1 / 17

Chapter 12: Cognitive Behaviour Therapy: Behaviour Restructuring

Chapter 12: Cognitive Behaviour Therapy: Behaviour Restructuring. Thinking and Doing. Our behaviour is largely based on cognitions about ourselves and the world around us A cognition is a thought coupled to an emotion Weight/valence that compels behaviour in a particular direction

tandice
Download Presentation

Chapter 12: Cognitive Behaviour Therapy: Behaviour Restructuring

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 12:Cognitive Behaviour Therapy:Behaviour Restructuring CBT Chapter 12

  2. Thinking and Doing • Our behaviour is largely based on cognitions about ourselves and the world around us • A cognition is a thought coupled to an emotion • Weight/valence that compels behaviour in a particular direction • Illusion of veracity and constancy CBT Chapter 12

  3. How are cognitions changed? • Directly by identifying maladaptive behaviours • Substituting with adaptive behaviours • Cognitive Restructuring CBT Chapter 12

  4. How are cognitions changed? 2. Indirectly by changing behaviours first • Supporting cognitions (beliefs) are unnecessary • “Fake it till you make it” • Coping Skills CBT Chapter 12

  5. Operationalizing Cognitions • Heavy reliance on language: Self Talk • Explicit statement by the client on what they’re thinking • Often unaware of self talk, so the first step is bringing this to awareness • Easiest approach to doing this is to use “Think-aloud” CBT Chapter 12

  6. A. Thought Stopping! • Conditioning of maladaptive cognition • Shouting “Stop!” following cognition • Differential reinforcement with adaptive cognition • Imagery Rescripting: transforming maladaptive cognition into a tolerable or pleasant one CBT Chapter 12

  7. B. Rational Emotive Behaviour Therapy (Ellis, 1962) • Psychological problems are maintained by people’s interpretations of events • Most people believe “things” (objective reality??) cause emotions i.e. the parking spot phenomenon • Beliefs, not objects, are what affect us • All life situations are neutral CBT Chapter 12

  8. Rational Emotive Behaviour Therapy (Ellis, 1962) CBT Chapter 12

  9. Obsessive Musterbation:Irrational beliefs Common irrational beliefs: • Absolute thinking: world is black and white • Overgeneralization from specific instances • Catastrophizing: exaggerating the impact of negative situations Two general themes: • Personal worthlessness • Sense of duty CBT Chapter 12

  10. Process of REBT • Identification of irrational thoughts • Challenging irrational beliefs • Replacing irrational with rational beliefs • An argument with the therapist, where client is required to justify the logic of beliefs CBT Chapter 12

  11. REBT: Pros • Rationality makes sense • Takes advantage of authority role of therapist • Wide application • Phobias, depression, anxiety, obesity, anger management • Can be used with people’s varying belief systems CBT Chapter 12

  12. REBT: Cons • Not appropriate for some disorders that involve rebelliousness • personality disorders, substance abuse, eating disorders, OCD • Direct confrontational style is unappealing to some people • Confrontation may not be necessary for successful treatment CBT Chapter 12

  13. C. Cognitive Therapy (A. Beck, 1963) • Involves hypothesis testing of client’s beliefs • Search for supporting evidence • Less confrontational, more collaborative • Assertive, Socratic dialogue CBT Chapter 12

  14. Cognitive Therapy (A. Beck, 1963) • Irrational cognitions are automatic thoughts • Reflexive reactions that appear reasonable and valid to the client • No questioning of automatic thoughts • “Corrective functions”, such as reality testing and refined global conceptualizations, are weak • Instead there are selective, egocentric, rigid (lazy) cognitions CBT Chapter 12

  15. Cognitive Therapy (A. Beck, 1963) Cognitive Distortions: • Arbitrary inference • Overgeneralization • Selective abstraction • Personalization (misattribution) • Polarized (black and white) thinking • Magnification or minimization CBT Chapter 12

  16. Process of CT • Collaboration between therapist and client • Establishing a good relationship • Socratic dialogue • Collaborative criticism • Determining conclusions, choosing interventions CBT Chapter 12

  17. CT in Perspective • Cognitive distortions are common in many psychological disorders. • CT is particularly effective in the treatment of depression, even in severe cases. • Intuitively pleasing, less confrontational, and emphasizes a “self control” approach. CBT Chapter 12

More Related