Escolar Documentos
Profissional Documentos
Cultura Documentos
(Cognitivebehaviortherapy)
2003JohnWinstonBush,PhD.Allrightsreserved.
Inthebeginning
Therewaspsychoanalysis(invariousflavors) Andtherewasclientcentered(Rogerian)therapy Andverylittleelse Note:Nearlyallofitwasbasedonclinical experience,personalhunch,andintuitionnot muchsciencebehindit
2003JohnWinstonBush,PhD.Allrightsreserved.
Butthen...
About50yearsago,psychologistsand psychiatristsbeganlookingtoscientific studiesofhumanbehaviorforideasabout howtodotherapy Theresulttoday:Cognitivebehaviortherapy (CBT)hasbecomethepreferredtreatmentfor mostemotionalandbehavioralproblems
2003JohnWinstonBush,PhD.Allrightsreserved.
BasicCBTstrategies
(inorderofappearance) Behaviortherapy(1950s) Desensitization Behaviormodification Behavioralactivation Cognitivetherapy(1960s) Rationalemotivetherapy Beckscognitivetherapy Newerapproaches(1990s) Mindfulnessmeditation Acceptanceandcommitmenttherapy
2003JohnWinstonBush,PhD.Allrightsreserved.
Examples
2003JohnWinstonBush,PhD.Allrightsreserved.
Desensitization
Typicalgoal:Toreducefeelingsofanxiety, angerorotheremotionthatiscausing needlesstrouble Typicalmethod:Elicitthefeelingwhileina relaxedstate
2003JohnWinstonBush,PhD.Allrightsreserved.
Behaviormodification
Typicalgoal:Toreplaceahabitual, unwantedbehaviorwithamoredesirableone Typicalmethod:Identifyelicitingcues; specifynewbehavior;thenrewardprogress towardgoalwithoutwaitingtofullyachieveit
2003JohnWinstonBush,PhD.Allrightsreserved.
Behavioralactivation
Typicalgoal:Toovercomedepressionby restoringcontactwiththenormalrewardsof theeverydayworld Typicalmethod:Identifyactivitieswith potentialforpleasureormastery;initiateor increaseparticipationinthem
2003JohnWinstonBush,PhD.Allrightsreserved.
Rationalemotivetherapy
Typicalgoal:Tothinkandactmore rationally Typicalmethod:Identifyirrational beliefsandassumptionsthatare causingormaintainingaproblem,and worktowardscorrectingthem
2003JohnWinstonBush,PhD.Allrightsreserved.
Beckscognitivetherapy
Typicalgoal:Sameasinrational emotivetherapy Typicalmethod:Identifyparticular typesofcognitiveerrorsandworkon correctingthem
2003JohnWinstonBush,PhD.Allrightsreserved.
Mindfulnessmeditation
Typicalgoal:Tobelessdisturbedbyevents, thoughts,memories,mentalimages, fantasiesandbodilysensations Typicalmethod:Developknackofjust observingthoughts,memories,images, fantasiesandsensationsastheyoccur, withoutclingingtothemorrejectingthem (acceptance)
2003JohnWinstonBush,PhD.Allrightsreserved.
Acceptanceand commitmenttherapy
Typicalgoal:Sameasinmindfulness meditation,butincontextofcommitmentto personalvalues Typicalmethod:Identifypersonalvalues;use varioustacticstoreducedominationofthoughts, memories,mentalimagesandemotionsthat restrictcontactwithongoingexperienceand interferewithlivingbythosevalues
2003JohnWinstonBush,PhD.Allrightsreserved.
DiagnosisinCBT
2003JohnWinstonBush,PhD.Allrightsreserved.
Orthodox(medicalized)diagnosis:
CBT(behavioranalytic)diagnosis:
2003JohnWinstonBush,PhD.Allrightsreserved.
Howtobegin
2003JohnWinstonBush,PhD.Allrightsreserved.
2003JohnWinstonBush,PhD.Allrightsreserved.
2003JohnWinstonBush,PhD.Allrightsreserved.
2003JohnWinstonBush,PhD.Allrightsreserved.
Thenwhat?
Workwiththerapistonidentifyingthingsyou candothatarelikelytodiminishtheproblem eitherbychangingthesituationor acceptingit Tryyourbesttodotheagreedthings Keeptrackofhowwell(orbadly)theyseem tobeworking Ifnecessary,reviseplanandtryagain
2003JohnWinstonBush,PhD.Allrightsreserved.
Feelingbetteralready? Good.
2003JohnWinstonBush,PhD.Allrightsreserved.
Nowbeginsthehardwork. Andtheadventure.
2003JohnWinstonBush,PhD.Allrightsreserved.