Forgot your login information? This book uniquely combines CBT with the Department of Health stepped care model to provide the first comprehensive case study-approach textbook. The distinctive practical format is ideal in showing how to put the principles of CBT and stepped care into effect. As well as echoing postgraduate level training, it provides an insight into the experiences the trainee will encounter in real-world practice. Each chapter addresses a specific client condition and covers initial referral, presentation and assessment, case formulation, treatment interventions, evaluation of CBT strategies
For example, some of the case studies demonstrate good progress through treatment interventions; others show clients struggling with the dilemmas cognitibe when developing counter-conditioning strategies or with behavioural experiments that challenge their normal avoidance-strategies to disconfirm their negative beliefs. Chichester, Hhe : Wiley. Journal of Interpersonal Violence Case study on the cognitive model : — We reviewed the tools that worked best for her in terms of overcoming worries about work in the hope that she can continue to utilise them beyond the therapy room. Finding scientific topics. McGowanP.
I got me babes. Browse by Content Type
It is also worth mentioning that George was motivated and completed his CBT homework every week, something that helped the therapeutic outcome. Is schizophrenia the price that Homo Sapiens pays for language? By Saul McLeodupdated Social phobia can be described as an anxiety disorder characterized by strong, persisting fear and avoidance of social situations. Unconditional self-acceptance and psychological health. How to analyze case study data. Disatisfaction with the behaviorist approach in its simple emphasis on external behavior rather than internal processes. Ranieri W. American Psychiatric Association. As a result these situations are characteristically avoided or endured with dread. Thinking and depression: idiosyncratic content and cognitive distortions. Leichsenring F, Rabung S. Author Case study on the cognitive model Article notes Copyright and License information Disclaimer.
- We present an evolutionary-driven cognitive—behavioral intervention for a moderately depressed patient.
- By Saul McLeod , updated
Skip to search form Skip to main content. View on Springer. Alternate Sources. Save to Library. Create Alert. Share This Paper. Figures and Topics from this paper. Citations Publications citing this paper. Hierarchical graphical bayesian models in psychology Edith Cowan. Sources of interference in item and associative recognition memory. Adam F Osth , Simon Dennis. A Bayesian approach to modeling group and individual differences in multidimensional scaling Kensuke Okada , Michael D Lee.
Moore , Michael D. Lee , Ben R. Likelihood-free Bayesian analysis of memory models. Brandon M. References Publications referenced by this paper. Integrality versus separability of stimulus dimensions: From an early convergence of evidence to a proposed theoretical basis.
Roger N. Attention, similarity, and the identification-categorization relationship. Robert M. Bayesian models of cognition Thomas L. Griffiths , Charles Kemp , Joshua B. Lee , Ian G. Fuss , Daniel J. Griffiths , Daniel J. Modeling individual differences using Dirichlet processes Daniel J. Navarro , Thomas L. Vision as Bayesian inference: analysis by synthesis? Alan L. Yuille , Daniel Kersten. A generative theory of similarity. Kemp , A. Bernstein , J. Related Papers.
Hagen EH. In the present clinical case, George attended 20 individual sessions of CBT, in order to reduce his anxiety levels and phobias and learn how to monitor his progress in his daily life. After challenging this perfectionistic demand, cognitive work focused on the global evaluation that underlined her depressive mood e. All the approaches mentioned here use preconceived categories in the analysis and they are ideographic in their approach, i. Olioff M, Bryson SE.
Case study on the cognitive model. Theoretical and Research Basis Treatment
Cognitive Approach | Simply Psychology
Are you sure you want to Yes No. Monica Wooten Intimacy has never been so much fun! Buy the clinically proven men's natural supplement that helped guys increase satisfaction by Althea Roy Stop getting scammed by online, programs that don't even work!
Amber Sultan. Punita Deori. Lizzy LC. No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Ellis postulates that we all have the ability to change our cognitions, emotions and behaviour by choosing to examine and challenge the irrational beliefs B we hold about an event A. Negative Core beliefs arise from these thoughts and are accepted as internal truths about the self which in turn may alter the way they construe the world and what the future holds for them.
Although CBT has been proven to be effective with the treatment of mental illness, the generic nature of CBT does not allow the counsellor to target specific difficulties of the 4.
Therefore I must be careful when discussing the formulation with Jenny as there may not be time to work on some specific difficulties that she may bring to the table. Rationale I chose to employ a CBT framework for intervention because it is a short-term, focused therapy Fennell, , has collaborative nature, and it is highly structured and directive Beck, I believe this would apply well to Jenny as her life appears to be lacking structure and guidance.
I also chose to use CBT as Jenny was adopting social and job related cognitive distortions that caused her to worry about the future. A change in cognition may positively alter the way Jenny thinks about herself and the world around her which will in turn change her behaviour, the way she feels and her thought patterns Greenberger and Padesky, The referral stated that Jenny has been on sick leave from work for 6 weeks and was experiencing bouts of low mood and disinterest in normal activities like socialising.
