cognitive therapy in groups
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Cognitive Therapy in Groups. Session 2 Thinking and Feeling. Generation of Negative Emotion. Stream of consciousness. B : Lousy Ref. A ctivating event. e C : Anger. b C : Boo. Logical Errors. Biased Thinking Black & White thinking. Referees should…If not they are…. - PowerPoint PPT PresentationTRANSCRIPT
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Cognitive Therapy in Groups
Session 2
Thinking and Feeling
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Stream of consciousness
B: Lousy Ref
Generation of Negative Emotion
Activatingevent
Biased Thinking
Black & White thinking
Referees should…If not
they are…
b C: Boo
eC: Anger
Logical Errors
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Logical Errors Errors in making conclusions from
sensory input. Not errors in perception. AKA ‘cognitive distortions’. Misinterpretation or non-objective
interpretation.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Kinds of Logical Errors More Dire Than Justified MDTJ Unjustified Negative Prediction UNP Over Generalization OG Black & White Thinking B&WT Invalid Allocation Of Responsibility IAOR Mind Reading MR Biased Weighting BW Ignoring Facts IF False Absolute FA Must Or Should MOS Emotional Reasoning ER
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Stream of consciousness
B: Lousy Ref
Generation of Negative Emotion
Activatingevent
Biased Thinking
Black & W thinking
Referees should…If not
they are…
b C: Boo
eC: Anger
Automatic Thought
Logical Errors
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Automatic Thoughts (1)
Are transient phenomena (like a spoken sentence).
Occur in the stream of consciousness.
They are short and specific. They occur extremely rapidly,
immediately after the event.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Automatic Thoughts (2)
They do not occur in sentences, but may consist of a few key words or images.
They do not arise from careful thought. They do not occur in a logical series of
steps such as in problem solving. They seem to happen just by reflex.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Stream of consciousness
B: Lousy Ref
Generation of Negative Emotion
Activatingevent
Biased Thinking
Black & W thinking
Referees should…If not
they are…
b C: Boo
eC: Anger
SCHEMACONTENT
Automatic Thought
Logical Errors
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Schema Definition Schemas are permanent entities stored some
where in your brain. They contain ‘Schema Content’ – long term
reference material about things in the world in the form of:
Formal propositions. Memories. Associated emotions. Action tendencies.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
A Schema is like a box that contains the results of previous experiences as interpreted by the person
•Propositional contentPropositional content•MemoriesMemories
•Associated emotionsAssociated emotions•Action tendenciesAction tendencies
The content of the schema can be positive or negative or a mixture.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Common Schema Topics/Content of Fundamental Schemas The value of ourself The nature of our life/the world The state of our social life The integrity/safety of ourselves The value of others Content can be
Present or Future Conditional
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
The Negative Thinking Sequence
Stream of consciousness (Includes awareness of sensation)
Activatingevent
Logical Processes
Schema
Automatic Thoughts
behavioural Consequence
(strategies)
emotionalConsequence
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Activating event Belief or thoughtemotional
Consequence
He’s useless Anger
Referee awards penalty
Identifying Surface Beliefs and Writing Them in the 3-Column Format (1)
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Identifying Surface Beliefs and Writing Them in the 3-Column Format (2)
Activating event Belief or thoughtemotional
Consequence
My career is over, this is
the end
DepressionBike
smash
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Activating event Belief or thoughtemotional
Consequence
I’m useless Depression
Boss yells
Identifying Surface Beliefs and Writing Them in the 3-Column Format (3)
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Activating event Belief or thoughtemotional
Consequence
How dare he!
AngryBoss yells
Identifying Surface Beliefs and Writing Them in the 3-Column Format (4)
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Activating event Belief or thoughtemotional
Consequence
I’ll probably
embarrass myself
AnxietyGoing to a
party
Identifying Surface Beliefs and Writing Them in the 3-Column Format (5)
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Techniques for Capturing Automatic Thoughts
Replay the event in your mind. Relax, allow your mind to wander and just
notice what thoughts (including images) come into your mind.
Imagine you are re-experiencing the event. Recreate the conditions of the event.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Stream of consciousness
Generation of Negative Emotion
Activatingevent
Biased Thinking
Black & W thinking
Referees should…If not
they are…
Logical Errors
b C: BooBehavioural consequence
SCHEMA content
B: Lousy Ref
Automatic Thought
eC: Anger
Emotional Consequence
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Automatic Thoughts (1)
Are transient phenomena (like a spoken sentence).
Occur in the stream of consciousness.
They are short and specific. They occur extremely rapidly,
immediately after the event.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Automatic Thoughts (2)
They do not occur in sentences, but may consist of a few key words or images.
They do not arise from careful thought. They do not occur in a logical series of
steps such as in problem solving. They seem to happen just by reflex.
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
The Main Elements in Cognitive Theory
Negative Automatic Thoughts Negative Schemas/Negative Schema Content Process of Logical Errors/Cognitive
Distortions Content negative with respect to
Self World Future
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Individual Work from Session 2 Do approximately one ABC per day using an
‘Identifying Beliefs’ Worksheet, or the 3-Column approach
Activating event Belief or thoughtemotional
Consequence
Cognitive Therapy in Groups: Guidelines and Resources for Practice, Second Edition.By Michael Free. Copyright © 2007 John Wiley & Sons, Ltd.
Identifying Beliefs ABC WorksheetIdentifying Beliefs ABC Worksheet
Activating event Automatic Thought-
Belief
emotional
Consequence
behavioural
Consequence
Logical Error
Catastrophisation Selective Abstraction Personalisation Arbitrary Thinking More dire than justified MDTJ Overgeneralisation OG Invalid allocation of responsibility IAOR Must or Should MOS Unjustified Negative Prediction UNP Black & White Thinking B&WT Mindreading MR Emotional Reasoning ER False Absolute FA Biased Weighting BW Denial D
GroupCognitiveTherapy
GroupCognitiveTherapy