KHA714 Lecture Notes - Lecture 6: Cognitive Model, Socratic Questioning, Psychoeducation
24 Jun 2018
School
Department
Course
Professor
Behaviour Change
Week 6
Cognitive Techniques
Case formulation:
-Encourage headings
oProfessional
oMake these up yourself
oGet an idea from the assessment criteria
-Paragraph format
oNot dot points
oFull written version
-Good guiding idea from printed rubric
-What are the early life experiences
oThat are relevant to their presenting problem
oWhat is important about their presenting problem to include in
my case formulation
-References
oIf referring to a treatment you will use, provide references to
support that
oFor science statements – e.g.
-Early life experiences
oPredisposing
oAnd protective factors
-Why now?
oWhat has changed that has meant they can no longer cope with the
problem on their own
-Case formulation
oNeed to mention what you will talk about in case formulation
PREVIOUSLY
oIn the WHY NOW, PRESENTING PROBLEM, EARLY LIFE
EXPERIENCES
oDon’t repeat previously mentioned
oBut provide an explanation- what is the link to what you have
previously mentioned?
-“There is a possible reason for this behaviour, it may be….”
-“Further clarification is needed..”
-Mention move from Melbourne in earlier life experiences, and then
mention that you need further explanation of this first.
-And this is impacting on her current ability to ???
-What do you want to explore?
-“An area to be further explored..”
-“Useful questions to include in further sessions may include…”
-Core beliefs:
oYou may or may not understand this
o“Preliminary impressions regarding core beliefs include..”
o“Potential core beliefs may be…”
-Assumptions:
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find more resources at oneclass.com
o“If then.. Then.. Wont happen.. and then the feared thing wont
happen/the core belief will be true..”
-Trigger situations
oA hint of that in the why now
oWhat has been happening for your client recently to make the
presenting problem
-CBT model
oThoughts etc.
oJust put a few of the common ones
oAre there themes to these thoughts… similar thoughts around a
certain situation..
oWhat are the core ones that are really going to drive my treatment
recommendations
oAnd of the ones I have listed: are they relevant to the trigger, and
are they related to early life experiences
oAutomatic thoughts are this.. and when Angela has this thought,
the following feelings and physical sensations are present
-Referrer
oNot much information here is needed
oFocus on case formulation section
-Maintenance cycle
oPlot this out
oAnd these are the important part of the case formulation
oWhat is maintaining my clients distress
oAre they DOING SOMETHING (AVOIDING, COPING,
SAFETYY)
oOr is it their beliefs/thoughts that are maintaining it?
oThis is what you will use to justify your treatment plan
-PEER DISCUSSION is allowed
oTalk about your formulation
-APA format
o1000 words (not pages)
-Less information that is concise and clear is better than more
-Treatment plan
oWhat would you allocate word count wise
oNot a session by session plan
oWhich theoretical process would I use to treat based on the
formulation I have
oNo dot points
oBut don’t need to write a whole paragraph on the theory of a
certain technique
oWhy have you picked it? And what will it target in your case
formulation?
oOnly include things in treatment that are directly addressing
something in the formulation
Cognitive Techniques:
- Self reflection research and learning
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find more resources at oneclass.com
oLook into this and think about it
oLook on mylo
oEmail Leesa by 6pm tonight
CBT model hypothesis:
- Overarching theory: not the situation that causes distress, it is the client’s
thoughts and responses that cause the distress
oThis doesn’t mean that there are distressing situations
oNot saying this: we are always looking at the impact of the emotions
and thoughts, and the responses that occur around that
- The thoughts that cause feelings
oEvery single thought has its own unique emotional response
oAll unique
oEmotions might be the same, but vary in intensity
oWhen we break down the ATs, there are often a lot more happening
than initially revealed
oTeaching clients to become more aware of the ATs
oThoughts and Beliefs
No longer referred to negative or maladaptive thoughts..
Referring to the thoughts as this will influence the client “oh im
dysfunctional”
Thinking traps- because we all have them
Use analogies and metaphors to help client identify their
thoughts, and realize that they are common
ATs are at a conscious level, but we become very practiced at
having them, that we no longer tune into (become so familiar)
Selectively attend to certain ATs
Don’t pay attend to things that are different
Need to retrain them to focus back out and notice other
pieces of information
After a while, we only recognise the ones that cause
distress
“I know its silly but… I just can’t help it”
and then because of their behaviours, they stop finding the
evidence that are against it
- Feelings (emotions)
oEach thought has its own unique emotion
oOver-emotion and dysregulation (in trauma etc.)
Very important to teach them how to tease out when thinking
process starts
So they can put a strategy in place before it occurs
- Feelings (physical sensations)
o“Physiological distress manifest physically” – from slides
oMind and body are connected, they are not separate
oAnd we know this because we stop responding in the same way to the
thought
oDiffusion technique (in ACT)
oIn Session Experiment (in CBT)
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Encourage headings: professional, make these up yourself, get an idea from the assessment criteria. Paragraph format: not dot points, full written version. What are the early life experiences: that are relevant to their presenting problem, what is important about their presenting problem to include in my case formulation. References: if referring to a treatment you will use, provide references to support that, for science statements e. g. - early life experiences, predisposing, and protective factors. Why now: what has changed that has meant they can no longer cope with the problem on their own. Case formulation: need to mention what you will talk about in case formulation. Previously: in the why now, presenting problem, early life. There is a possible reason for this behaviour, it may be . Mention move from melbourne in earlier life experiences, and then mention that you need further explanation of this first.
