Counselling Week 2, 3 + 4

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Questions and Answers

Which therapeutic approach relies on the therapeutic relationship to confront incongruence?

  • Psychoanalysis
  • Person-centered therapy (correct)
  • Existential therapy
  • Cognitive-behavioral therapy

Which therapeutic approach focuses on accessing unconscious conflicts through processes like Free Association and Dream analysis?

  • Existential therapy
  • Cognitive-behavioral therapy
  • Humanistic therapy
  • Psychoanalysis (correct)

Which theorist is associated with Person-centered therapy?

  • Sigmund Freud
  • Melanie Klein
  • Carl Jung
  • Abraham Maslow (correct)

Which treatment goal is associated with Psychoanalysis?

<p>Gaining insight into childhood roots of distress (C)</p> Signup and view all the answers

What is the central principle of Cognitive Behavioral Therapy (CBT)?

<p>Thoughts regulate behavior (A)</p> Signup and view all the answers

Who developed Cognitive Behavioral Therapy (CBT)?

<p>Aaron Beck (C)</p> Signup and view all the answers

What does the ABC Model of CBT stand for?

<p>Activating Event, Belief, Consequence (A)</p> Signup and view all the answers

What are some examples of cognitive distortions addressed in CBT?

<p>Black/white thinking, filtering, catastrophizing (D)</p> Signup and view all the answers

What is the goal of challenging cognitive distortions in CBT?

<p>To replace irrational beliefs with realistic thoughts (D)</p> Signup and view all the answers

What are some common themes linked to core beliefs in CBT?

<p>Feeling unworthy, being incompetent, feeling rejected (A)</p> Signup and view all the answers

What does CBT aim to teach individuals about their beliefs?

<p>To treat their beliefs as hypotheses (A)</p> Signup and view all the answers

What is the role of schemas in emotional disturbance according to the cognitive perspective?

<p>Schemas contribute to emotional disturbance (C)</p> Signup and view all the answers

What does the CBT model illustrate the relationship between?

<p>Interpretation of the event and response (B)</p> Signup and view all the answers

What is the focus of CBT in addressing unhelpful information processing?

<p>Problem-solving and changing unhelpful cognitions (A)</p> Signup and view all the answers

What did Aaron Beck originally focus on before developing CBT?

<p>Psychoanalysis (D)</p> Signup and view all the answers

What is the process of challenging thinking in CBT?

<p>Identifying negative thoughts and looking for evidence (B)</p> Signup and view all the answers

What is the main focus of exposure therapy in treating anxiety disorders?

<p>Gradual exposure to anxiety-inducing stimuli (C)</p> Signup and view all the answers

Who developed systematic desensitization to reduce phobic clients' anxiety responses?

<p>Joseph Wolpe (D)</p> Signup and view all the answers

What is the primary goal of systematic desensitization?

<p>To reduce phobic clients' anxiety responses (A)</p> Signup and view all the answers

What is the key principle behind exposure therapy and systematic desensitization?

<p>Gradual exposure to feared stimuli while learning to tolerate anxiety (B)</p> Signup and view all the answers

What is the primary focus of the final sessions in CBT?

<p>Solidify gains and focus on prevention of recurrence (A)</p> Signup and view all the answers

What is considered an important aspect of CBT treatment for Generalized Anxiety Disorder (GAD)?

<p>Worry control (C)</p> Signup and view all the answers

Which therapeutic technique is making a comeback due to its effectiveness in treating medical phobias?

<p>Systematic desensitization (C)</p> Signup and view all the answers

In Project MATCH, what percentage of people who received CBT and the twelve-step program were abstinent or drank moderately?

<p>41% (D)</p> Signup and view all the answers

What has research demonstrated about the efficacy of CBT?

<p>Efficacy for a wide variety of problems (C)</p> Signup and view all the answers

What is a limitation of CBT according to the text?

<p>Limited attention to emotion (D)</p> Signup and view all the answers

What is a risk associated with the use of Socratic Questioning in CBT?

