KHA714 Lecture Notes - Lecture 7: Relate, Cognitive Restructuring, Narcissism
24 Jun 2018
School
Department
Course
Professor
Behaviour Change
Week 7
Cognitive Techniques
Continued from last week
-A thought is a thought, not a fact
-Working through the strategies to help see the unhelpful, irrational
components
Thought monitoring:
- Very key to CBT
- Almost all clients will do this
oEven children
- Maintenance cycle
- Apps
oGood for children
oOr people who don’t like carrying around a physical diary
oAlways look at resources before recommending yourself
- How hot is this thought
-Must do thought monitoring in session first before telling them the action
plan
- In order to have a clear rationale for why you want them to record and monitor
oMust explain the CBT model
oNeed to understand the connection between thoughts, feelings,
physiological responses. Otherwise there is not premise for thought
monitoring
oTool for assisting client to recognise ATs
oVariety of monitoring forms available
Most treatment manuals will have their own versions
- A number of barriers for clients
oThey don’t understand what you are asking them to do
The activity
oOr why they should do it
Remember never to ask close ended questions
Psychoeducation to the CBT model
“Can you explain this to me”
oClients feel uncomfortable writing down thoughts
Particular those with fear of negative evaluation
You will think I’m crazy and weird
And can be confronting for themselves- especially when they
have been avoided or suppressing
oClient is anxious about getting it wrong
- Tips:
oPrint the common thinking biases so they can just circle them
oAnd common or previously mentioned ATs
oDon’t worry about the fourth common yet, we will look at this next
week and try to identify any patterns to your thoughts. What these are
are thinking traps….
find more resources at oneclass.com
find more resources at oneclass.com
o“Choose the ones that hit the hardest, are the hottest” “or just grab
anyone at all”
oor if they are struggling, use the right now… “what are you thinking
right now about doing this?”
oeven if you don’t think you’ve had any hot thoughts in a day, sit down
and think about ANY thoughts you are having
- Phase three: Identifying cognitive distortions
oCall these anything
oThinking traps
oThe language you use depends on
What youa re comfortable with
And what will gel well with your client
oFundamentally, the client needs to have awareness of these thinking
issues and buy in
Starts to develop cognitive flexibility
If I can label my thought, already I am coming more aware
because I am learning that this is only ONE way of thinking
Introduce after initial thought monitoring
oUse worksheets and handouts to reinforce the things you have
been doing
-Common cognitive distortions- often these combine and cluster
oBlack and white (all or nothing) thinking
Either perfect or its rubbish
Right or wrong
Never or always
Absolute terms = clue to this
Inability to see the middle ground
Causes unnecessary distress and prevents appreciation of
achievement
Pull them towards the middle ground and help them to see the
shades of grey
In one situation
oOvergeneralsing
Through this thinking pattern, negative consequences
Using a single example and applying it to everything
Undermining previous successes
I haven’t achieved anything in the last ten years
Always, never, everybody…
oPersonalizing
Fault, blame, responsibility
Internalizing
Taking responsibility for other people’s feelings, actions…
Blame and guilt as a result
Anxious individuals
Depressed individuals
Personaility disordered individuals
Cluster B
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
A thought is a thought, not a fact. Working through the strategies to help see the unhelpful, irrational components. Almost all clients will do this: even children. Apps: good for children, or people who don"t like carrying around a physical diary, always look at resources before recommending yourself. Must do thought monitoring in session first before telling them the action plan. In order to have a clear rationale for why you want them to record and monitor: must explain the cbt model, need to understand the connection between thoughts, feelings, physiological responses. Otherwise there is not premise for thought monitoring: tool for assisting client to recognise ats, variety of monitoring forms available. Most treatment manuals will have their own versions. A number of barriers for clients: they don"t understand what you are asking them to do. The activity: or why they should do it. Remember never to ask close ended questions.
