Saturday, March 30, 2019
Cognitive Behavioral Theory
cognitive behavioural TheoryThe Cognitive- portal supposition is a unionize of short therapy employ by exponents in the psychology and social work fields. Cognitive-Behavioral Therapy (CBT) encourages a blending of behavioural and cognitive therapy simulations. The theory is based in the belief that the leaf nodes behaviors and imprints atomic number 18 heavily influenced by their thoughts. A CBT healer plays an biteive role in seconding the guest prioritize their problems, recognize the maladaptive thoughts that argon fanny their problems and feelings, and devise and implement goal-oriented changes in their thinking.BackgroundCognitive-Behavioral Therapy (CBT) places signifi brush offt importance on how contradict thinking impacts our emotions and behaviors. Dr. Aaron Beck observed that many of his leaf nodes had automatonlike thoughts emotion-filled thoughts that might soda ash up in the mind (Martin, 2007). Many of these thoughts are not consciously known to t he thickening however through practice the client mass learn to bring out the negative and chimerical thought. Upon identification the client thunder mug then learn to overcome the thoughts. CBT is based on a model or theory that its not events themselves that up curry us, but the meanings we give them (Martin, 2007). These automatic thoughts heap cause us to become blind to new ideas and start the ability to overcome obstacles. A soulfulnesss automatic thoughts are rooted in belief sy toilettenons that were embedded in their subconscious from childhood. When an event happens a person uses these belief systems to help them cope with their difficulties. If there is negative thinking in the persons belief system, they are more apt(predicate) to misconstrue the event or issue as too difficult to handle.Cognitive TherapyCognitive therapy focuses on populates thoughts and how they affect their emotional, behavioral, and physiological reactions to stressful situations. People o ften puddle obstruction thinking rationally when feeling pressured by disturbing life experiences. through and through cognitive therapy, clients are satisfactory to identify and challenge their thoughts about themselves, the people around them, and the world around them.Behavioral TherapyBehavioral therapy in its or so basic state is the encouragement of clients to engage in adaptive behaviors and not to allow pathological internal experiences to dictate the ways in which they act (Association for Behavioral and Cognitive Therapies, 2012). Solutions under the behavioral theory closely postdate Pavlovs classical and operant conditioning philosophies. A clients negative responses to normal stimuli are typically learned behaviors, because something negative happened the last time the stimulus was present. by means of a performance called extinction, therapists often try to change a clients negative responses by showing the client that the negative result does not eternally oc cur with the stimulus. Using operant conditioning a client bequeath be more liable(predicate) to engage in activities and behaviors in a positive manner, if they have previously received positive outcomes. If the consequences of their behavior have been negative, they are less like to repeat that behavior. sage-Emotive Behavior Therapy (REBT)One form of behavioral therapy, established in the 1950s by Albert Ellis, was Rational-Emotive Behavioral Therapy (REBT). REBT focuses on the clients current, irrational thoughts and actively targets them for change (Fraum, 2012). Through REBT the client confronts their irrational beliefs and expectations. After confrontation, the client and therapist are able to develop rea listenic thinking. Only subsequently these two things are accomplished is the client able to change. Epictetus wrote in The Enchiridion, work force are disturbed not by things, but by the suck which they take of them (National Association of Cognitive-Behavioral Therapi sts, 2008).Dialectical Behavior Therapy other behavioral therapy that is a form of cognitive-behavioral therapy is Dialectical Behavior Therapy. Based heavily in philosophy, the briny tenet of this therapy looks at two opposing views and works through the healthful relationship to blend them together to palpate a happy medium. The counselor does not make the client feel that their thoughts are invalid or incorrect, but guides them to understanding that their behavior needs to change. This therapy is more or less often apply for clients who have been diagnosed with Borderline Personality Disorder. (National Institute of Mental Health, 2012)Commonalities of Cognitive Therapy and Behavioral TherapyAlthough there are a few differences between cognitive and behavioral approaches, there are some similarities