<p>It can be too confrontational (A)</p> Signup and view all the answers

What did Project MATCH compare in the treatment of problematic drinking?

<p>Twelve-step facilitation, combination of cognitive and behavioral techniques, motivational enhancement therapy (D)</p> Signup and view all the answers

What is the preferred, evidence-based therapy used by clinical psychologists and counsellors?

<p>CBT (D)</p> Signup and view all the answers

What is the most important cognitive aspect of dysfunctional thinking in people with anorexia nervosa according to CBT?

<p>Dysfunctional self-evaluation, with over-emphasis on shape and weight (C)</p> Signup and view all the answers

What is a potential consequence of failing to develop a therapeutic relationship in CBT?

<p>Loss of opportunity for enduring and significant change (C)</p> Signup and view all the answers

What is the primary focus of CBT in the middle sessions?

<p>Client is taught to identify, evaluate, and replace negative automatic thoughts with more healthy cognitions (C)</p> Signup and view all the answers

What is the primary focus of regular assessment in CBT?

<p>Tracking client's progress (D)</p> Signup and view all the answers

What is the initial basis for case conceptualization in CBT?

<p>Predisposing, precipitating, maintaining, and protective factors (C)</p> Signup and view all the answers

What is the purpose of setting up experiments in CBT?

<p>To test and revise initial case conceptualization (B)</p> Signup and view all the answers

What does functional assessment in CBT involve?

<p>Questions about activating events, beliefs, and consequences (A)</p> Signup and view all the answers

What is the purpose of Socratic dialogue in CBT?

<p>Helping clients identify negative thoughts and their implications (D)</p> Signup and view all the answers

What is the role of homework activities in CBT?

<p>Discussing to challenge inappropriate cognitive beliefs (A)</p> Signup and view all the answers

What is the focus of CBT's case conceptualization throughout treatment?

<p>Continually testing and revising (A)</p> Signup and view all the answers

What does CBT aim to alter in a developmentally, culturally, and other specific sensitive fashion?

<p>Objectives (A)</p> Signup and view all the answers

What is the primary purpose of thorough assessment in CBT?

<p>Determine existing diagnoses, symptoms, and problems (D)</p> Signup and view all the answers

What is the primary aim of CBT's functional assessment?

<p>Understanding cognitive and behavioral patterns (A)</p> Signup and view all the answers

What is the primary goal of using Socratic dialogue in CBT?

<p>Helping clients identify negative thoughts and their implications (A)</p> Signup and view all the answers

What is the purpose of continually testing and revising case conceptualization in CBT?

<p>To ensure interventions align with client's progress and needs (D)</p> Signup and view all the answers

What is the primary focus of aversion therapy in behavioral therapy?

<p>Creating conditioned aversions through negative associations (B)</p> Signup and view all the answers

In what context has aversion therapy been controversially used?

<p>South Africa's apartheid era and for 'gay conversion' practices in Australia (C)</p> Signup and view all the answers

What are the components of observational learning in behavioral therapy?

<p>Modeling, behavioral rehearsal, and shaping (A)</p> Signup and view all the answers

What are the applications of social skills training in behavioral therapy?

<p>Enhancing interpersonal interactions and communication (C)</p> Signup and view all the answers

What is the purpose of case conceptualizations in behavioral therapy?

<p>Hypothesizing about psychological mechanisms causing and maintaining symptoms (A)</p> Signup and view all the answers

In what situations are case conceptualizations particularly useful?

<p>Cases of comorbidity, absence of treatment manuals, multidisciplinary treatments, and challenges in therapy (A)</p> Signup and view all the answers

What role do collaborative case conceptualizations play in behavioral therapy?

<p>Assessing concerns, establishing treatment plans, and identifying obstacles with the client (C)</p> Signup and view all the answers

How do case conceptualizations aid in treatment decision-making?

