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Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist & Superintendent, CDSBEO & Claire Dulmage, Psychological Associate, CDSBEO Dr. Mark Sinyor, Psychiatrist Video presentation

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Page 1: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Cognitive Behavioural Therapy (CBT) Novel

StudyHarry Potter & the Prisoner

of Azkaban

Dr. Donaleen Hawes, Psychologist & Superintendent, CDSBEO

&Claire Dulmage, Psychological Associate,

CDSBEO

Dr. Mark Sinyor, PsychiatristVideo presentation

Page 2: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

What is This Project About?

• Infused the principles of CBT within a novel study .

•Designed and ideal for grades 7 & 8 students

• Provide a teacher resource: • Specific CBT Components & Key Learning Points

• Connections between CBT and the different chapters

• Core and optional CBT lessons and activities

• Comprehensive mental health literacy and skills embedded into a literature curriculum study

Page 3: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

How Together We….

• Learn, with Harry, what it means to become depressed and anxious

•Understand how Harry uses CBT skills to find a path to resilience

• Promote understanding and discussion of how thoughts, emotions, and behaviours influence/impact each other

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• Innovative and experiential approach

• Preventative for the occurrence of later mental health problems

• Relate to Harry, other characters, & the author’s experiences

• Exciting & absorbing narrative

• To build:• Improved mental literacy & resilience

• Understanding – the right strategies can overcome distress

• Knowledge & application of these strategies (just like Harry)

Why Harry Potter & CBT?

Page 5: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Today…..•Overview of how the chapters of the novel are

studied through a CBT lens

• Look in depth at one of the chapters to explore• Goals/key learning points

• CBT components

• How chapters relate to CBT

• Core CBT & optional lesson plans/activities

• Guiding questions & check list

• Student and teacher testimonials

• Summary of the 7 CBT Core Principles being covered throughout the novel

•Opportunities for discussion and reflection

Page 6: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

‘Cognitive’ refers to what we think and how we think

‘Behaviour’ refers to everything that we do

‘Therapy’ a systematic approach to combating a problem

Central idea

of CBT:

Our thoughts about an event or an experience powerfully affect the way we respond to it (emotionally, behaviourally, and/or physically)

We feel and behave the way we think

What is Cognitive Behavioural Therapy?

Page 7: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Thoughts – Feelings – Behaviour Connection

Page 8: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Risk and Protective FactorsChapters

1&2

Goals / Key Learning Points

• Explain purpose of curriculum

• Introduce book & characters

• Introduce key concepts: risk factors and protective factors, & consider what they mean practically.

How are Chapters 1-2 Related to CBT?

Harry is dealing with several challenges (risk factors)

Page 9: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Risk and Protective FactorsChapters

1&2

CBT Foundational Components

A characteristic at the biological, psychological, family, or community (including peers & culture) level that…..

RISK FACTOR….precedes and is associated with a higher likelihood of problem outcomes

PROTECTIVE FACTOR…. is associated with a lower likelihood of problem outcomes, or that reduces the negative impact of a risk factor on problem outcomes.

Page 10: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 11: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 12: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Goals / Key Learning Points

• Introduce key concepts: distress and resilience

• Normalise stress

• Introduce anxiety

• Introduce ‘Stress Busters’

Distress and ResilienceChapters 3 & 4

Page 13: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

How are Chapters 3-4 Related to CBT?

• Harry is in significant distress

• However, there are many things in Harry’s life that help him cope.

• Readers consider what they draw on to cope.

• Discover that a serial killer is after Harry – this foreshadows the central cause of Harry’s distress

Distress and ResilienceChapters 3 & 4

Page 14: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

CBT Foundational Components:

Distress:

• Any form of mental discomfort or suffering.

• Often precipitated by risk factors (chaps 1 & 2).

• Everyone will experience negative life events

Anxiety:

• Temporary worry, nervousness, or fear we experience before / during challenging life experience.

• More persistent feelings that result in mental health disorders

Distress & ResilienceChapters

3 & 4

Page 15: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 16: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 17: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

CBT Foundational Components

Resilience:• The ability to recover from and/or overcome

difficulties. Draw on protective factors

Stress Busters:• A toolbox of skills we use/set of resources we

draw upon to:• Manage distress • Find paths to resilience.

• E.g., people, places, activities, hopes, dreams, and values.

• Essential to practice Stress Busters beforedistress strikes.

Distress & Resilience Chapters 3 & 4

Page 18: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 19: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

What are your ‘Stress Busters’? How do you…

Chapters 3 & 4

Page 20: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

The Link Between Dementors & Depression

Chapter 5

Goals / Key Learning Points

• Introduce depression and its symptoms

• Introduce the author, J.K. Rowling:• Wrote about her depression & how to be resilient in the face of severe

distress (as she was).

• Depression can alter thinking and behaviour:• Often leads to negative thoughts

• Introduce CBT Core Principle #1: Knowing your stressors and symptoms is an important first step to overcoming distress.

Page 21: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

The Link Between Dementors & Depression

Chapter 5

How is Chapter 5 Related to CBT?

• Harry is attacked by a Dementor - causes him to experience feelings of depression.

• Like depression, Dementors force the person they are attacking to feel:• That they will never be cheerful again

• Confused

• A heightened awareness of their environment

• Physical sensations such as: intense cold and shortness of breath, drowning, an inability to move

• Painful recollections of past trauma

Page 22: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

The Link Between Dementors & Depression

Chapter 5

How is Chapter 5 Related to CBT?

Specifically Harry feels:

• Disorientated, embarrassed, worried (perception others)

• Weak and vulnerable; worried it might happen again

• Reluctant to seek help (e.g., going to hospital wing) – an important recurring theme :

• When Harry keeps his thoughts and feelings hidden, bad things happen.

