can’t do anything right

29
Q

What are unlovable core beliefs?

A

I am unlikable, undesirable, unwanted, uncared for, bad, defective, bound to be rejected, etc.

30
Q

What are worthless core beliefs?

A

I am worthless, unacceptable, morally bad, toxic, evil, don’t deserve to live.

31
Q

Individuals who have negative core beliefs want to protect themselves from the pain such beliefs will inherently cause them. Thus they develop BLANK in order to steer them away from their negative core beliefs.

A

Coping strategies (also known as compensatory strategies).

For example, a person with a core belief that they are inadequate might develop the strategy of overachieving in an effort to steer oneself away from feeling inadequate.

32
Q

What activities are included in the process of cognitive conceptulization?

A

-Gathering important childhood data (understanding a person’s history can help identify beliefs that have been developed_
-Accurately identifying client problems (certain problems lend themselves toward certain kinds of beliefs)
-Determining the client’s diagnosis (diagnoses tend to correlate with specific beliefs)
-Having the client identify automatic thoughts and cognitive distortions (specific automatic thoughts and cognitive distortions are associated with underlying beliefs)
-Identifying resulting emotions, physiological responses, and behaviors related to the automatic thoughts (responses tend to cluster as a function of specific beliefs)
-Identifying past and current stressors that might have led to the development of specific-beliefs

33
Q

What is cognitive conceptualization?

A

A distinctive feature of Beck’s CT theory is the cognitive specificity hypothesis which proposes a distinct cognitive profile for each psychiatric disorder.

34
Q

What are the 14 basic principles that are core to the therapeutic process?

A

-CBT treatment plans are an ever-evolving cognitive conceptualizations
-CBT requires a sound therapeutic relationships
-CBT continually monitors client progress
-CBT is culturally adapted and tailors treatment to the individual
-CBT emphasizes the positive
-CBT stresses collaboration and active participation
-CBT is aspirational, values based, and goal oriented
-CBT initially emphasizes the present
-CBT is educative
-CBT is time sensitive
-CBT sessions are structured
-CBT uses guided discovery and teaches clients to respond to their dysfunctional cognitions
-CBT includes Action Plans (i.e. homework)
-CBT uses a variety of techniques to change thinking, mood, and behavior

35
Q

What are the essential techniques of CBT?

A

-Building a strong therapeutic alliance
-Educating the client about the cognitive model
-Socratic questioning
-Identifying and challenging automatic thoughts and images
-Identifying and challenging cognitive distortions
-Identifying intermediate beliefs
-Identifying and challenging core beliefs
-Doing homework assignments

36
Q

How does a CBT therapist build a strong therapeutic alliance?

A

-Being collaborative
-Demonstrating empathy, caring, and optimism
-Adapting one’s therapeutic style to the client’s needs

37
Q

What is the Socratic questioning process?

A

Gently challenging clients to think differently and rationally about their situation to illuminate alternative ways of understanding predicaments.

Conducted with a helpful spirit, such questioning is mostly used after the relationship has been established to identify and challenge the client’s use of dysfunctional automatic thoughts and cognitive distortions, rigi rules and assumptions and negative core beliefs.

38
Q

Because counselors applying CBT “work backwards” toward helping clients see how their core beliefs affect the very basis of who they are, the first step after building the relationship is to help clients identify their BLANK.

A

Automatic thoughts and images.

39
Q

Which thoughts are the most readily understood aspect of the cognitive model because clients can easily “catch” them and because they can quickly see the direct connection between their thoughts and their negative feelings and dysfunctional behaviors?

A

Automatic thoughts and images

40
Q

After identifying automatic thoughts, therapists will generally identify and challenge BLANK.

A

Cognitive distortions, which is often completed by simply handing the client the list of distortions and reviewing it with them.

41
Q

Once clients can identify and challenge their automatic thoughts and associated cognitive distortions, they can move to the next level of beliefs by identifying BLANK.

A

Intermediate beliefs; this is accomplished by examining the attitudes, rules and expectations, and assumptions that drive their thoughts and associated distortions.

42
Q

Usually, seamless movement occurs from the client’s awareness of their attitudes, rules and expectations, and assumptions (intermediate beliefs), to identifying and challenging the BLANK that created them.

A

Core beliefs

43
Q

What are the commonly used techniques in CBT?

A

-Thought stopping
-Imagery changing
-Rational-emotional role-play
-Behavioral and emotive techniques

44
Q

What is thought stopping?

A

-Replacing a negative thought with a newly identified positive one
-Yelling to oneself outloud, stop it
-placing a rubber band and snapping it when one has a negative thoughts
-actively diverting one’s thoughts to more pleasant thoughts
-participating in a relaxation exercise to move one’s thoughts to a different place

45
Q

True or False: a major strategy of CBT is for the client to realize that automatic thoughts are related to negative feelings and dysfunctional behaviors.

A

True

46
Q

What are the eight imagery-changing techniques?

A

-Following images to completion
-Jumping ahead in time
-Coping in the image
-Changing the image
-Reality testing the image
-Repeating the image
-Image stopping
-Image distracting

47
Q

What is rational-emotional role play?

A

Allows clients to have a debate between the rational and emotional parts of themselves.

48
Q

True or False: a multifaceted approach that includes addressing behavioral and emotive techniques can help the change process occur more rapidly.

A

True

48
Q

What is involved in the counseling process?

A

-Intake and evaluation
-The first session
-The second and subsequent sessions
-Termination

49
Q

What happens in the intake and evaluation?

A

-Greeting the client and building a therapeutic alliance
-Discussing the purpose and process
-Conducting a mood check (scale of 1 - 10)
-Conducting the assessment
-Developing broad initial goals
-Eliciting feedback from the client

50
Q

What is the focus of the first session?

A

Building the relationship, instilling hope in the client, and educating and orienting the client to the cognitive model.

51
Q

What happens in the first session?

A

-Conduct a mood check
-Set the agenda
-Obtain an update
-Discuss the diagnosis
-Educate the client about the cognitive model
-Identify values and aspirations
-Review presenting problems and set goals
-Summarize the session and develop homework assingments

52
Q

What is the focus of the second and subsequent sessions?

A

Strengthening the therapeutic alliance, symptom relief, and obtaining a deeper understanding of the cognitive model.

53
Q

What happens in the second and subsequent sessions?

A

-Conduct a mood check
-Set the agenda
-Review the homework
-Shift from automatic thoughts to intermediate and core beliefs

54
Q

True or False: Because it is predicated on the alleviation of identified symptoms, CBT tends to be short-term and from the very first sessions, there is an eye to the last session and termination from therapy.

A

True.

55
Q

True or False: Although the therapist takes a more directive and educative role early on in this process, as the client increasingly learns how to work independently on their issues, the counselor takes a lesser role.

A

True

56
Q

True or False: As counseling continues, the counselor should expect client setbacks, as the client struggles to work on their problems and as the hypotheses that originally were formed become slightly changed.

A

True.

57
Q

What five domains should counselors consider when introducing CBT interventions with culturally diverse clients?

A

-Creating a healthy environment
-Learning something new
-Assertiveness, conflict resolution, and other communication skills
-Social support
-Self-care activities

58
Q

What is a method that is used when considering social, cultural, and spiritual issues when employing CBT?

A

Culturally adapted CBT. More intentionally grounds the intersectional cultural identities possessed by culturally diverse clients into the therapeutic process.

59
Q

True or False: CBT is a short-term, structured, rational, pragmatic, evidence-based practice and one the most used culturally adapted psychotherapy.

A

True

60
Q

A framework for using CBT when working with marginalized clients is what?

A

The acronym addressing