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Significance of cognitive behavioral therapy
Cognitive behavioral therapy psychology
Significance of cognitive behavioral therapy
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An alternate form of therapy that could benefit Mrs. Kay is cognitive behavioral therapy (CBT). The social worker would begin with educational information on the CBT triangle, which includes thoughts, emotions, behaviors and body feelings. Since Mrs. Kay is cognitively aware she will be able to answer the assessment questions. The social workers discovered that Mrs. Kay’s main area of focus was on her belief that she could not report her pain or ask for assistance while living in an assisted living facility (Corcoran, 2014). The assessment will include a discussion of the problem behavior, the social worker will am to gain a clear understanding of the context of the problem and how it is affecting Mrs. Kay. The social worker will ask Mrs. …show more content…
Kay to discuss a specific incident that illustrates the problem clearly. The social worker processed to gather biopsychosocial triggers or cues that she experienced during the incident. The social worker may ask a series of questions such as “ What were you feeling emotionally when you are in your room in need of help? On a scale from 1-10 rate the intensity of the feeling. “How was your body reacting physically? Have you ever experienced this body reaction before?” The social worker would gather details, such as when, where, how intense those feelings were to gain a better understanding and to provide Mrs. Kay to time to reflect on her responses and the connection that they have to her behavior. After completing the assessment, the social worker expects to uncover a cognitive distortion around her belief that asking for assistance will have a major negative affect on her care (Corcoran, 2014). Theoretical Assumptions CBT focuses on environmental, behavioral and social elements of person’s experiences.
CBT adopts a perspective on learned behavior, whereas unhealthy behaviors can be learned and un-learned and then substituted for more healthy behaviors. This form of therapy does not assume that people are innately flawed, rather their environment and behaviors modeled by others teach them how to behave. Another important aspect of CBT is that thoughts and beliefs influence behavior. Social scientist and their theories such as Pavlov’s classical conditioning and Skinner’s operant conditioning contributed to the make-up of the CBT. Classical conditioning explains human behavior as a response to repeated stimuli. In relevance to Mrs. Kay’s case, the crying behaviors and feelings of helplessness are classically condition. In regards to operant conditioning, human behavior is contingent on reinforcements. A reward or positive reinforcement for a particular behavior encourages the behavior to continue and/or improve. In contrast, discipline or negative reinforcement of a behavior discourages the behavior from continuing, as well as allows the person to avoid unwanted or uncomfortable experiences. Both positive and negative reinforcements can lead a person to continuing the behavior that will give them the reinforcement that they desire. In regards to Mrs. Kay, her silence and lack of request may have lead caretakers to praise her being so easy to manage and strong, which made her feel good and …show more content…
continue the behavior of remaining silent. The social worker also identified Mrs. Kay’s childhood and mother’s approval of her independence as another positive reinforcement of behavior that is now unhealthy for Mrs. Kay to continue practicing (Corcoran, 2014). Intervention Plan The social worker will utilize cognitive restructuring as the intervention to assist Mrs.
Kay with decreasing her depressive symptoms. The goal is to replace her feelings of helplessness with positive thoughts about herself, such as feeling pleased with herself for all that she has accomplished over the years. The following steps included in this intervention have been cited in Jacqualine Corcoran’s Collaborative Cognitive-Behavioral Intervention in Social Work Practice Workbook, (2014, p. 55). Step 1 is: Mrs. Kay will gain insight on her connection between her thoughts, emotions, behaviors and body feelings during a specific situation. Step 2: Mrs. Kay will identify the thoughts associated with the specific situation. Step 3: Mrs. Kay will examine the validity of beliefs. This objective will consist of the social worker requesting Mrs. Kay to provide examples opposing and favoring her belief. Step 4: Mrs. Kay will replace the irrational or problematic thought with more fundamental thoughts (Corcoran,
2014).
Formulation of Problem/Needs: The client 's presenting problems are caused by her mother’s emotional verbal abuse. In spite of all, her emotional problems Ana maintains a positive outlook towards her future. Ana demonstrates self-determination as she clearly expresses her current issues. She struggles with overeating because she feels unloved and worthless. Ana is seeking services to overcome the resentment she feels towards her mother. She is requesting help to manage her coping skills and reduce her feelings of depression. According to Ana these feelings started at a young age. Ana’s current challenges are learning to cope with her mother’s verbal abuse. Anna will arrange monthly meetings with her social worker to talk about what methods she’s used to coping with her depression. Ana agrees that she needs to find positive away to communicate with her mother. Ana also stays that she wants to learn to be selfish and break free from the traditional stereotypical life of East LA. Ana would like to begin addressing the following
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
Anders Behring Breivik was a Norwegian extremist and a terrorist who had bombed a government building and then shot and killed a number of youths at a camp. His actions were not impulsive, but instead meticulously planned. For years he fostered feelings of hatred and aggression, particularly after his failed businesses and his involvement with the right wing terror organization whose ideology was on anti-Islam and anti-mulitculturism. Breivik perceived that Muslims were invading Europe and conspiring with politicians to take over Norway. Hence, his decision to destroy the present and future politicians of government. Allport (1920), in his theory of Social Facilitation, fleshes out the impression that the presence of others (the social group) can facilitate certain behaviour (McLeod, 2007).