The service offers a maximum of twelve, fifty minute sessions and I have supervision once a fortnight for two and a half hours. Bibliographical information and family history Jenny is a 23 year-old, single, White-British female and lives at home with her parents and younger sister. Last year, Jenny graduated from University and went travelling for 3 months before commencing her job as a civil servant. Despite not being close to her parents, Jenny relies heavily on them to complete tasks for her such as cooking at mealtimes as she gets little sleep and therefore has no energy.
She explained that she has always wanted to be an artist but her parents ignored this wish of hers. I began the session by introducing myself and explaining issues of confidentiality. The latter was important to Jenny as she expressed concern about her parents finding out. She was reassured when I explained that a breach of confidentiality would be 6. Presenting problems Jenny said that she started to experience feelings of low mood and isolation when she got back from travelling.
She feels anxious and paranoid around her boss and work colleagues, and believes they are often critical of her. She finds herself spending a lot of time ruminating about things that have been said to her. These problems could be maintained by her parents as they reaffirm her negative beliefs about herself. Due to her perceptions of what her work colleagues say to her, Jenny is finding it difficult to build relationships. Jenny also explained how she had been experiencing somatic sensations when confronted with people at work such as uncontrollable sweating.
She found these experiences extremely unnerving and has avoided them by not being at work. Therefore, Jenny may 7. It could well be that her colleagues are acting in a positive manner e. This sequence of events is potentially linked to her avoidance of work.
This made me conscious of what techniques I would use in therapy with Jenny. The five aspects formulation model can help to identify a link between her experiences at work in terms of her thoughts, moods, behaviours and physical reactions.
This model would suggest that one can target any of these aspects and it will have a positive direct impact on the other related issues. Student Number Theoretical Models in Counselling Psychology PS 8 Section 3: Content of therapy and techniques employed Sessions The first intervention session was used to share and discuss the formulation and to complete some Psycho-education on the CBT model explaining the way in which her thoughts, feelings, physical sensations and behaviours link up Padesky, I asked Jenny to identify a situation she found difficult and complete a five aspects model of her own.
Jenny found it difficult to identify her thoughts on her own and so, through Socratic questioning Padesky, , we were able to uncover the thoughts that were present in that situation.
It seemed that Jenny had initially struggled to grasp the cognitive aspects of the model but by working collaboratively, Jenny was able to experience some sense of achievement. We were able to uncover negative thoughts and fears that were present when her colleagues criticised her work. It was possible that this was a turning point for Jenny. Sessions Jenny started to bring in her own ideas to the sessions such as wanting to create a plan for getting herself back to work.
I believe that this seemed important because it meant that she was starting to take control of what she wanted in the session which may have been an important first step in her taking control outside of the session. However, I explained that 9. Student Number Theoretical Models in Counselling Psychology PS 9 before creating any plan I wanted to carry on focusing the therapy on her thoughts about particular situations. This often lead her to feeling upset, paranoid and rejected.
I explained that if her thoughts about herself changed, she would be able to alter her thoughts in specific situations that could be effecting her relationships Beck, Student Number Theoretical Models in Counselling Psychology PS 10 I then tried to expose Jenny to her fear of feeling paranoid and rejected through role- play. One way that I taught Jenny to do this was by asking her what would be the worst thing that might happen to her if for example, she was confronted by her colleagues.
We then made a list of all the negative things that they may think of her. We discussed her thought record again, specifically concentrating on the evidence that did not support that thought. We reviewed the tools that worked best for her in terms of overcoming worries about work in the hope that she can continue to utilise them beyond the therapy room. My supervisor suggested that I should let Jenny lead part of a session for herself using Socratic questions to guide her.
However, Jenny expressed that she would rather concentrate on making an action plan relating to work. Although Jenny took initiative to help herself early on, I thought that it might have been better to revert to working cognitively and then return to the activity schedule later on. Perhaps it may have been helpful to have part of the case formulation based around family dynamics and belief systems and how this impacts on the client Cockx, However, Jenny specifically expressed that she wanted to focus on getting back to work.
To try and overcome this issue, I was advised to include familial activities in her activity schedule e. Student Number Theoretical Models in Counselling Psychology PS 12 Linking this case study to the Ethos of Counselling Psychology The importance of establishing a strong collaborative relationship in therapy is now firmly established in CBT theory and practice Wills, Beck stressed the need for therapists to develop a strong TR where they can collaboratively develop therapy goals, ways of working and homework tasks.
In this case study, Jenny and I collaboratively agreed together on what her goals were. Woolfe identified the significance of the TR in Counselling psychology and that using therapeutic techniques are only useful if there is a strong therapeutic alliance between client and therapist Sanders, This is why it was important that I used emotion-focused methods like role playing only when the TR was established.
However, I felt that this was paramount in creating a strong TR with Jenny, which in turn would lead to the desired outcomes.
Cambridge: Cambridge University Press. Beck, A. Thinking and depression: II. Theory and therapy. Archives of general psychiatry, 10 6 , Depression: Clinical, Experimental and Theoretical aspects. New York: Harper Row. Cognitive therapy and the emotional disorders. New York: International Universities press. Cognitive therapy of depression.