PSYC201 Lecture Notes - Lecture 6: Goal Setting, Stress Management, Problem Solving
2 Jun 2018
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PSYC201 Week 6: CBT continued –
The CBT cycle:
• Event → thought → feeling → response
Behaviour therapy –
• Goals
o Largely educational
o Aim = create new conditions for learning
• Process
o Therapist provides underlying rationale
o Behavioural assessment – ongoing
o Measurement of problem behaviour – frequency and intensity via
objective methods
o Identify ‘reinforcers’
o Formulation of therapy goals – active-collaborative process
Applications:
• Relaxation training (RT)
o Jacobson’s Progressive Muscle Relaxation
o Used in conjunction with other BT strategies
o Application: stress and anxiety, somatic and health problems –
migraines, insomnia
• Systematic Desensitization or Exposure:
o Pioneer – Wolpe, based on CC paradigm
o Form of exposure therapy
▪ In-vivo SD – actual feared stimuli (facing your fear in real life)
▪ Imaginal SD – imagined feared stimuli (imagining the fear)
• Exposure of SD:
o Exposure procedure
▪ 1) Determine problem and particular circumstances that elicit
the conditioned fear response
▪ 2) Construct hierarchy of situations inducing feared response
▪ 3) a. Imaginal – therapist guides client to conjure up scenes that
gradually increase anxiety, b. In vivo – exposure to actual
feared stimulus
▪ 4) Core of SD – repeated exposure to gradual anxiety-evoking
stimuli whilst learning to tolerate and eventually be
comfortable with stimuli. Reward for effort.
o This procedure is a homework essential component
o Applications: phobias, traumas (PTSD), anxiety
• Modelling: (application no.3)
o Via live models, video taped examples and group situations
o Modeling of desired behaviour
o Applications: childhood disorders, communication and social skills
training
• Social Skills training
o Establish skill level, teach, show and practice
• Assertiveness
o What is assertive, what is not and practice
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
The cbt cycle: event thought feeling response. In-vivo sd actual feared stimuli (facing your fear in real life) In vivo exposure to actual feared stimulus: 4) core of sd repeated exposure to gradual anxiety-evoking stimuli whilst learning to tolerate and eventually be comfortable with stimuli. Why questions often lead to a discussion of reasons. Closed questions: can be useful in eliciting specific info, be aware of disadvantages, forces the therapist to take the lead, clients can feel bombarded with questions, cultural issues. Focus on strengths/difference : stories presented in the helping interview are often negative and full of serious challenges, carl rogers, the founder of client-centred counseling, was always able to find something positive in the client. He considered positive regard and respect for the client essential for future growth: john gottman reports it takes at least five positive comments to balance one negative; but it can take more if criticism hits deep.
