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Assignment on depression
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Likewise, Beck asserts that depression stems from a person’s maladaptive thoughts, which help to construct their reality (also known as schemata). For example, Beck’s cognitive triad and how it associates to Jane’s maladaptive ways of thinking can create and maintain Jane’s emotions and behaviors. Wherein, Jane has a negative perception of her personal world and of herself. In addition to a negative outlook regarding her personal future. So cognitive therapy can help to eliminate and restructure Jane’s automatic thoughts. In addition, the therapist should take into consideration, offering Jane the Beck’s Depression Inventory (BDI). Wherein, Jane can give a self-report and allow the therapist insight on whether or not depression has an influence
on her maladaptive thoughts, and if so, the severity of her depression. Other methods may include, mindfulness techniques, such as nonjudgmental awareness of one’s emotional or cognitive events, which have demonstrated efficacy in several third-wave therapies. In addition to mindfulness-based cognitive therapy, such therapists may include dialectical behavior therapy or acceptance and commitment therapy. Beck’s cognitive modification suggests that the client challenge unpleasant or irrational attitudes, beliefs and expectations. Then recognize and replace the debilitating cognitions with productive and rational thoughts to encourage psychological flexibility. Essentially, Jane can change these undesirable behaviors by changing how she thinks, because the way she thinks effects the way she speaks and the way she speaks effects the way she behaves. Another approach in cognitive therapy is rational emotive behavior therapy (REBT). According to Ellis, REBT is a form of cognitive therapy that uses a comprehensive, active, philosophical, and empirical basis for correcting a person’s emotional and behavioral disturbances. In REBT the therapist teaches the client to recognize irrational thinking and damaging self-concepts and develops a variety of cognitive, emotive, and behavioral techniques to modify or replace self-defeating thoughts and irrational belief systems. In regards to Jane, the therapist could use a variety of techniques such as logic, argument, persuasion, ridicule, humor, etc., in an effort to change the irrational beliefs that caused Jane her psychological distress (Cervone & Pervin, 2013).
Beck, MD, provides the understanding of how dysfunctional thinking is common to all psychological disturbances and can influence a person’s mood and behaviors and vice versa ( ). Through CBT, the therapist looks deeper into the client’s thoughts-their beliefs about themselves, the world, and others. When these thoughts are changed to a more positive view, behaviors and feelings often will project a more positive change as well. With adolescents who struggle with Oppositional Defiant Disorder, CBT has been shown to be quite effective in treating this disorder. It is used often times to break the cycle of emotion-thought-behavior. The cycle is explained as a person feeling an emotion which then leads to a particular thought that makes them uncomfortable which then leads to the negative behavior occurring that then creates another negative feeling and the cycle continues. CBT is then used to change this cycle by creating a more realistic thought that the child can then view in terms where they are more under control and can help them to see their fallacies in thinking, which then lead to them being able to behave in a more appropriate way. ( ) Children often do not look or even understand these thoughts or feelings and thus then act impulsively with their behaviors. With Tanyia, CBT has helped her in addressing her feelings of inadequacy and abandonment, which then create the thoughts that she is not loved or that no one
The Beck Anxiety Inventory is a 21-item scale that measures the severity of self-reported anxiety in adults and adolescents. The inventory was created by Aaron T. Beck and his colleague, Robert A. Steer, at the Center for Cognitive Therapy, University of Pennsylvania School of Medicine, Department of Psychiatry. The most recent edition was published in 1993 by The Psychological Corporation, Harcourt Brace & Company in San Antonio, TX. The first edition was published in 1988. The 1993 edition recommends different scoring guidelines than previous editions. There is only one form and one manual as part of the Beck Anxiety Inventory (BAI). To purchase the BAI in 2010, the manual and 25 scoring sheets would cost $110.00. This information is from the Pearson Assessments website.
The goal of cognitive-behavioral treatment is to adapt the patient’s thoughts; as Riley is thinking of how she is failing to deal with the present situation she is in, this treatment will help her change this thinking. In this treatment, Riley’s patterns of thinking would be recognized over a series of appointments, and the clinician would then identify different ways of viewing the same situations Riley has been dealing with, making them not as dysfunctional for her. As well as cognitive-behavioral treatment, physical activity can also combat depression because it releases endorphins; this treatment would be accessible to Riley, and it is something that can be self-initiated as well as encouraged by her parents. These treatments would be ideal for Riley as they encourage her to better her illness without antidepressants since she is so
The Beck Depression Inventory-II (BDI-II) is the latest version of one of the most extensively used assessments of depression that utilizes a self-report method to measure depression severity in individuals aged thirteen and older (Beck, Steer & Brown, 1996). The BDI-II proves to be an effective measure of depression as evidenced by its prevalent use in both clinical and counseling settings, as well as its use in studies of psychotherapy and antidepressant treatment (Beck, Steer & Brown, 1996). Even though the BDI-II is meant to be administered individually, the test administration time is only 5 to 10 minutes and Beck, Steer & Brown (1996) remark that the interpretive guidelines presented in the test manual are straightforward, making the 21 item Likert-type measure an enticing option to measure depression in appropriate educational settings. However it is important to remember that even though the BDI-II may be easy to administer and interpret, doing so should be left to highly trained individuals who plan to use the results in correlation with other assessments and client specific data when diagnosing a client with depression. An additional consideration is the response bias that can occur in any self-report instrument; Beck, Steer & Brown (1996, pg. 1) posit that clinicians are often “faced with clients who alter their presentation to forward a personal agenda that may not be shared.” This serves as an additional reminder that self-report assessments should not be the only assessment used in the diagnoses process.
