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Therapies – Chapter 13

Therapies – Chapter 13. Cognitive Therapies. based on changing clients’ perceptions Stress Inoculation – focuses on self-talk REBT - Developed by Ellis Based on irrational beliefs – musts and shoulds ABC’s of REBT. The A-B-C theory. The A-B-C theory - Example.

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Therapies – Chapter 13

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  1. Therapies – Chapter 13

  2. Cognitive Therapies • based on changing clients’ perceptions • Stress Inoculation – focuses on self-talk • REBT - Developed by Ellis • Based on irrational beliefs – musts and shoulds • ABC’s of REBT

  3. The A-B-C theory

  4. The A-B-C theory - Example • A – Activating Emotional Experience • Reading chapters on counseling approaches presenting a dozen complex theories • B- Belief • I feel so stupid that I can’t understand this stuff. • This is terrible. I’ll never be a good counselor. • I should be able to pick this stuff up faster. • C – Consequences • Anxiety, Fear, Confusion, Frustration, Anger

  5. The A-B-C theory – Example cont’ • D – Disputing Irrational Beliefs • “Of course I feel overwhelmed – that is what an introductory student is supposed to feel when presented with an overview of the field in just a few weeks.” • “Just because I don’t understand everything about these theories doesn’t make me a stupid person- just a person who will have to work a little harder and have more patience.” • “This isn’t a terrible situation only a difficult one.”

  6. E – Emotional Effect Relief Mild Tension Mild annoyance Excitement From: Anxiety Fear Confusion Frustration Anger The A-B-C theory – Example cont’

  7. Irrational Ideas • Irrational ideas lead to self-defeating behavior • Some thoughts: • Awfulizing • “I can’t stand it” • Musterbating • Self-judgments • Some examples: • “I must have love or approval from all the significant people in my life.” • “I must perform important tasks competently and perfectly.” • “If I don’t get what I want, it’s terrible, and I can’t stand it.”

  8. Beck Cognitive Therapy • Focuses on changing inappropriately negative patterns of thought • Similar to REBT, but different in style • Less challenging • Less confrontational • Examines in a supportive manner

  9. CT’s Cognitive Distortions • Arbitrary inferences • Selective abstraction • Overgeneralization • Magnification and minimization • Personalization • Labeling and mislabeling • Polarized thinking

  10. Settings • Group - achieve insight thought group interactions • Psycho educational • Self-help • Here and now • Family – family is partially responsible for problems • Multigenerational, strategic, Adlerian, structural • Couple – designed to help in communication and other issus • Pre Marital • Post Marital

  11. Drug Therapies

  12. Other Theories • Brief Solution Focused • Narrative • Art • Play • PsychoDrama • Object-Relations • Jungian • Transactional Analysis • 12 - step • Social Learning • Biblio-therapy

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