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Importance of the therapeutic relationship
Introduction essay to cognitive behavioural therapy
Introduction essay to cognitive behavioural therapy
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“Cognitive-behavior therapy refers to those approaches inspired by the work of Albert Ellis (1962) and Aaron Beck (1976) that emphasize the need for attitude change to promote and maintain behavior modification” (Nichols, 2013, p.185). A fictitious case study will next be presented in order to describe ways in which cognitive behavioral therapy can be used to treat the family members given their presenting problems. Sue, 36, and Tom, 39, present for an initial consultation along with their two children-- Alice, 15, and Ted, 7. Sue does most of the talking, while Alice sits slumped in her chair with a sullen look on her face. Ted looks anxious and stays close to his mother. They have come because Sue is concerned about her children. Alice’s …show more content…
Alice has been demonstrating negative behaviors for the past year. Cognitive behavior therapy does not focus on the past, but rather on the present. Thus, the therapist will find out what thoughts and feelings are related to the behaviors that Alice has been expressing. The therapist can introduce the family with the concept of token economy so that they can reward Alice when she achieves better grades. This way it can motivate her to try harder in her studies. Another technique that would help the Sanders family is to create a contingency contracting to help the parents make some changes in the way they behave or react to Alice behaviors when Alice makes the changes they want from her. Just as each is working on a plan to improve their behaviors, a contingency management plan will be created by the therapist that the family will follow that clearly states what rewards and consequences will be given based on the behaviors (Nichols, 2013). For instance, if Alice goes out without asking for permission or comes home after the curfew she will get her cell phone taken away. Rewards should also be readily available for Alice to achieve which will help reinforce or help shape the positive …show more content…
Cognitive behavior therapy has been proven to work in many different areas and presenting problems. One area that was not mention above that would significantly improve the outcome of any given therapy is the willingness of the client to accept treatment. The goal of cognitive behavior therapy is to focus on the present and to help the client identify their own strengths, learn new tools or techniques that they can use on their everyday life, and to be able to identify the different thought, emotional, and behavioral patterns that lead to undesirable
The amygdala is where all the information is gathered from all our senses. It requests all the stress hormones to be released from the hippocampus or the hypothalamus, the pituitary and the adrenal glands. This gets the body ready for either flight, freeze or fight mode (Rosenthal, 2015). These glands releases noradrenaline, epinephrine, cortisone and glucose which gets pumped into your limbs making you ready to fight or run away from the situation (Seahorn, 2016). The increase in stress hormones interferes with the body to regulate itself and the nervous systems remains highly activated leading to the body being fatigue (Rosenthal, 2015).
Cognitive behavior therapy, also short for CBT, is part of a psychotherapy treatment that can solve mental problems and boost happiness by modifying dysfunctional emotions, behaviors, and thoughts. CBT focuses on encouraging, and challenging patient’s cognitions and change the dysfunctional behavior patterns by effective solutions (Jason, 2015). It’s also used to treat the mental and emotional part of behavior such as an eating disorder. This type of therapy is done to change how you think and feel about food, eating, and body image because it can also improve poor eating habits and prevent relapse.
Psychotherapy integration is best explained as an attempt to look beyond and across the dimensions of a single therapy approach, to examine what one can learn from other perspectives, and how one’s client’s can benefit from various ways of administering therapy (Corey, 2013). Research has shown that a variety of treatments are equally effective when administered by therapist who believe in them and client’s that accept them (Corey, 2013). Therefore, one of the best aspects of utilizing an integrative approach is that, in most cases, if a therapist understands how and when to incorporate therapeutic interventions, they usually can’t go wrong. While integrating different approaches can be beneficial for the client, it is also important for the
Client A is a 22 year old college student experiencing intense fear and worry of social situations (e.g. parties, dating, sporting events, group activities) or situations where she will be the center of attention (e.g. birthday party, public speaking, answering in class). Client A describes racing thoughts, intense upset stomach, rapid heartbeat, trembling, and sweating when she considers being part of the above stressful situations and ultimately often avoids these situations. She stated she became a homebody during high school when she began feeling uneasy around others and worrying about what they would say about her or something bad will happen. Client A desires to be more involved with friends, activities, and clubs; she believes her intense fear and anxiety are affecting her academic and occupational goals. Her good friend recently teased her about rarely leaving the dorm room which encouraged Stacy to seek help.
Goldfried, M.R., Burckell, L.A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive-behavior therapy. Journal of Clinical Psychology, Special Issue: In Session, 59(5), 555-568.
