March 26, 2013 (chapters 27 and 28).docx

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Department
Family Relations and Human Development
Course
FRHD 3150
Professor
Michelle Preyde
Semester
Winter

Description
Page 1 of 4 March 26, 2013 (chapters 27 and 28) FRHD 3150  Video clip "overcoming an extreme phobia" o http://www.youtube.com/watch?v=m-pSJ9S-9hg o Phobia= powerful or irrational fear o More than 10% of US have a phobia of some kind o Need determination and focus to get over a phobia o Systematic desensitization  Cognition o Belief o Thought o Expectancy o Attitude o Perception  Purpose of cognitive therapy o Helping a client overcome a difficulty (ie. Phobia) by learning to get ride of unproductive or dysfunctional cognitions and replacing them with more healthy cognitions o Cognitive restructuring  The process where people learn to replace dysfunctional cognitions with healthy cognitions  Reminder- behavioural modification o The techniques applied to modify behaviour o "thus, behaviour modification involves the systematic application of learning principles and techniques to assess and improve individuals' covert and overt behaviours to enhance their functioning"  Dysfunctional thoughts o Over-generalizing  Allowing an isolated negative event or experience colour how you feel about yourself or things in general o Catastrophizing (aka magnification)  Putting more emphasis/ value on negative events or experiences than reasonable o Absolute terms  All-or-nothing thinking. When people say 'I never…' or 'I always…' o Discounting success  Events or experiences that demonstrate your success, skill, competence, integrity, merit, etc… are discounted o Negative filter  Each day is filled with both good and bad events or experiences but you focus on the bad ones o Arbitrary inference  Drawing a conclusion without adequate evidence  Cognitive restructuring o The first challenge is to help clients become aware of the unhealthy thoughts that they have  Unhealthy thoughts are often so automatic, and happen so quickly that we don't even really notice them- we just notice the effect of them (guilt, depression, anxiety, etc…) o How do we help clients become aware of their thoughts?  Ask questions Page 2 of 4  Prompt them to be aware of their thoughts:  Thought chart (homework)  Visualization  Exposure o Once clients are aware of their thoughts, the next step is to help them challenge the faulty elements  Collect evidence for the thoughts  Both in session and as homework (keep records)  Do this in an open, transparent way so that clients can learn to do this for themselves- explain why you're doing these things o Develop new, more healthy thoughts  Healthy visualization  Healthy self talk o Practice them!  Homework assignments  Exposure treatments  Guided imagery  How does exposure work? o Fear hierarchy  List of situations that are increasing more anxiety provoking, specifically created by/ for the client o Exposure is also known as
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