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Cognitive Behavioural Therapy

Cognitive Behavioural Therapy. CBT Based on Pages 174-176 of the Course Companion. Cognitive etiology of depression. What is one of the cognitive etiologies of depression?. Cognitive etiology of depression. What is one of the cognitive etiologies of depression?

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Cognitive Behavioural Therapy

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  1. Cognitive Behavioural Therapy CBT Based on Pages 174-176 of the Course Companion

  2. Cognitive etiology of depression • What is one of the cognitive etiologies of depression?

  3. Cognitive etiology of depression • What is one of the cognitive etiologies of depression? • That depression is caused by distorted cognitions (e.g. self-defeating thoughts)

  4. How could cognitive psychologists treat distorted cognition?

  5. How could cognitive psychologists treat distorted cognition? • By replacing negative cognitions with more realistic and positive ones • (easier said than done)

  6. Aaron Beck • Have you heard that name before?

  7. Aaron Beck’s Cognitive Restructuring • Beck’s theory (1960s) still the core of many cognitive therapies today.

  8. The principles of Beck’s approach • Identify negative, self-critical thoughts that occur automatically

  9. The principles of Beck’s approach • Identify negative, self-critical thoughts that occur automatically • Note the connection between negative thought and depression

  10. The principles of Beck’s approach • Identify negative, self-critical thoughts that occur automatically • Note the connection between negative thought and depression • Examine each negative thought and decide whether it can be supported

  11. The principles of Beck’s approach • Identify negative, self-critical thoughts that occur automatically • Note the connection between negative thought and depression • Examine each negative thought and decide whether it can be supported • Replace distorted negative thoughts with realistic interpretations of each situation

  12. schemas • How does Schema Theory relate to Depression?

  13. schemas • How does Schema Theory relate to Depression? • Negative self-schemas bias a person’s thinking.

  14. Cognitive Behavioural Therapy • A brief form of psychotherapy

  15. Cognitive Behavioural Therapy • A brief form of psychotherapy • Focuses on current issues and symptoms

  16. Cognitive Behavioural Therapy • A brief form of psychotherapy • Focuses on current issues and symptoms • 12-20 weekly sessions

  17. Cognitive Behavioural Therapy • A brief form of psychotherapy • Focuses on current issues and symptoms • 12-20 weekly sessions • Daily practice exercises

  18. Cognitive Behavioural Therapy • A brief form of psychotherapy • Focuses on current issues and symptoms • 12-20 weekly sessions • Daily practice exercises • Based on Beck’s cognitive therapy and includes behaviour modification

  19. 2 aims of CBT • There are two main aims of CBT: • The first is to identify and correct faulty cognitions and unhealthy behaviours

  20. Beck’s 6 patterns of faulty thinking • Arbitrary reference – drawing wrong conclusions about oneself by making invalid connections

  21. Beck’s 6 patterns of faulty thinking • Selective abstraction – drawing conclusions by focusing on a single part of a whole (you got a low mark in an Algebra test, but in general you’re a great mathematician)

  22. Beck’s 6 patterns of faulty thinking • Overgeneralization – applying a single incident to all similar incidents (arguing with one friend does not mean that you have no friends)

  23. Beck’s 6 patterns of faulty thinking • Exaggeration – overestimating the significance of negative events

  24. Beck’s 6 patterns of faulty thinking • Personalization – assuming that others’ behaviour is done with the intention of hurting or humiliating you

  25. Beck’s 6 patterns of faulty thinking • Dichotomous thinking – an all-or-nothing approach to viewing the world

  26. “I never do anything right” • Underlying cognitive distortions is a cognitive schema, which processes incoming information so that it fits with the biased self-perception – e.g. positive events or successes may be filtered out to fit with the view of the self as a failure. • Can you think of an example?

  27. The second aim of CBT is to encourage people to gradually increase any activities which may be rewarding

  28. AIMS of CBT • Help the client change faulty thinking patterns and underlying schemas • Help the client to develop coping strategies and problem solving skills, and to engage in behavioural activation

  29. Meta-awareness • One important feature of CBT is to teach the client meta-awareness – the ability to think about their own thoughts (Teasdale 1997)

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