Mary is a 24 year old woman who has faced a series of traumatic events throughout her life. Mary's depression can be represented by the cognitive theory (Liese et al., 1997). The process in this theory can be shown through Beck's cognitive model (Liese et al., 1997). According to the model, Mary experiences depression because she holds incorrect negative views about herself, other people and the future and these beliefs take precedent over her actions, thoughts and emotions (Liese et al., 1997).
The major principles of cognitive theory proposition that all of an individual’s moods are created by their thoughts, or cognitions. When an individual is experiencing maladaptive feelings, these thoughts are commanded by pervasive
Cognitive behavioural therapy (CBT), initialized by Dr. Aaron Beck, is a therapy method that uses both cognitive and behavioural paradigm approaches. It is based on the former theory of depression stating that one’s thoughts are accountable for the different emotional reactions one has in different situations. The goal of cognitive behavioural therapy is to help an individual isolate their maladaptive or negative thoughts, to assess how these thoughts are affecting their emotions and to help them reconstruct their thought patterns. The outcome of the individual’s awareness of their maladaptive or negative thoughts and feelings through CBT, is an affirmative adjustment in their thought arrangements. Therefore,
Arron Beck is a theorist of Cognitive Behaviour Therapy. The aim of the therapy is to help individuals to be more aware when they are making negative interpretations, can identify different behavioural patterns that they were displaying when reinforcing their distorted thinking. The CBT looked at developing alternative ways in thinking to try and combat situations where individuals have distorted thoughts or feelings, and to find rational explanations in their irrational thoughts. The theory looks at breaking down the individual’s problem to make more sense of it, giving them a sense or normality. (simply psychology,
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
The way that people perceive themselves and the environment around them is a key factor regarding their development and has incredible control over their personality and behaviors. Every individual develops different ways of interpreting their environment and social-cognitive theory calls these interpretations schemas, which can help understand the environment and form self-perceptions. Once self-perceptions are formed self-verification theory states that people will work to keep their self-perceptions consistent and predictable. Self-perception is a key factor in personality because it can affect people’s beliefs about themselves, their ability to set proper goals, and having a healthy evaluative standard. A study was done that shows how the brain of depressed individuals functions differently wen thinking about oneself than that of non-depressed individuals. Research has proven that individuals who have very negative self-schemas, often individuals who are depressed, will actively seek information that confirms their negative self-perception. Although it is unhealthy to receive negative feedback, it can also be unhealthy to receive information that contradicts someone’s current self-perception. The information that individuals interpret about themselves is what forms self-perception and that perception will influence both their personality and behaviors.
In the 1960s, Aaron Beck was practicing psychoanalyst and wanted to show that the theory of psychoanalysis was empirically valid as a concept for depression (Beck, 2011). Dr. Beck’s experiments showed evidence different from what he expected. In anticipation of conceptualizing depression, he observed that depressed individuals tend to have unprompted negative thoughts and he referred to these thoughts as automatic thoughts (Beck Institute, n.d.). Then he started to evaluate patients based on these automatic thoughts and realized that it effectively helped patients feel better. He called this form of psychotherapy as Cognitive Therapy, which is also referred to as Cognitive Behavioral Therapy (Beck,
Beck, A. (1978). Cognitive therapy of depression (The Guildford Clinical Psychology and psychopathology series). New York, N.Y : Guildford Press.
Cognitive restructuring focuses on changing the clients’ thought pattern and improving behavior (Miley et al., 2013). Those with cognitive disorders often have low self-esteem, unrealistic thoughts of people or events, and negative thoughts of themselves and/or others (Miley et al., 2013). Jane appears to have many identifying factors of a cognitive disorder, and may benefit from this therapy.
Cognitive Behavioral Therapy appears to be a new treatment, although its roots can be traced to Albert Ellis’s Reason and Emotion in Psychotherapy, published in 1962. Cognitive therapy assumes that thoughts precede actions and false self-beliefs cause negative emotions. It is now known that most depression treatments have cognitive components to them, whether they are recognized or not. In the 1970’s many psychologists began using cognitive components to describe depression. From there, they developed cognitive forms to treat depression with impressive results (Franklin, 2003).
Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed. According to the numbers of reported cases of depression, 25% of women and 10% of men will have one or more episodes of clinical depression during their lifetimes.