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psy440 Ch10 p310
Donald Meichenbaum's cognitive behavior modification
| Term | Definition |
|---|---|
| Cognitive behavior modification (CBM) | focuses on changing the client’s self-verbalizations |
| Clients, as a prerequisite to behavior change, must | notice how they think, feel, and behave and the impact they have on others |
| CBM, REBT and Beck’s cognitive therapy all assume that distressing emotions | are typically the result of maladaptive thoughts |
| Meichenbaum’s self-instructional training focuses on helping clients become | aware of their self-talk and the stories they tell about themselves |
| Donald Meichenbaum claims we can behave our way into a new way of thinking | rather than to think our way into a new way of behaving |
| Cognitive structure is the organizing aspect of thinking, which monitors and directs the choice of thoughts through an | “executive processor” that “holds the blueprints of thinking” that determine when to continue, interrupt, or change thinking. |
| Cognitive restructuring practices self-instructions and desirable behaviors in role-play situations | that simulate problem situations in the client’s daily life |
| Emphasis is on acquiring practical coping skills for problematic situations such as impulsive and | aggressive behavior, anxiety in social situations, fear of taking tests, eating problems, and fear of public speaking |
| Behavior change occurs through a sequence of mediating processes involving the interaction of | inner speech, cognitive structures, and behaviors and their resultant outcomes |
| Three phase process of change | Self-observation, Starting a new internal dialogue, Learning new skills |
| Phase 1: Self-observation | increased sensitivity to their thoughts, feelings, actions, physiological reactions, and ways of reacting to others |
| Phase 2: Starting a new internal dialogue | initiate a new behavioral chain, one that is incompatible with their maladaptive behaviors |
| Phase 3: Learning new skills | interrupt the downward spiral of thinking, feeling, and behaving by teaching adaptive ways of coping |
| Stress inoculation training | procedures that are a psychological and behavioral analog to immunization on a biological level |
| Individuals are given opportunities to deal with relatively mild stress stimuli in successful ways, | so that they gradually develop a tolerance for stronger stimuli |
| Stress inoculation training (SIT) combines information giving, Socratic discovery-oriented inquiry, cognitive restructuring, | problem solving, relaxation training, behavioral rehearsals, self-monitoring, self-instruction, self-reinforcement, and modifying environmental situations |
| Learning how to modify cognitive “set,” or core beliefs | anxiety exposure, evaluate anxiety, anxiety-provoking cognition awareness, reevaluate self-statements, reevaluate anxiety |
| Phases of stress inoculation training | conceptual-educational, skills acquisition and consolidation application and follow-through |
| Conceptual-educational phase; creating a working relationship and therapeutic alliance with clients by understanding the | nature of stress and reconceptualizing it in social-interactive terms |
| As a way to understand the subjective world of clients, | the therapist generally elicits stories that clients tell themselves |
| Clients typically keep an open-ended diary in which | they systematically monitor and record their specific thoughts, feelings, and behaviors |
| Skills acquisition and consolidation phase: | direct actions: learning about their fears, stress situations, ways to lessen stress, methods of physical and psychological relaxation |
| Cognitive coping; | adaptive and maladaptive behaviors are linked to their inner dialogue |
| Application and follow-through phase | transfer and maintenance of change from the therapeutic situation to everyday life |
| Application and follow-through phase training sessions include | imagery and behavior rehearsal, role playing, modeling, and graded in vivo exposure |
| Relapse prevention | dealing with the setbacks clients are likely to experience; view lapses as “learning opportunities” |
| SIT has been used for anger control, anxiety management, PTSD, phobias, addictions, | assertion training, improving creative thinking, treating depression, and dealing with health problems |
Created by:
james22222222