Cognitive Behavioural Therapy (CBT) is a form of therapy which can be used to treat a wide range of mental health problems. Cognitive Therapy is an active, directive, time limited, structured approach used to treat a variety of psychiatric disorders, for example depression, anxiety, phobias (Beck, 1967). It emerged as a rational amalgam of behavioural and cognitive theories of human behaviour and is based on the idea that our thoughts determine our behaviour and feelings (Kendall PC, 1979). On average a patient attends between 5 and 20 appointments with their therapist. (Blenkiron 2013)
The client being observed is a sophomore at UNH named Mike. Since attending UNH, Mike has displayed symptoms of social phobia. These symptoms include feeling nervous being around large groups of people and having panic attack like episodes. As well as this, he also often confines himself to his room, rarely speaks in class, and does not have very many friends. Though this is the case in college, Mike has not always displayed these symptoms. He suffered a lot of ridicule as a child because of a rare hormonal disorder. This ridicule that he faced adversely affects his current condition. However in high school, this ridicule stopped, and he was able to make close friends and found what he loved to do. Though Mike is nervous about attending therapy, he feels that something needs to be done in order for him to change.
Carl Roger’s believed that everyone is inherently good. Therefore, even the vilest of people would be included. Some disputes have been made among behavior theorists that because the theory lacks structure, it is not as effective in treating illness. However, it is one of the main theories utilized by therapists today. Cognitive Behavioral Therapy is another popular theory that is used. It emphasizes the present and fixing cognitive distortions that clients may have. However, it too received some arguments against it, such as; treating symptoms and not the underlying cause of an illness. The theories that will be discussed are Carl Roger’s theory of Person Centered Therapy, Aaron Beck’s Cognitive Behavioral Therapy (CBT) and how they would treat Post Traumatic Stress Disorder (PTSD).
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...
This paper will show how assessment is a core part of the client’s treatment. It will show how assessment is done at the beginning of the treatment process but, will allow you to see that assessment is a continuing process. It results from a combination of focused interviews, testing, and record reviews. Assessments give the social worker a framework of reference to understand the strengths, weaknesses, problems, and needs of the client for the development of the treatment plan. It provides the social worker with a theory-based framework for generating hypotheses about the client’s experience and behaviors, which in turn helps prepare the basis for a specific treatment intervention. This paper will discuss the assessment tools
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...
In this assignment I am going to introduce and unpack cognitive behavioural theory and psychodynamic theory. This will include the history of each theory and the theorists that discovered and developed both. I am going to link each theory to where they fit in Payne’s Triangle of Social Work as well as compare and contrast each theory. Both Cognitive behavioural theory and psychodynamic theory both support the purposes of social work in which I will cover beneath. This assignment will also include criticisms of both theories as well.
Cognitive-Behavioral Family Therapy (CBT) emphasizes on modifying parent’s behavior and improving communication skills. According to Nichols (2013), “Consequences that accelerate behavior are reinforcers; those that decelerate behavior are punishers” (p. 186). For example, Gladys’ behavior will be regulated by using reinforcements or punishment.
Theoretical perspectives in the study of human behavior can easily be applied to cases in social work practice. The mental health field in particular lends itself to the application of different human behavior theories. Specifically, depression can be viewed through the lens of Social Cognitive Theory, or Social Cognitive Learning. There is one case of a woman with depression, whose name will be changed, that social cognitive theory can be applied to. Cheryl is a 58 year old woman who has been diagnosed with Major depressive disorder. She has had this diagnosis since she was 17 years old. Many of her symptoms and experiences can be viewed or explained in terms of social cognitive theory.
Both operant and classical conditioning was used in my household. For example an act of operant conditioning was when I would ignore my chores my mom would say that I could not watch television until my chores were finished. She did this negative reinforcement to motivate me to complete my duties. However, this negative reinforcement did not encourage my brother to do his chores because he did not enjoy watching television. Because a certain consequence might not be the same for each individual, I believe that for operant conditioning to be successful the reinforcement or the consequence must correlate with the subject in order to increase or decrease a certain behavior. An example of classical conditioning in my life would be when my father opens the garage door when he arrives home. When he does this the door makes a distinct sound, and eventually my dog started to associate the sound of the garage door and his appearance. Now every time the door opens my dog gets excited expecting my father’s arrival, whether or not he is actually there. This example teaches me that my dog is experiencing classical conditioning. My dog is having an involuntary response to the sound of the garage door because of an association with my father’s
“Behavior theory consists of ideas about how human actions and emotions develop, are sustained, and are extinguished through principles of learning” (Walsh, 2010). Positive and negative reinforcement is used to help manipulate the behaviors of the individual. The theory has been used to help eliminate unwanted behaviors. In addition, behavior theory has been use primarily with children, and persons with developmental disabilities. According to Walsh (2010) behavior theory evolved in the 1960s from a field of philosophy to the field of science. Ivan Pavlov discovered classical conditioning, which plays a major role in behavioral theory. Classical conditioning is the process of learning through ones surroundings, conditioned, and unconditioned stimuli and response. B. F. Skinner discovered operant conditioning the process of learning to influence the future responses to the environment (Clark, 2004). The two concepts has been used throughout the behavior theory to help assist clients with unacceptable behaviors that is occurring. The combination of the two concepts has been a very helpful aspect to the behavior theory. Both concepts offer a different approach or solution to the behavior of the client.
For this week's discussion the theory that resonated with me the most is the Cognitive Behavioral Theory with Dr. Krumboltz. I have always been drawn to the CBT, as I feel that an individual's negative or destructive behaviors can be changed for the better with the right intervention, client understanding, acceptance and awareness of their role in their behavior. Dr. Krumboltz terms this as a learning approach (01:35). The video displays Dr. Krumboltz and his client Robin discussing the issues Robin is experiencing with her mother-in-law, as well as the impact those issues at times have on her marriage.