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CBT

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on 11 July 2013

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Transcript of CBT

Cognitive Therapy
Efficacy
Efficiency
Evidence based
No evidence for symptom substitution
Breadth of application
Blend of clinician and scientist
Cognitive Behavioral theory
Goal is to modify dysfunctional patterns of thinking

Both cognitive & behavioral techniques

Typically 14 to 16 sessions. Many patients show a remission of symptoms in 8 to 12 sessions.

Therapist is an active, supportive collaborator.
What really works?
Dehumanizing
Inner growth
Manipulation & control
Do these effects generalize to real-world?
Lack of a unifying theory
Limitations
Strengths


What disturbs men’s minds is not events but their judgments of events

The only way to happiness and is to stop worrying about things which are beyond your control

We are what we think

Our thoughts make the world

Detachment from suffering

•Julian Rotter:
Behavior is influenced by social context or environmental factors, and not psychological factors alone

•Formula to predict behavior
:
Behavior Potential (BP) = f (Expectancies * Reinforcement Value)

•e.g. More likely to listen in class if you expect that it will improve your grade and you find the topic appealing


Vicarious learning









Attention, Retention, Motivation, Reproduction.
•Self-observation
: keep tabs
•Judgment
: compare to a standard
•Self-response
: rewarding or punishing self-responses
•Self-concept
: rewarding responses = pleasant self-concept
•Watson & Raynor (1920): Albert
•Mary Cover Jones (1924): Peter
Reciprocal inhibition
Identify maladaptive thoughts
Challenge these thoughts



Re-attribute ‘blame’ to appropriate source
Schedule activities to counteract tendency to focus on negative


Increase pleasurable activities
Increase competence and mastery
Cognitive rehearsal, role plays
Homework e.g. diary, critical thinking
Humor
Positive imagery
Techniques
Rational Emotive Behavior Therapy
A
ctivating events
B
eliefs
C
onsequences
D
isputation
E
ffectiveness
Social Learning Theory
Bandura
Aaron Temkin Beck
Albert Ellis
Arbitrary Inference:
Jumping to illogical conclusions

Selective Abstraction:
One minor detail provides the basis for a negative conclusion

Personalization or self-referencing:
Taking things personally

All or nothing thinking:

A false dilemma
Dichotomous or Polarized thinking:
People and situations are either all-good or all-bad.

Labeling and Mislabeling:
Holding on to irrelevant labels

Magnification and Minimization:
Overestimating or underestimating the relevance of a situation.

Catastrophizing:
Strong conclusions on the basis of a single or small number of incidents
Emergency room, inpatient psychiatric hospital
Assessed and medication treatment for 3 weeks
Continued meds, treated by psychologist with CBT
Mom and Dad separated
Moved out of state
New school, no friends
Weight problem
Bullying
Mom working 2 jobs
Anna alone at home
Depressed
Cut Wrists
Presenting Problem
Anna Thompson
16 year old
African American
Resume school
Improve mood
Socialization
Weight loss
Self-esteem
Evaluate accuracy of thoughts
Understand the connection between thoughts and behavior
Substitute negative thoughts with more positive and realistic thoughts

Therapy for a year No evidence of depression or suicidal thoughts at 6-month follow up.
Treatment
Goals
Cognitive Distortions
Cognitive Distortions
Behaviorism
Kearney, C. A. (2010). Casebook in Childhood Behavior Disorders. Wadsworth
Exercise
Person
Environment
Buddha
Epictetus
Reciprocal Determinism
Negative Triad
Negative views about the world

"Everybody hates me"
Negative views about oneself

"I'm worthless"
Negative views about the future

"Nothing good will happen to me"
Full transcript