Topics Cognitive Techniques Behavioural Experiments Physical Techniques Required Reading Textbook Kennerley, H., Kirk, J., & Westbrook, D. (2017). An introduction to cognitive behaviour therapy - Skills and applications (3rd ed.). Sage Publications. Chapters 8-10 Read the textbook chapters before you begin to do the work in the Unit to familiarize yourselves with CBT techniques. After reading the textbook material, work through the unit notes. Chapter 8: Cognitive techniques Use of cognitive techniques must be part of a coherent plan and they should only be introduced with a genuine rationale that follows from a shared formulation. Timing of introduction of techniques are important. - i.e., depression: rather than introspecting negative thoughts, therapist may focus on goal-directed activities that change the negative estimates of capability cognitive intervention is part of a larger cognitive behavioural treatment plan presenting a rationale for cognitive work client need to understand the rationale for cognitive work client need to know that oyu are not going to ask him to immediately share the worst thin he can imagine and to dwell on it client need to understand what it meant by the term ‘cognition’ - cognition: either a thought or a visual image that you may not be very aware of unless you focus your attention on it you must guard against your client identifying unhelpful cognitions as “wrong” or irrational identifying cognitions task of cognitive therapy: helping clients observe and record the thoughts and the imagies that run through their minds how to distinguish between thoughts and feelings: feelings have a word, thoughts need more explanation. Hot cognitions those that seem to be most directly linked to the client’s most significant emotions cognitive interventions will be most effective if they target these hot thoughts or images using distractions in CBT we can only concentrate on one thing at a time, so that if we actively focus on something neutral or pleasant, we can avoid getting caught up with negative thoughts and urges Cogntiive biases cognitive biases – exaggerations in thinking that we all experience from time to time when we are emotionally aroused or depressed. Dichotomous thinking/ all or nothing style – files to incorporate the possibility of shades of grey - This type of information-processing style increases with stress levels Taking a step back, or decentring Decentring – the ability to view cognitions as mental events rather than as expressions of reality. - “mega-cognitive awareness” Chapter 9: Behaviour Behavioural experiments – a CBT strategy What are Behavioural experiments? Planned experiential activities, based on experimentation of observation, which are undertaken by patients in or between cognitive therapy sessions How does BE compare to Behaviour therapy? BE are derived from CBT’s behavioural legacy The aim of, and the conceptual framework surrounding, BE are quite different from traditional behavioural therapy - BT: exposure leading to habituation - BE_ a cognitive strategy, explicirely aimed at generating information and/or testing our beliefs, not at simple promoting habituation of anxiety responses Types of BE Article Taylor, D., & Dietch, J. (2018). Integration of cognitive behavioral therapy for insomnia. Journal of Psychotherapy Integration, 28(3), 269-274. http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,sso&db=pdh &AN=2018-46288-001&site=eds-live&custid=s7439054 Beck Institute for Cognitive Behavior Therapy. (2013, December 4). The blueprint of cognitive behavior therapy [Video]. YouTube. https://www.youtube.com/watch?v=07JqktJGyyA&list=UUZ8MAM1oUKyuTQArFrVT FZA Why and how CBT works? - What is cognitive therapy? Architecture. In order to understand cognitive etherapy you need to understand the blueprint. Once you know the blueprint, you can use the tools and build a therapy based on that. - Theory of CT: individuals in the course of development, experience certain vulnerabilities, and these vulnerabilities is symbolized by maladaptive attitudes. - Over period of time, these particular attitude becomesd
