mcmullin s cognitive restructuring therapy

... interventions that will solidify the shift in beliefs 3.3 Advantages-disadvantages analysis The advantages-disadvantages analysis is a versatile strategy that can be used for many purposes in cognitive therapy, ... symptoms, usually during therapy sessions These are symptoms patients resist to confront when they are alone, and CRP seems to make this challenge acceptable, at least in the therapist 's presence ... this section, I describe some common strategies for the modification of core beliefs Most therapists use a creative combination of the strategies described in this session (as well as other strategies)...

Ngày tải lên: 30/03/2014, 23:20

... this criteria Assessments before and after the intervention Neuropsychological assessments were conducted with each participant before and after the intervention These assessments tested various ... of set-shifting skills The purpose of this small case series was to explore: 1) whether therapeutically addressing thinking style improves performance in neurocognitive tasks (primary outcomes) ... effect sizes in set shifting performance It is not possible to draw firm conclusions given the small size of this case series compared against the larger retrospective comparison group Based on...

Ngày tải lên: 08/08/2014, 21:20

... training and supervision in brief CBT (nine or less sessions) Full-course CBT (12 or more sessions) seemed impractical in medical settings and rural clinics because of issues of access to care and ... facilitators as key supports in their successful application of new skills and establishment of new services In the past decade, many healthcare systems have engaged in efforts to increase the use of ... regular sessions because of the distance to clinic or an unwillingness to miss work In addition, a few therapists noted that their current duties (e.g., only intake assessments) or changes in duties...

Ngày tải lên: 10/08/2014, 10:23

... the case for intensity of distress but the two parameters not necessary fluctuate in a synchronised manner Pat s distress was scored on a scale from to 10 on many occasions and fluctuated significantly, ... measures could have an additive or even synergistic effect It was possible in a non-dismissive and respectful way to organise the patients thoughts into more understandable structures—a process ... Course in CBT at Southampton University year 2000–01 The course consisted of three teaching modules: axis I disorders, personality disorders and finally psychotic disorders I was at this stage...

Ngày tải lên: 11/08/2014, 04:20

... worth a try Session 4: Adherence This session is usually dedicated to issues surrounding medication unless the client wishes otherwise However, there are few patients who have no issues regarding ... alternative diagnoses of, initially, depressive psychosis, then later, with the persistence of the voices, schizodepressive illness These symptoms had developed when she was 25 Background She was born in ... emphasis on encouraging people to share what meanings they really give to the voices (and other symptoms), as a basis for working towards less distressing ways of making sense of them This is because...

Ngày tải lên: 11/08/2014, 04:20

... of these sessions and Sarah was asked to play them between sessions using a subjective unit of distress scale in order to monitor her distress at listening to the detail Various incidents kept ... experiences and this allowed Sarah to see why she could become ill at that particular time Examples of psychosis occurring as a result of physical and mental stress assisted in explaining this process ... telling her that she was useless and to hang herself or gas herself with exhaust fumes, and also to harm others However, she started “asking the voices to prove themselves” and this was shown to be...

Ngày tải lên: 11/08/2014, 04:20

... nurses (CPNs) Initial assessment The first three sessions were spent gathering information about Mary s perception about her situation and her husband s perspective The first two sessions were spent ... interesting conceptual points highlighted by these two cases The first is, as discussed, the presence of paranoia (in terms of cognitive processes) in the absence of other first-rank symptoms of psychosis ... Session discussing “staying well” strategies A staying well plan, a minor crisis plan, and a crisis plan were discussed Staying well plan Firstly, Carole was asked about the symptoms she felt...

Ngày tải lên: 11/08/2014, 04:20

... the sessions at this point: firstly, to discuss negative symptoms from her perspective; secondly, to link her symptoms to the stress-vulnerability model; and finally to begin to discuss the stressors ... areas: r Understanding the illness r Distress and situations triggering distress r Coping strategies r Restrictions to lifestyles r Dissatisfaction with behaviour r Strengths The family was invited ... of psychosis Dysfunctional assumptions Jane s dysfunctional assumptions all stemmed from the themes above with a strong emphasis on responsibility, failure and blame This has been hypothesised...

Ngày tải lên: 11/08/2014, 04:20

... assessment CBT assessment, especially in this area, is based on an effective mental health assessment Generic assessments identify needs, the presenting problem, history of that problem, personal ... problems seriously regardless of whether the patient is motivated by fear of symptoms and distress returning or by the desire to secure release Rehearsal of coping with symptoms and social stressors ... conditions, e.g depression, substance misuse, personality disorder, suicide, hostility All these areas commonly present with patients and some discussion on the ways of proceeding are necessary CBT...