that allow these two methods to be intermingle into the cognitive-behavioral approach. In CBT, the client and the therapist work together as a team to help the client overcome th eir troubles. Often CBT is a short-term counseling method that, typically, only lasts a few months, but it is overly a rigorous therapy, in that the clients must utilize their new skills in between sessions through homework. CBT therapists seldom dig late into why a client is having the irrational thoughts, but rather stay focused in the present and future. (Association for Behavioral and Cognitive Therapies, 2012)Notable PeopleThere are many notable people who have influenced Cognitive-Behavioral Therapy. Dr. Aaron Beck is considered the father of cognitive therapy. Another notable person in the field of cognitive therapy is Dr. Martin Seligman, who is known mostly for his development of learned helplessness. Some key players in the development of behavioral therapy include Ivan Pavlov, John Watson, and B. F. Skinner. In 1955, Albert Ellis develop Rational Emotive Behavior Therapy. He is considered the founder of cognitive-behavioral theory. Dr. Samuel Yochelson and Stanton Sam enow are known for their collaborative research and findings in the treatment programs of juvenile and adult criminal offenders.Aaron T. Beck, M.D.Dr. Aaron Beck started his career with as the henchman Chief of Neuropsychiatry in Philadelphia, Pennsylvania (Department Of Psychiatry, Penn Behavioral Health, n.d.). In 1954, he conjugated the University of Pennsylvanias Psychiatry Department. While there, he explored psychoanalysis which led to his development of cognitive therapy. (Beck Institute for Cognitive Behavioral Therapy, n.d.) Through his research he recognise that his clients had negative thoughts that popped into their heads automatic thoughts. These automatic thoughts centered on themselves, the world and the future. These deformed thoughts then begin to affect the clients deceases leading to the disorders they are diagnosed with. Ultimately they stem from a persons core belief systems and are formed throughout the persons life. (Beck, 1997)Albert Ellis, Ph.D.REBT wa s developed by Dr. Ellis in the 1950s. After spending some(prenominal) years practicing psychoanalysis, he found the he disliked the in-efficient and in-directive nature (National Association of Cognitive-Behavioral Therapists, 2008). Dr. Ellis established the alphabet model of emotions, which was later modified into A-B-C-D-E approach.SessionsCognitive-behavioral therapy sessions have a structure. Structure is important, because it allows for the most telling use of time. CBT sessions are usually only about 50 minutes long, happen one time a week or once e very two weeks, and only continue for a few months to a year. In the beginning of therapy the client and counselor discuss what issues and trouble the client is having. Next, they work on prioritizing the issues. These activities fall under stage I of the Egan Model. at a lower place stage II, the client discusses their ideal self or what they want. This allows the client, with the guidance of the helper, to set realistic go als for themselves. In the final stage, the client and counselor explore the options accessible and there are always options and find the option or options that outperform work for the client. The last step is to produce an action plan.Throughout the act upon the client often has homework. This homework is usually meant to help the client identify the incites for their fretfulness or problems and the feelings that surround those events. As the process prods forward the assignments get out coincide with whatever step the client is shortly working on.Techniques callable to the blending of theories and therapies, there are more than trey dozen proficiencys usable to cognitive-behavioral therapists. The selection includes cognitive, emotive, and behavioral techniques that make a well-rounded selection that can be tailored to the individual clients needs and wants. The ABC (also known as the ABCDE) Technique is most closely identified by its creator, Dr. Ellis, and under REBT. otherwise major techniques include cognitive reconstruction, exposure, reframing, and journal writing. Another widely used, save somewhat controversial technique is self-disclosure.ABC/ABCDE Technique or Rational Self-AnalysisDr. Ellis created this technique to help people identify and understand why they are behaving the way they are to certain Activating takingss. The Activating Event ((A)) is often seen as the reason for the clients initial emotions and behaviors (Consequences or (C)). In kind-heartedity there is another step in between the clients Beliefs ((B)). While the (A) triggers the (C), the (B) is what in truth causes the (C).Dr. Ellis went continued