2023/2024
CBT frame of reference - ANSWER-• Concrete change and empowerment
When and why did it arise? - ANSWER-• US in the 1940s
• Response to psychodynamic therapy being lengthy ($), intrusive, past oriented
• CBT moved towards problem focussed, empowering, shorter, accessible, simple therapy
Basic assumptions - ANSWER-• Individuals contribute to their own problems by how they interpret
events and situations
• Behaviour is influenced by thoughts, feelings, phys processes, and consequence of behaviour
Central tenets of CBT - ANSWER-• Behaviour is influenced by thoughts, feelings, phys processes, and
consequence of behaviour
• Cognitions do not cause emotional difficulties, they are part of a complex process
• Central task of therapist is to help clients understand how they construct and construe reality
• Focus on collaboration and the discovery process
ABCDE model - ANSWER-A- activating event
B- beliefs about A
C- consequences of beliefs (emotions, lack of emotions
D- disputing the beliefs about the activating event
E- effect of the disputation
Principle
CBT is based on ever-evolving formulation of the client and their problems in cognitive terms - ANSWER-
Need to assess:
, • current thinking
• problematic behaviours
• precipitating factors
• key developmental events
• enduring patterns of interpreting
Principle
CBT requires a sound therapeutic alliance - ANSWER-• warmth, empathy, genuine regard, competence
Principle
CBT emphasises collaboration and active participation - ANSWER-• therapy is teamwork
• agreement on focus, frequency, homework
Principle
CBT is goal oriented and problem focussed - ANSWER-• therapist pays attention to obstacles preventing
goals
• therapist conceptualises the problem and develops appropriate intervention
Principle
CBT initially emphasises the present - ANSWER-• focus on specific situations that are distressing
• realistic appraisal of distressing situations usually leads to symptom reduction
Principle
CBT is educative - ANSWER-• client becomes own therapist, emphasis on relapse prevention
Principle
CBT aims to be time limited - ANSWER-• 4-14 sessions for straight forward depression and anxiety
• Start out weekly, then fortnightly, then monthly