Ngày tải lên: 11/08/2014, 04:20

... developments towards an ICS formulation of psychosis: A comment on Gumley et al (1999) An Interacting Cognitive Subsystems Model of Relapse and the course of psychosis Clinical Psychology and Psychotherapy, ... (1997) Schizotypy: Implications for Illness and Health Oxford: Oxford University Press Clarke, I (1999) Cognitive therapy and serious mental illness An interacting cognitive subsystems approach ... delusions: A Bayesian hypothesis British Journal of Psychiatry, 149, 51–56 Hinshelwood, R.D (1998) Creatures of each other Some historical considerations of responsibility and care, and some present...

Ngày tải lên: 11/08/2014, 04:20

... to assess whether CBT components consistent with the manual were documented for no sessions, one to three sessions, four to six sessions, or more than six sessions, with 80% concordance Because ... CBT Study # of Adolescents Receiving >6 CBT Sessions (MRR) # of Adolescents Receiving 4–5 CBT Sessions (MRR) # of Adolescents Receiving 1–3 CBT Sessions (MRR) # of Adolescents Receiving At Least ... initiation Investigators also collected qualitative data through field notes of discussions with managers and records of supervisory sessions with intervention clinicians Results from the surveys and...

Ngày tải lên: 11/08/2014, 05:22

... not participants attended at least half (six) of the sessions All statistical analysis was performed using STATA version 9.0 Results Recruitment Based on the searches of medical notes, an invitation ... 2.47 points among those who completed at least sessions compared to those who attended fewer sessions Nonetheless it is important to emphasise that none of these estimates was significant at a p ... size is small, these discrepancies may indicate the need to re-evaluate the appropriateness of these measures in a larger study A small number of previous studies have assessed the effectiveness...

Ngày tải lên: 11/08/2014, 15:22

... therapist or other investigators in the study This is minimized by (a) patients being asked by research assessors not to disclose their treatment to the research assessors, (b) the assessors and ... care Assessments The following assessments were carried out at base-line only; (i) personality assessment using the quick version of the Personality Assessment Schedule (PAS-Q)[21] but also including ... personality disorders [20] (using the Personality Assessment Schedule-Quick Version (PASQ)[21]) and that these comorbid disorders will be associated with increased costs The study also allows...

Ngày tải lên: 11/08/2014, 15:22

... of Psychiatry, University of Pittsburgh School of Medicine; 1996 26 Magnusson P, Smari J, Sigurdardottir D, Baldursson G, Sigmundsson J, Kristjansson K, Sigurdardottir S, Hreidarsson S, Sigurbjornsdottir ... review sessions and help with homework Participants were re-assessed using the same measures at Time (end of treatment) and Time (three month follow up) The timing of the evaluation assessments was ... calculates outcome whilst adjusting for all baseline data Between group effect sizes for the outcome assessments were measured using Cohen s d using unadjusted means for the dependent variables and SD...

Ngày tải lên: 11/08/2014, 15:22

... Depression Rating Scale - Self report (MADRS -S) The MADRS -S is a 9-item questionnaire assessing depressive symptoms [35] The MADRS -S has good test-retest reliability (.80 - 94) and correlates (r ... ranging from (no symptoms) to (severe symptoms) The total score ranges from to 40 and consists of two sub scores for compulsions (range to 20) and obsessions (range to 20) Y-BOCS has excellent inter-rater ... size * Significant using Bonferroni corrected alpha values Y-BOCS = Yale-Brown Obsessive Compulsive Scales OCI-R = Obsessive Compulsive Inventory - Revised MADRS -S = Montgomery Åsberg Depression...

Ngày tải lên: 11/08/2014, 15:22

... was also used to measure phobia The Phobia subscale contains seven items assessing 11 severity of phobic symptoms Post-traumatic stress The Post-traumatic Stress Scale 10 [40], a short screening ... instrument tapping DSM-III symptoms of post-traumatic stress disorder including symptoms of hyperarousal, was used to measure symptoms of post-traumatic stress Therapists Six female psychologists ... alliance (patients’ ratings) was also assessed at mid-treatment after weeks Outcome measures Depression Depression was assessed with the German version [34] of the Beck Depression Inventory-II...

Ngày tải lên: 11/08/2014, 16:21