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Summary Cognitive Behavioural Therapy Notes

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Cognitive-Behavioural Approaches

Lecture part 1

The behavioural approach

Behavioural models
 Originated in 50s/60s
 Departure from the prevailing treatments at the time (medications/physical
treatment) and from the introspective psychoanalytic perspective
 Symptoms are learned patterns of behaviour
 3 generations of behavioural therapy:
o Traditional/ radical behavioural therapy
o Cognitive behavioural therapy
o ‘third wave’ behavioural therapy

Pavlov (1849-1936)
 Classical conditioning
o Instincts and reflexes: inevitable responses of organism to internal/ external
stimuli
o Based on salivary reflex behaviour in dogs




Watson (1878-1958)
 ‘the behaviour of animals and the behaviour of man must be considered on the
same plane’
 Psychology as a science:
o OLD PSYCHOLOGY: subjective, introspection
o NEW PSYCHOLOGY: objective, behaviourism
 Emphasis on external behaviours rather than internal processes
 Some stimuli and responses are unconditioned
 Many are conditioned (learned)

Conditioning emotion – ‘Little albert’
 Before conditioning
o Loud noise > fear
o Rat > no fear

,  During conditions
o Loud noise + rat > fear
 After conditioning
o Rat > fear
o Rabbit > fear
o Fur coat > fear (generalisation)

Acquisition of phobias
 Started by an unconditioned stimulus (e.g. lost in a crowd when younger) –
unconditioned stimulus
 This has caused anxiety - unconditioned response
 This has then been associated with any enclosed space (e.g. changing rooms, lifts) –
conditioned stimulus
 Learned anxiety from claustrophobia – conditioned response

Skinner (1904-1990)
 The consequence of our behaviour are important for learning
 Operant conditioning
o Probability of behaviour depends on consequence of previous behaviours
 Reinforcement increases likelihood of a behaviour
o Positive – something pleasant occurs (reward)
o Negative – something aversive avoided (if they did washing up they wouldn’t
have to clean room)
o Punishment – if they did something they would get shouted at

Maintenance of phobias
 Reinforcement helps explain the maintenance of phobias
 Acquisition through classical conditioning – learned fear response to previously
neutral item
 Avoidance learning – avoidance of the CS leads to prevention of fear/anxiety >
negative reinforcement
 Avoidance of phobia leads to the prevention of unlearning

OCD
 In a fearful situation, a particular beh. coincidentally occurs
 When threat subsides, behaviour linked to fear reduction
o Behaviour becomes negatively reinforced
o Compulsions
 Lack of opportunity for unlearning

Bandura (1925-)
 SLT or social cognitive theory
 Importance of human agency, observational learning and perceived self-efficacy
 Relates the person to their environment and behaviour
 This theory sates that phobias can be developed by their parents

Lecture part 2

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