CBT_PP FINAL
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Transcript CBT_PP FINAL
Cognitive Behavioral Therapy
Jenna Schmidt, Paul Singh, Anne Roach
History
• Psychological distress stems from faulty or
damaging mental processing from an experience
• Deal with cognitions, interpretations, beliefs and
responses, with the aim of influencing problematic
emotions and behaviors.
• Reorganization of one’s self-statements will result
in a corresponding reorganization of one’s
behavior.
Albert Ellis
Rational Emotive Therapy (REBT)
Goal of Happiness
ABC Model
Eleven irrational beliefs
You FEEL the way you THINK
It is not the events taking place in our lives
that upset us
It is the beliefs that we hold that cause us to
become depressed, anxious, enraged, etc.
The Goal of Happiness
We want to be happy whether we are
alone or with others
We want to be well informed and
educated
We want a good job with good pay
We want to enjoy our leisure time
ABC MODEL
A. Something happens
B. You have a belief about the situation
C. You have an emotional reaction to the belief
Ellis’s Model
ABC Model of Emotional Disturbance
A
B
C
Belief
Emotional
Consequence
A
B
C
Difficulty
Understanding
Math Text
I’ll never
get this!
Feeling
Miserable
Activating
Event
For Example:
D- Disputing Intervention
The therapists disputes the client’s irrational
beliefs
- “Why must you win everyone’s approval?”
- “Where is it written that other people must
treat you fairly?”
- “Just because you want something, why must
you have it?”
E- Effective New Philosophy
The client learns new ways to substitute
more adaptive thoughts in place of the
beliefs that often involve unrealistic and
over-generalized attributions
- “I don’t’ need everyone’s approval”
- “Others don’t need to treat me fairly”
F- Feelings (new)
The client’s new trains of thought lead
to more effective and rational behavior
- “I can approval by my boss by going
above and beyond what is expected of
me”
- “I really want that new Channel purse,
after I save my money, I will buy it”
ABC MODEL
Video:
http://www.youtube.com/watch?v=DxUKR1f_WA
11 Irrational Beliefs
1. Essential for a person to be loved or approved
2. A person must be perfectly complete
3. Some people are bad, and should be
punished.
4. It is terrible when things are not as a person
wants them to be.
5. Unhappiness caused by outside
circumstances; person has no control over it.
6. Dangerous, fearsome things cause for great
concern; possibilities must be dwelt on.
Irrational Beliefs cont.
7. It is easier to avoid certain difficulties than
to face them.
8. A person should be dependent on others.
9. Past experience and events are the
determinants of present behaviors
10. A person should be upset over other
people’s problems and disturbances.
11. There is always a right perfect solution to
every problem, and it must be found.
Activity
Aaron Beck
• Cognitive Therapy
• Recognizing & changing negative, maladaptive
thoughts
• Reorganization of self-statements will result in
a corresponding reorganizing of behavior.
Beck’s
Model of Emotional
Disturbances
I’m
Incompetent
Difficulty
Understanding
Math Text
I’ll never
get this!
( Activating
Event )
( Automatic
Thought )
( Core
Belief )
Feeling
Miserable
( Emotional
Consequence )
(Livingston, 2008)
Beck’s Cognitive Triad
• Depressed people are plagued by
a cognitive triad of beliefs:
1.The client sees self as “defective,
inadequate, diseased, and deprived”
2.Client interprets experience as
negative
3.Client sees the future as continuing in
a grim fashion and expect failure
http://slabbed.files.wordpress.com/2008/08/depression-becks-theory3.jpg
Beck’s Model of Emotional
Disturbance
Activating
Event
Automatic
Thought
Emotional
Consequence
(Livingston, 2008)
Example of: Mood Log
Automatic
Thoughts:
Distortions
Rational Response
My mind will just
wander like
yesterday.
I can’t remember
anything I read.
I can’t possibly
read 200 pages
this week…
(Livingston, 2008)
Goals of Cognitive Therapy:
Change the way a client thinks by
using automatic thoughts and schema
restructuring
Cognitive Schemas contain
peoples perceptions of themselves
and others, their goals and
expectations, memories, fantasies,
and previous learning.
Therapy
Brief & Structured
Problem Solving
Goals:
• Change irrational beliefs into rational beliefs
• for the client to develop a new way of thinking
and substitute
it for an old way that has not worked well
• Client can become own therapist for future
Therapeutic Relationship
Collaborative
Persuasive Teacher
Model Behavior
Techniques
Ellis’s ABC Model
Beck’s Cognitive Triad
Collaborative Empiricism
Socratic Dialogue
Training
- Albert Ellis Institute, New York, NY
- Beck Institute for Cognitive Therapy &
Research, Bala Cynwyd, PA
Certifications Offered
by the National Association of
Cognitive-Behavioral Therapists
Diploma in Cognitive-Behavioral Therapy
Certified Cognitive-Behavioral Therapist
Benefits
Brief form of therapy
REBT effective for helping people in crisis
Affective for individuals, groups, coupled, or
families
Discourages dependence on the therapist
Has emphasis on outside work
Risks/Limitations/Criticisms
Prescriptive Model
Cultural Concerns
Unfinished Business
Brainwashing
Most Common Theories (400 Theories)
(Livingston, 2008)
References
• Corey, G. (2004). Theory and practice of counseling
and psychotherapy: student manual (7th ed). Pacific
Grove, CA: Brooks Cole Company.
• Cormier, S., Nurius, P., Osborn, C. (2003). Interviewing
and change strategies for helpers (6th ed). Belmont,
CA: Brooks Cole Company
• Corsini, R.J., & Wedding, D. (2000). Current
psychotherapies (6th ed). Itasca, IL: F.E. Peacock
Publisher, Inc.
• Day, S.X. (2008). Theory and design in counseling and
psychotherapy (2nd ed.). Boston: Lahaska Press.
• Livingston, T. M. (2008). Behavioral therapies &
cognitive behavioral therapies. Counseling Theories. St.
Cloud: St. Cloud State University.