Summary: Positive Clinical Behavioural Therapy

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  • 1 An introduction to CBT (Kennerly)

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  • What are the main influences of CBT? (2)

    1. Behavioral therapy (Wolpe)
    2. Cognitive therapy (Beck & Ellis)
  • What did behavioral therapy focus on?

    On training clients to replace undesirable behaviors with healthier behavioral patterns. It avoided speculations about unconscious processes, hidden motivations, and unobservable structures of the mind.
  • What is the premisse of cognitive therapy?

    That maladaptive behaviors and disturbing moods er emotions are the results of inappropriate or irrational thinking patterns called automatic thoughts. Instead of reacting to the reality of the situation, an individual reacts to their own distorted view of the situation. Therapists attempt to make their clients aware of these distorted thinking patterns and change them (cognitive restructuring).
  • 2 Distinctive characteristics of CBT (Kennerly)

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  • What are the characteristics that CBT is distinguished by? (8)

    1. Collaborative
    2. Structured and active format
    3. Time-limited and brief
    4. Empirical basis
    5. Problem-oriented
    6. Guided discovery
    7. In vivo work
    8 Summaries and feedback
  • What is important to the collaborative nature of CBT? (3)

    1. The therapist and client both bring their expertise
    2. It encourages openness, respect, and honesty
    3. Collaboration should be developed gradually
  • In what way does CBT have a structured and active format?

    Agenda setting and goals for treatment contribute to a structured therapy, in which the therapist and client actively engage in the therapeutic process
  • What is important about CBT being time-limited and brief? (4)

    1. 6-20 sessions depending on the type of problem, the client, and the available resources
    2. The length of the therapy is not directly related to treatment outcomes
    3. No commitment to a '50-min hour'
    4. Important to be active between sessions
  • What is important about CBT being empirical in basis? (3)

    1. Clients are trained to be empirical in their approach to managing their problems
    2. The therapist needs to be informed about emerging evidence of treatments
    3. Interventions should be formulation driven, well-planned, and evaluated so that the efficacy of the treatment can be reviewed
  • What is important about CBT being problem-oriented? (2)

    1. The problems that are pertinent for the client are identified (reducing or revolving)
    2. A detailed problem formulation is made to set specific goals
  • In what way is guided discovery used in CBT?

    Socratic questions are used to help clients understand for themselves the idiosyncratic meaning of the situation

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