Cognitive Behavioral Therapy provides a collaborative relationship between the client and the therapist with the ultimate goal of identifying irrational beliefs and disputing those beliefs in an effort to change or adapt behavior (Corey, 2013). The developers of Cognitive Behavioral Therapy saw humans as capable of both rational and irrational thoughts and able to change the processes that contribute to irrational thinking (Corey, 2013). CBT is a more direct approach than some other therapy theories practiced today in that it challenges the client to identify aspects about their self through cognitions. This therapy, as discussed in Corey (2013) also provides an educational component such that therapist teach clients tools to effectively change the way they think to a healthier way. There are a multitude of techniques associated with CBT such as shame attacking exercises, changing ones language...
Due to this, it would make sense to combine this therapy with one that is better able to build therapeutic relationships, such as client-centered therapy. The process of behavior therapy is diverse because it can consist of “individual meetings with a therapist, but it may also be administered in groups or with families or couples…interventions are usually administered by a therapist, but they may also be directed by others” including parents, teachers, and health-care professionals (Corsini & Wedding, 2014, p 203). Such a process allows behavioral therapy a widely accessible form of therapy to various people, not just therapists. Behavior therapists once relied on learning principles such as reinforcement, punishment, and extinction to explain the effects of treatment, however now “models based on information processing, emotional processing, and cognitive reappraisal have been advanced to explain the process by which clients change during behavior therapy” (Corsini & Wedding, 2014, p 205). The cognitive aspects that behavior therapy speaks of can be easily related to and used with cognitive therapy. The use of behavior therapy has been demonstrated in numerous studies with a vast majority of psychological problems “including anxiety disorders, depression, substance-use
Cognitive Behavior Therapy for body image has been proven an effective way to improve body dissatisfaction. It has been applied to persons with eating disorders, obesity, body dysmorphic disorder, and normal weight, all of whom harbor negative feelings toward their bodies. It is critically important to target body image for specific treatment, as negative feelings about one's body are often a major precipitous to eating disorders.
Cognitive behavioral therapy earliest inventors were behaviorist, such as Skinner, Watson, and Pavlov. They’re the ones who led to the advancement for behavioral treatment of mental disorders. Behavioral modification is a technique that uses positive and negative reinforcements to change a particular behavior and reaction to a stimulus. Behavioral therapist only focused on an individual’s behavior not their thoughts. During this era, psychologists applied B.F. Skinner’s radical behaviorism to clinical work. Much of these studies focused on chronic psychiatric disorders, such as autism and psychotic behavior. His methods also focus...
Cognitive-behavioral therapy (CBT) is based on the concept that behavior change may be achieved through altering cognitive processes. The assumption underlying the cognitively based therapeutic techniques is that maladaptive cognitive processes lead to maladaptive behaviors and changing these processes can lead to behavior modification. According to Mahoney (1995), an individual's cognitions are viewed as covert behaviors, subject to the same laws of learning as overt behaviors. Since its inception, cognitive-behavior modification has attempted to integrate the clinical concerns of psychodynamic psychotherapists with the technology of behavior therapists (Mahoney, 1995). Cognitive-behaviorists have demonstrated an interrelationship among cognitive processes, environmental events, and behavior, which is conveyed in the context of one's social behavior. Psychotherapists in North America endorse cognitive-behavioral interventions as the second most widely used treatment approach (i.e., with an eclectic approach being endorsed as first) (Bongar & Buetler, 1995).
Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors (NAMI, 2012). It is designed to modify the individual’s normative dysfunctional thoughts. The basic cognitive technique consists of delineating the individual's specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness (Beck, 1970). By exploring thought patterns that lead to maladaptive behaviors and actions and the beliefs that direct these thoughts, people with mental illness can alter their thought process to improve coping. CBT is different from oth...
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
Cognitive behavioral therapy is an approach used by psychotherapists to deal with emotional and behavioral behaviors. One of the issues associated with this type of therapy is the approach can be used in the treatment of other diseases related to emotional and physical stress. According to...
Cognitive-Behavioural Therapy has its foundations in two distinctive therapeutic theories, Cognitive Therapy and Behavioural Therapy. Cognitive Therapy (CT) believes that thoughts, feelings and behaviour are connected. CT states and an individual with help; can identify an issue that is causing a behavioural or an emotional response and correcting that thinking to achieve a desired outcome. Behavioural Therapy believes that individual’s behaviour is due to conditioning during the early years of life and as such can be altered with conscious awareness. Cognitive-Behavioural Therapy is a combination of both of these theories and is based on an individual’s own history of thought an...
Cognitive behavioral therapy is used to treat diverse types of disorders such as anxiety, depression, insomnia, eating disorders, etc. Cognitive behavioral therapy helps patients deal with a specific problem in the present as well as avoid the same problem in the future. A patient anc potentially learn how to identify destructive behavior within themselves, so that they can move forward positively in the future. Long term, a patient will learn how to change the thought patterns that lead to the destructive behavior with the help of cognitive behavioral