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23 Cards in this Set

  • Front
  • Back
What is cognitive therapy?
A treatment approach that focuses heavily on modifying ineffective thinking patterns in an effort to effect lasting change in mood and behavior
What are the central tenets of the cognitive model?
Cognitions have a controlling influence on our emotions and behavior

How we act or behave can strongly affect our thought patterns and emotions
Cognitive model... what are Automatic Thoughts (AT) ?
thoughts or images that occur instantly and thus not likely under conscious awareness (occurs at preconscious level of awareness

AT occur “automatically”
AT can be both positive and negative
Hopelessness, low self-esteem, failure /fear are common themes
AT occur in everyone
Cognitive model... what are schemas?
templates/rules/working models for information processing (occurs at preconscious and unconscious levels of awareness

Shaped in early childhood through individual experiences
Early schemas are influenced later on by life experiences
Schemas are thought to assist in managing information in
order to facilitate analysis and decision-making
There are adaptive and maladaptive schemas in everyone
May lie dormant until they are activated by a stressful event
(stress-diathesis hypothesis)
Degrees of schemas....

what are simple schemas?
simple basic rules about life
Degrees of schemas...

What are intermediary beliefs?
– conditional rules “if-then” statements
Degrees of schemas...

What are core beliefs?
global and absolute rules for understanding experiences as related to self
who am I?

systematic errors in logic or information processing (occur at preconscious and unconscious levels)

Goal is to help patients recognize that errors are occurring and to identify which one’s they are more prone to exercising
cognitive errors
what is All-or-nothing thinking?
(aka absolutistic or dichotomous thinking) – defining or categorizing things in one of only two opposing ways
What is overgeneralization?
making general sweeping statements based on a few isolated incidents
what is arbitrary inference (aka jumping to conclusions)?
reaching a conclusion about something despite contradicting evidence or in the absence of any evidence altogether
What is Catastrophizing (aka fortune telling) ?
believing that one knows what the future will bring, in negative terms, without considering other likely outcomes
Cognitive errors.. what is Magnification / Minimization?
overemphasizing of the negative while underemphasizing the positive when evaluating self, others, and/or situations
Cognitive errors... what is emotional reasoning?
believe it is true because you “feel” it is true, to the extent that any contradicting evidence is ignored
Cognitive errors... what is Discounting the Positives?
disregarding positive events as unimportant or as a result of external events
Cognitive errors.. what is Personalization?
attributing external events to self, without evidence
The term_____________refers to the empirical investigative process of therapy b/w TH & PT.
collaborative empiricism
Ways to identify AT (automatic thought).....
Recognizing mood shifts

psychoeducation

guided discovery

imagery exercises

role-play exercises

hypothesizing

Ascertaining the Meaning of an Event
Ways to modify AT...
Socratic questioning

Thought-Change Records

Recognizing Cognitive Errors

Examining the Evidence

Decatastrophizing

Alternative Thinking

Cognitive Rehearsal

Reattribution
Modifying AT...

What is reattribution?
Draws pt’s attention to the tendency to automatically become more rigid in our manner of attributing new information/experiences/etc.

Internal v. External
General v. Specific
Invariant v. Variable
Ways to identify schemas...
thought recording

imagery exercises

recognizing mood shifts

role play exercises
Ways to modify schemas...
Socratic questioning

examining evidence

listing advantages and disadvantages
What is...

Beck’s Theory of Depression: Cognitive Triad
Negative beliefs about:
1 – Self
2 – Others
3 – World and Future