to develop this technique and it was later modified to include three additional steps Disputing ((D)), New Effect ((E)), and Further Action ((F)). erst the client has been able to identify the (A), (B), and (C), they are then able to move forward and challenge their Beliefs through Disputing. They, also, evaluate how they would prefer to feel or behave the New Effect. Finally, the client develops their Further Action plan to keep off a relapse.Cognitive RestructuringWhile Rational Self-Analysis is part of the process of Cognitive Restructuring, it is not the whole process. Cognitive Restructuring is a set of techniques that helps the client identify, challenge, and change their distorted thoughts. Common thought distortions often include actors line like always, must, and never. They also stem from Dr. Elliss list of irrational beliefs (appendix A) and a list of cognitive distortions influenced by Dr. Beck (appendix B). There is a Cognitive Restructuring Worksheet (Appendix C) that counselors and clients may find useful in when utilizing this technique.ExposureExposure Therapy is an emotionally intense, yet effective way for clients to confront their fears, especially those with anxiety disorders. Through a series of extremely carefully planned sessions, the client is introduced or exposed to the trigger (stimuli) that is causing the anxiety (classically conditioned response). Over time the client is able to see and comprehend that nothing bad will happen and the anxiety lessens. The therapist often uses Exposure Therapy in conjunction with relaxation skills and cognitive reconstruction techniques. In addition to anxiety disorders, an adaptation of Exposure Therapy is sometimes used for people with sexual disorders.Self-disclosureSelf-disclosure is when the therapist shortly tells the client something ain about themselves that may be of value to the client and the therapeutic relationship. This technique can be difficult to manage effectively and is somewhat controversial. If the therapist is going to utilize this technique, they must use it carefully and sparingly. Where this technique can become problematic is when the focus shifts from the client to counselor. Too much divulging of education can lead to the client being uncomfortable or feeling like the relation ship has changed. When used appropriately however it can show the therapists empathy to the situation the client is facing.Case Study SynopsisClient is a 52-year-old female widower with two daughters. Her husband died seven years ago. Her relatives live 50 miles away. Client was accused of a work-related incident, after which she became anxious. Client is currently on medication with effects consistent with an antidepressant. Presenting problems included poor memory, overlook of concentration, confusion and slowness. The client met the DSM-IV criteria for a major depressive episode. The client was accustomed several clinical scales to rate herself on. These scales were completed prior to every session and discussed briefly during the session.as a means of verifying efficacy. The therapist used the five systems model to help the client analyze her thoughts and recognized negative automatic thoughts and behaviors. She was given daily activity monitoring sheets, although she was succ essful at many activities very few gave her any pleasure. Due, in part, to years of sexual abuse by her father, the client felt that something was wrong with her. She felt like she didnt fit into her family. By using a more detailed variation of the ABC Technique, the client and therapist were able to identify stressful situations discuss the emotions, behavior and tangible reactions to the situations and recognized the underlying negative beliefs. The therapist utilized behavioral experiments to help the client challenge her core beliefs and recognize the differences in how she felt.Final ThoughtsI chose this theory because I felt that it is the one I was most likely going to use, when I become a licensed psychologist. The multiple views and varied techniques available for the client make it seem like the one theory that can be tailor fit for each individual. What I found out through my research however, is that the cognitive-behavioral approach does not dig deeply into the why s omeone has the beliefs they do. The why is what drew me to the field of psychology and human services in the first place, so I need to analyze other theories, career opportunities, and techniques to find my right fit. Ideally, I would like to check out the criminal mind more closely and help the prison commonwealth overcome their psychopathological issues. I still feel that many of the cognitive-behavioral techniques can be useful in discovering the why, so I will likely use them in my ultimate career field.