• In contrast, when he shares/asks for help, good things happen.

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The Link Between Dementors & Depression

Chapter 5

How is Chapter 5 Related to CBT?

Professor Lupin - happy to help/support Harry following his encounter, both:

• Short-term (with the ‘biological treatment’ of chocolate)

• Long-term – Lupin helps Harry navigate his problems with the dementors

Page 24: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 25: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Chapter 6

Goals / Key Learning Points

• Introduce ‘Cognitive Distortions’ - thinking errors or skewed interpretations

• Introduce CBT Core Principle #2: Thoughts are just ideas. Just because you think something, doesn’t necessarily mean it’s true.

• Looking for evidence – being scientific about thoughts

• Introduce CBT Core Principle #3: It’s not the situation that matters, it’s how you think about it.

Introduction to Cognitive Distortions

Page 26: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Chapter 6

How is Chapter 6 Related to CBT?

• Professor Trelawney reads Harry’s tea leaves and ‘finds’ a Grim - an omen of death.

• Harry feels scared and unsure of himself.

• Professor Trelawney becomes the embodiment of distorted thinking:• Catastrophizing

• Jumping to conclusions

• The fortune telling error

• Hermione & Professor McGonagall demonstrate the importance of rational thinking.

Introduction to Cognitive Distortions

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Chapter 6

CBT Components

Catastrophizing:

• Taking a fairly minor event & imagining the worst possible outcome

Fortune Telling:

• Making predictions, which are often negative and can stop you from taking action.

• This can lead to a self-fulfilling prophecy.

Introduction to Cognitive Distortions

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Chapter 6

CBT Components

Emotional Reasoning:

• Seeing feelings as facts

Labelling

• People who are depressed or anxious often think they are “bad”, “stupid”, “fat”, “ugly”, and “unlovable”.

• This can be thought of as a form of “inner bullying”.

Introduction to Cognitive Distortions

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Chapter 6

CBT Components

All-or-Nothing Thinking/Black or White thinking:

• Thinking in only extremes, failure to appreciate the ‘grey’ inherent to life.

• A tendency to view the world and experiences as all good or all bad.

Introduction to Cognitive Distortions

Page 30: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 31: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 32: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 33: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Chapter 6

CBT Components

CBT Core Principle #2: Thoughts are just ideas. Just because you think something, doesn’t necessarily mean it’s true.

• We all think thousands of thoughts every day:• Many map well onto reality (“It’s my birthday tomorrow”)

• But some of them will not (“No one cares that it’s my birthday”)

• Normalize this fact with students

• Many youth assume that their thoughts must be true.

• Thoughts are just thoughts.

Introduction to Cognitive Distortions

Page 34: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Chapter 6

CBT Components

The Importance of EvidenceGiven some of our thoughts are true & some are not, we need to be open to:

• Thinking flexibly – consider the possibility that some thoughts could use tweaking before we conclude they are correct.

• CBT – gather evidence• See how much support for a thought

• See how much evidence that does not support it.

Thoughts are just ideas – cannot be used as evidence.

Introduction to Cognitive Distortions

Page 35: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Chapter 6

CBT Components

CBT Core Principle #3: It’s not the situation that matters, it’s how you think about it

• Harry practices approaching Buckbeak

• Professor McGonagall & Hermione (rational thinkers) - challenge cognitive distortions.

• Result - Harry approaches Buckbeak calmly, & with an open mind – allows success.

Introduction to Cognitive Distortions

Page 36: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

• Core Principle #4: Avoidance seems like it helps, but it actually makes the problem worse (you can’t overcome your fears if you don’t face them)

• Chapter 7 – 8: Anxiety, and in some cases depression, involves avoiding situations. Students learn strategies to face their fears.

• Core Principle # 5: Growth does not occur in a straight line

• Chapters 9 – 11: Distress is a common part of life, risk factors rarely disappear suddenly. Everyone will experience setbacks, as Harry does. Setbacks are an expected part of a persons path to resilience.

Remaining Core Principles

Page 37: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

• Core Principle # 6: It is often important to do things even if they don’t immediately result in benefits

• Chapter 12: introduced to a Patronus, the ultimate Stress Buster, which can be deployed against dementors.

• Harry struggles to produce the Patronus, but he becomes successful with practice and hard work.

• Illustrates that the treatment of depression and anxiety as well as the use of stress Busters often may not result in immediate change. But it is important not to give up and to try strategies, because eventually they will have an impact.

Page 38: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

• Core Principle #7: Don’t bite off more than you can chew

• Chapter 13 – 16: When applying CBT strategies/making efforts to be resilient, it is vital to set realistic goals.

• One of the approaches demonstrated by Harry throughout the novel is a measured, stepwise approach to implementing what he has learned. This is one of the keys to his success.

• Students learn that • when planning to put multiple skills into practice, they must be

mindful of the effort required and should try to set themselves up for success…

• … even if it means leaving practicing some skills until later.

Remaining Core Principles

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Received by both teachers and students with great positivity:

• Described the sheer joy and excitement of immersing themselves in the ‘wizarding world of Harry Potter’

• Identified positive mental health impacts

• Described profound positive changes

• Provided testimonies that were both moving and inspirational to teachers and staff involved.

Impact of the Project

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Page 41: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist
Page 42: Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter ......Cognitive Behavioural Therapy (CBT) Novel Study Harry Potter & the Prisoner of Azkaban Dr. Donaleen Hawes, Psychologist

Reflections…..

Why or how does this project interest you in your role?Who might you share it with?

How might you apply it in your life?What’s your take-away?

•Get in touch:• Share your reflections• Request a copy of the final version of the binder• [email protected]