PSYC 403 Lecture Notes - Lecture 8: Cognitive Model, Clinical Formulation, Nomothetic
13 May 2018
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Cognitive Therapy and CBT Overview:
• Core features of CBT:
o Structured
▪ Therapists have a structured approach
▪ Plan what they will do
▪ Hopefully the client comes with a plan of what they want to spend the
time on
o Short-term (6-20 sessions)
▪ 6 for straightforward issues
▪ 20 for complicated issues
▪ Can last longer sometimes
o Present-oriented
▪ Focused on current problems
▪ Identifying and trying to solve current problems
▪ Consult the past to understand current problems
o Empirical
▪ Both from a nomothetic and idiographic perspective
▪ Practicing CBT is based on research studies-> at the nomothetic level
▪ At the idiographic level-> one on one you want to collect data and rely on
hard data to inform your treatment
o Directed toward modifying dysfunctional thinking
o Treatment based on cognitive case conceptualization for disorder and case
formulation for individual client
▪ Similar terms
▪ But a case conceptualization is more based on conceptualizations of
people with a certain disorder
• On average, how do people come to have depression
▪ A formalization is applying the conceptualization to a specific client
▪ Apply critical thinking to the work with your client
o Techniques designed to produce cognitive change
▪ At level of daily automatic thoughts and more basic beliefs
▪ Basic beliefs-> more broad level, higher order beliefs
▪ Daily automatic thoughts-> day to day, constantly in your head
▪ Work your way up to challenging higher order beliefs
• Cognitive model
o Originates with Ellis and his cognitive model
o Situation-> thought-> emotion-> behavior
o First part is the A of the ABCDE model
o We all react very differently to situations
o It’s ot the situatio that auses proles, its how you reat to it
o Intermediate beliefs affect our thoughts
o And core beliefs affect our intermediate beliefs
o Core beliefs-> affect how we see our world
▪ Develop early
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