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Discuss the relationship between culture and psychopathology
Essays on cross cultural mental health
Underlying theories of cognitive behavioral therapy
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Internalizing disorders such as anxiety and depression as well as personality disorders can occur when change does not accurately follow the developmental timeline (Beck, 1976). Over-distortion and one-sided patterns of speculation cause maladaptive development. These negative patterns of the cognitive system are; arbitrary inference, selective abstraction, overgeneralization, magnification and minification, personalization, and dichotomous thinking (Wenzel, et al., 2006). Arbitrary inference is drawing conclusions without supporting evidence or proof. Selective abstraction is conceptualizing a circumstance based on a single detail of an event while disregarding other information. Overgeneralization is applying extreme beliefs, which are …show more content…
This concept is typically viewed as one of the positive aspects of cognitive behavioral therapy because this approach to therapy focuses on the client’s immediate problems and by staying in the present moment rather than having the client recollect past experiences. However, to some cultures, it can feel that by staying in the present there is an abandonment of cultural influences significant to the client if the therapist does not take the time to explore and reflect the client’s past (Nelson, et al., 2014). By spending large amounts of time in the present the therapist can neglect to learn about the history of their clients by not examining where the client came from and other important cultural factors that would be found by looking at the clients past and obtaining a full history of the …show more content…
2013). In order to correct or repair the problems, three things must happen. The first is to promote context engagement by utilizing new experiences to counteract old habits of maladaptive connections that have been reinforced. The second is changing attention by encouraging the client to refocus attention in various settings. Lastly, there must be a cognitive change in so that the client can adapt perception of various events in order to change the assigned meanings. (Mennin, et al.
Torgersen, S. (2009). The nature (and nurture) of personality disorders. Scandinavian Journal of Psychology, 50(6), 624-632. doi:10.1111/j.1467-9450.2009.00788.x
During the initial interview with the client a new format is used called the Cultural Case Formulation. This takes into account the cultural identity of the person, their cultural definitions of distress, and cultural stressors. Psychosocial stressors are included which can be unique to each culture and the level that a person identifies with their culture can be taken into account when treatment planning. By assessing a client's cultural identity this may allow the clinician to identify barriers or commonalities between themselves and the
Haney, Craig; Zimbardo, Philip. American Psychologist, Jul98, Vol. 53 Issue 7, p709, 19p, 2 Black and White Photographs,
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
In a biological outlook on depression, abnormal genetic or biochemical processes incline some individuals to depression. Conversely, in a cognitive perspective, the way people understand events in their lives has a very important effect on their weakness to depression. One example of a cognitive perspective is the hopelessness theory in which people believe that negative events in their lives are stable and global in that it will last “forever” and will affect everything he or she does causing a maladaptive cognitive (Alloy, Abramson, Francis, 1999). This article proposes that negatively biased negative self description provides the foundation for a cognitive vulnerability to depression. That is, a person whose mind set is negatively biased when processing information about one’s self may be particularly vulnerable to depression. For instance, when confronted with an unfamiliar situation, a vuln...
In addition, some clients may want to explore their multiple identities and how they position themselves in a world that is highly influenced by culture. Nonetheless, as I read this question, I realized that there is no right or wrong answer. Similarly, there is no right or wrong reason to come to therapy. Therapy is for the individuals who want help regardless of a reason or problem. It is possible that some clients may not have a problem but that is not for the therapist to judge. Instead, the therapist must remain curious and explore the client’s perception of the problem or problems in order to identify unique outcomes and help build preferred
It proposes that the capacity for reasoning develops in four sequential and interconnecting stages throughout infancy to adulthood. Some main pieces of the theory are schema, assimilation, and accommodation. Hutchison (2015) describes the schema as “an internalized representation of the world or an ingrained and systematic pattern of thought, action, and problem solving (p. 119). Dan has developed a certain schema throughout his life, which includes his beliefs that people should reach for high-success, respect and obey authority, and men are responsible for the women. Assimilation occurs when an individual reacts to an experience based on prevailing schemata (Hutchison, 2015). Accommodation happens when a person adjusts his or her schemata to a new situation in which the old schemata could not relate. After observing Dan’s case, I can see that he is assimilating to every situation and struggles with accommodating to a new situation that does not fit his existing schemata. When Dan’s friends and family present ideas that oppose his schemata, he seems to become frustrated, anxious, and sad. Dan’s lack of accommodation is creating conflict in his
There are four main approaches to understanding mental health problems (Psychodynamic, Behaviourist, Cognitive and Biological). The psychodynamic approach sees human functioning and behaviour as driven by unconscious forces between different structures of the personality. It considers the importance of psychosexual development during childhood; the three elements of the personality: the id, ego and superego and the conscious, preconscious and unconscious mind. The cognitive approach focusses on the role of thought processes and how humans process information. A person’s negative beliefs and emotional reactions to events are thought to have consequences that could result in mental health problems. The biological approach considers mental
Hays, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (2nd ed.). Washington, DC: American Psychological Association.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
An example of this would be if someone were to break their ankle, they would not being able to walk as well as they used to without receiving some form of treatment, but if the same person were also depressed, their parents may believe that only the ankle injury is important. They believe this because they have not read up on depression and severity of mental illness. People usually come to these types of assumptions due to a lack of education on mental health.
Cognitive Behavioral Therapy (CBT) emphasizes the modification of thoughts that will invoke change in behavior (Nichols, 2014). There are two derivation causes for a distorted cognition: a structured schema, or map in the brain, that is too complex to handle the situation, and cognitive distortions of reality (Pajares, 2002). Schemas are materialized from life experiences, and the environment from birth, and direct how the brain translates these events (Bandura, 1989). The individual’s interpretation or
Smith, T. B., Rodríguez, M. D., & Bernal, G. (2011). Culture. In J. C. Norcross (Ed.), Psychotherapy relationships that work (2nd ed.). New York: Oxford University Press.
The biological approach is useful in regards to treatment. This approach has led to many forms of treatments. The cognitive approach is also useful and has made important contributions to the field of psychology, particularly that for the treatment of depression. The cognitive approach has been applied successfully in therapy. One of the core expectations of the cognitive approach is that mental processes influence our behavior. A further similarity between the two approaches is that both are seen as deterministic approaches. The biological approach believes that behavior is determined by functions of neurons and the structure and functions of the brain. It aims to ‘predetermine’ our behavior so therapy can be developed to aid abnormal behavior. The cognitive approach outlines the importance of schemas and stereotypes. Schemas are seen to be important in an individual’s behavior. We acquire schemas through direct experiences. Another way we acquire schemas is through social interaction. Through interactions we also learn stereotypes. These schemas and stereotypes determine the way we interpret a situation. Furthermore, both the biological and cognitive approaches use scientific methods. Both approaches believe that behaviour should be tested and measured in a systematic
Individuals with mental illnesses have been successfully treated in the past through different methods including psychotherapy and medication. However, an ethical dilemma presents itself when individuals with severe mental illness refuse to receive treatment for their disorders. In recent decades, the use of forced medication has emerged as “one of the most controversial issues in mental health policy in recent decades” (Swartz, Swanson, & Hannon, 2003, p. 406). The medical community is torn between whether it is appropriate to grant these patients’ wishes or if it’s best to continue on with the treatment they recommend. Despite frequently being faced with this ethical dilemma, society still has not reached an agreement regarding how to proceed.