Clinical Psych Final Ch 10 Cognitive Therapy Beck

Front 1

Basic Theory

Back 1

to understand the nature of an emotional episode or disturbance it is essential to focus on the cognitive content of an individual's reaction to the upsetting event or stream of thoughts

Front 2

Goals: to change the way clients think by using their ________ to reach the core schemata and begin to introduce the idea of _______ ___________

Back 2

automatic thoughts, schema restructuring

Front 3

Automatic thoughts

Back 3

personalized notions that are triggered by particular stimuli that lead to emotional responses

Front 4

Therapy is ________ focused and emphasizes changing critical or negative _________ and __________ that can lead to emotional disorder

Back 4

automatic thoughts, maladaptive beliefs

Front 5

Theoretical Assumptions

Back 5

people's internal communication is accessible to introspection

clients' beliefs have highly personal meanings

these meanings can be discovered by the client rather than being taught or interpreted by the therapist

Front 6

How Beck modernized counseling

Back 6

minimized exploration of childhood

moved Tx toward exploration of daily issues instead of larger issues

focused on common sense meaning of problems, rather than generating elaborate interpretations

moved away from symbolism and took clients' reports at face value

placed importance on clients' verbalization as being right until proven otherwise

placed primary importance on thinking, not unconscious motives or drives

Front 7

We all have idiosyncratic vulnerabilities that predispose us to psychological distress. These vulnerabilities are related to ________ -- a person's fundamental beliefs about themselves and the world. these personality structures are called ________ -- ways of organizing about ourselves and the world

Back 7

personality structures, cognitive schemata

Front 8

Overarching goals of Cognitive Therapy according to Beck

Back 8

1. Correct faulty info processing, modify dysfunctional beliefs and assumptions that maintain maladaptive behaviors and emotions

2. Have client recognize their AT with cognitive distortions (CD), then evaluate their CD, then to change their AT to be more adaptive and less distorted

by focusing on AT, you can eventually see a client's faulty underlying assumptions with which they are operating.

Front 9

Initial goals of therapy

Back 9

1. identify AT and CD

2. have client reality test their CD by identifying evidence that is contrary to their currently operating beliefs and conclusions

3. get client to observe and to admit into their info processing in subsequent situations all relevant data in a situation, not just that data that is consistent with their dysfunctional beliefs

Front 10

Middle goals of therapy

Back 10

4. Help clients to learn about the influence of their faulty thinking on their feelings and their behavior

5. Develop a more realistic appraisal of situations -- clients learn to do their own reality testing

6. Do various therapy tasks: homework, gathering data on their assumptions-- be their own scientist, keep records of their thoughts and activities, learn f=to form alternate interpretations about situations

Front 11

Final goals of therapy

Back 11

7. clients learn to substitute realistic and accurate interpretations for their biased cognitions

8. clients learn to modify the dysfunctional beliefs and assumptions that predispose them to distort their experience

Front 12

Thinking distortions

Back 12

all-or-nothing thinking
overgeneralization
mental filter
disqualifying the positive
jumping to conclusions
(mind reading, fortune telling)
magnification (catastrophizing) or minimization
emotional reasoning
should statements
labeling and mislabeling
personalization
self-worth

Front 13

Cognitive Triad associated with Depression

Back 13

Negative Self-concept

Erroneous Interpretation of Events

Negative Future Probability

a result of negative thinking, devaluing oneself and interpreting reality through that lens. as a result, one holds a negative view of the future

these thoughts tend to become self-fulfilling

Front 14

The Four Column Technique

Back 14

Objective situation (triggering event)

Negative thoughts

Negative Feelings and Dysfunctional Behaviors

Challenges to the negative thoughts

Front 15

REBT in general

Back 15

Albert Ellis

direct questioning and persuasion

hierarchical stance

more theoretical

Front 16

Cognitive therapy in general

Back 16

Emphasizes Socratic method

More collaborative in nature

More research based