Saturday, November 14, 2015

Cognitive Behavior Therapy (CBT)

 Cognitive Behavior Therapy integrates features of behavior modification into the traditional cognitive restructuring approach.  This therapy model is essentially a combination of Behavior Therapy (BT) and Cognitive Therapy (CT). (1)
  • BT focuses on observable behavior and its modification in the present.  
  • CT focuses on changing negative thoughts or cognitive distortions.
 Goals of CBT:
  • Change unhealthy behavior
  • Define assumptions behind thoughts
  • Eliminate or redirect unhealthy thoughts with cognitive restructuring

Three areas CBT is designed to impact
  1.  Depression
  2. Anxiety
  3. Socialization

(1) Dobson, K.S. (ed) (2001), Handbook of Cognitive Behavioral therapies (2nd edition). New York: Guliford Press.
Validity Testing.  The therapist asks the patient to defend his or her thinking.  It the patient is unable to substantiate the beleifs, then the therapist points out the error in the paitents thinking.
Cognitive rehearsal.  The patient is ask to think about and recreate a difficult sitinton from theri past.  The patient and the therapist work through a postive solution to the problem.  The patient is shown how to draw from this rehered solution to better cope with similar future problems.
Guided Discovery.  The therapist asks the patient questions designed to guide the patient towards the reasonsoning for the cognitive distortion.
Writing in a journal.  The patient keeps a journal about day to day interactions, the therapist reviews the journal with the patient to discover maladaptive behavors and to then discover how these thoughts impact behavior.
Homework.  The therapist may assign homework assignement to include, journaling, reading, notetaking, audio recording.  The goal of this technique is to bring to light new solutions to behavior and thinking distortions discovered and applying newly learned strageies and coping skills.
Modeling.  The therapist conducts role playing exercises to demonstrate appropriate reations to different situation.  The patient then models the appropriate behavior.
Systematic positive reinforcement.  Positive behavior is rewarded and motivated.  Rules are established by the therapist that specify behavors to be rewarded.  This techniques is based larglely on behaviorism.  Tokens for example are used to note a reward, accumulated tokens are then rewarded with an established reward.
Aversive conditioning.  This techniqe uses principles of classical conditioning to lessen the appeal of a behavior that is difficult to change because of the habitual nature.  The behavior is exposed to unpleasant  stimulus while engaged in the behavior.  Eventually the behavior is associated with the unpleaseant simulus.
(2) Techniques of CBT found from,

Discussion Board Questions
Questions to consider during the discussion board for CBT.  Please choose one question for each of your two substantial postings for the CBT discussion board.
  1. The VR process is specifically designed to assist consumers reach their employment outcome.  Your consumer has revealed that she was having problems with co-worker relationships and supervisory feedback on her previous job.  She was eventually terminated.  Which CBT theory would you expect a therapist to utilize with your referral?
  2.  Do you have a favorite CBT therapy of the ones listed?
  3. Now that you have had time to review the material on Cognitive  Behavioral Therapy, what is at least one criticism that you have discovered?
  4.  What type of disabilitiy do you think  CBT can mitigate, please mention the modality and specific disability?


The  following list of CBT’s is resourced from Wikipedia, sited below.
 From Wikipedia, the free encyclopedia

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