Chapter 10 - 5-4-05 I) Chapter 10 Cognitive Behavior...

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5.4.5 Chapter 10 – Cognitive Behavior Therapy I) Cognitive Behavioral Approaches share these attributes : a. Psychological distress is largely a function of disturbances in cognitive processes b. Focus on changing cognitions to produce desired changes in affect and behavior c. Generally time-limited and educational treatment focused on specific target problems d. Based on the assumption that reorganizing one’s self-statements will result in a corresponding change in one’s behavior II) Albert Ellis’ Rational Emotive Behavior Therapy a. People contribute to their own psychological problems by the way they interpret events b. Cognitions, emotions and behaviors interact and have a reciprocal cause-and-effect relationship c. In therapy, clients learn how to identify and dispute irrational beliefs and replace them with rational cognitions that end up changing their emotional reactions to situations d. Key Concepts : i.One major mistake is to confuse simple preferences (desires for love, success) for dire needs 1. We have a strong tendency to escalate our desires into “shoulds”, “musts” and “oughts” ii.Emotional Disturbance : 1. We originally learn irrational beliefs from significant others during childhood and then we start to create them on our own through autosuggestion and self-repetition and behaving as if they were useful a. We often create negative self-fulfilling prophecies that validate our cognitions 2. We often fall into the habit of blaming ourselves and others when it’s a lot more productive to learn to accept ourselves and others despite our imperfections a. We have a strong tendency to rate our acts as “good” or “bad” and then to rate ourselves according to these acts, when we should separate the evaluation of behaviors and the self and learn how to accept and see worth in the self iii.ABC Theory of Personality 1. A – activating event 2. B – belief 3. C – emotional and behavioral consequences 4. D – disputing intervention a. Detecting (spotting irrational cognitions), debating (logically and emphatically) and discriminating (between rational and irrational cognitions) 5. E – effect 6. F – new feeling e. Therapeutic Process i.Therapeutic Goals : 1. Clients minimize their emotional disturbances and self-defeating behaviors by acquiring a more realistic and workable philosophy of life 2. As clients become more able to accept themselves, they are more likely to accept others
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Chapter 10 - 5-4-05 I) Chapter 10 Cognitive Behavior...

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