<p>Identifying factors contributing to maladaptive behaviors and highlighting cultural and individual strengths (D)</p> Signup and view all the answers

What is the significance of establishing short-term, intermediate, and long-term goals collaboratively with the client?

<p>Providing direction for assessment and treatment decisions (C)</p> Signup and view all the answers

How do case conceptualizations incorporate resilience and protective factors into treatment decision-making?

<p>By identifying and integrating these factors into the treatment plan (D)</p> Signup and view all the answers

What is the ultimate purpose of case conceptualizations in behavioral therapy?

<p>Aiding in understanding and addressing the psychological mechanisms causing and maintaining symptoms (C)</p> Signup and view all the answers

How do case conceptualizations guide treatment in behavioral therapy?

<p>By providing a method for building rapport, organizing client information, and anticipating challenges (A)</p> Signup and view all the answers

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Study Notes

Cognitive Behavioral Therapy (CBT) in Psychotherapy

  • Treatment goals include helping clients accept and become more like their ideal selves and promoting self-actualization through the therapeutic relationship.
  • Core therapeutic approaches include Cognitive Behavioral Therapy (CBT), which relies on problem-solving and changing unhelpful cognitions underlying maladaptive behaviors.
  • CBT's central principle is that thoughts regulate behavior, and it aims to teach individuals to treat their beliefs as hypotheses and have different responses based on new ways of thinking.
  • Aaron Beck, originally a psychoanalyst, developed CBT, focusing on unhelpful information processing for those with depression and anxiety.
  • Beck's ABC Model of CBT includes Activating Event, Belief/thoughts, and Consequence (emotional and/or behavioral).
  • A case example illustrates how activating events lead to beliefs, emotional consequences, and behavioral consequences in CBT.
  • Theoretical concepts in the cognitive perspective include the role of schemas in emotional disturbance and the goal to challenge cognitive distortions by identifying automatic negative thoughts and irrational/self-defeating beliefs.
  • Automatic negative thoughts (ANTs) and cognitive distortions like black/white thinking, filtering, and catastrophizing are addressed in CBT.
  • Irrational/self-defeating beliefs related to being liked/loved, competent, having one's own way, and other themes are identified and challenged in CBT.
  • The process of challenging thinking in CBT involves identifying negative thoughts, looking for evidence, and coming up with a realistic thought based on the evidence.
  • Common themes linked to core beliefs to look out for in CBT include not feeling lovable, good enough, competent, liked/accepted, and viewing the world as scary.
  • The CBT model shows the relationship between an event or situation, how an individual interprets the event, and their response to it.

Behavioral Therapy and Case Conceptualizations Overview

  • Behavioral therapy involves operant conditioning, with reinforcement and punishment affecting behavior, as well as aversion therapy for creating conditioned aversions.
  • Aversion therapy has been controversially used in South Africa's apartheid era and in Australia for "gay conversion" practices.
  • Observational learning is another aspect of behavioral therapy, involving modeling, behavioral rehearsal, and shaping.
  • Social skills training and stress management are applications of behavioral therapy, including relaxation training and biofeedback for mind-body connection.
  • Over the next two weeks, the text will introduce cognitive behavioral therapy (CBT), cognitive and behavioral perspectives, and case conceptualizations.
  • Case conceptualizations serve as hypotheses about the psychological mechanisms causing and maintaining symptoms and problems in individuals.
  • Case conceptualizations are particularly useful in cases of comorbidity, absence of treatment manuals, multidisciplinary treatments, and challenges in therapy.
  • They provide a method for building rapport, organizing client information, guiding treatment, and anticipating challenges.
  • Collaborative case conceptualizations with the client involve assessing concerns, establishing treatment plans, and identifying obstacles.
  • They give direction for assessment and treatment decisions, identify factors contributing to maladaptive behaviors, and highlight cultural and individual strengths.
  • Case conceptualizations also help in establishing short-term, intermediate, and long-term goals collaboratively with the client.
  • They also provide means for achieving these goals and incorporate resilience and protective factors into treatment decision-making.

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