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    P.- Principles of Cognitive Therapy

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    14 views13 pages

    P. - Principles of Cognitive Therapy

    Uploaded by

    Rosi Ibel

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    SENN ete Tere of ee PSYCHOTHERAPY PROCESS MIGKEL J MAHONEY Chaptor 8 Principles of Cognitive Therapy RICHARD C. BEDROSIAN ax AARON T. BECK inaoouerion “The major ournoe of this chores i to ads Ieaceewaocs nied in she ganesh 0 copa that thre hay Seen 3 sue of eres in cm {Bahan 1977 the eu that cmetionl ellen erated by nemesis new. Vor Raimy (1973) bs deed im corsershe “is ialosingeehoiion ty Marcit Avtetiseeptomines the rasa ops postion: “I thaw ave pas? By ao ‘sina thing hat Govure the, but thve ove Judgment shew! fe And iim hy owe fo vip uth adgment no.” Toe pilaphial rors of eogmine Ere eam be eed ove eet ese he (198) eoesiered se wubseion af “rise eahe™ ale buco the dotlopran af all meatal dnerdes Hicnatb © BEDROSINN a rig oon, jdgmens made on hfs emma i” Oe mete ea eames a ees Se er ata am seul tee Fe Pe cence Ae he (HBA) Oe se ected omen se Ss tocic ee uy pian: my wes aaa a pots ne mo ast ene Ce ee reac ciate of meteor hy Se pian eed ithe aoa tk he ate i oa het pe tepasth#eo eee eka : ee re ays), oe a te ety poems f+ ane ie steal iene form ef testes, comsidred the eoreion See aye Palas operon aaa seen the oncon of prio, Goes Kety (955) 1 emt pkey td apn copie tera Ser ten a te cy wae ety one he or hd ecto ema seh Se Sued Sn ania heat adr eewITION OF COGNITIVE THERAPY Coase tray is 2 of teste tcc tat im 1 ene insoms sf pyedageat digs ough the dct modienon te eect aon tht aeanfenes hem foe apy bbe ont es Ghery of pshepobaugy whieh aa the inten rei Sacer sn caus colon beh, ab efonment (eh, ‘EP Copene tory he compaed ad ontoned ow Wh rte a oer einen spore sgntive Tetopy and Psycheanshysis COrthedospaychosnayets and paychodsmumicly ined praitioners isclthonn an unwilingrets to aosegh pollens” repaee af ei amet {afancn at Face vee Asconling spe mame hor. he pai apelin asco 9 eserent etd mich he ote HE sso isnings reside. I contrast; the coat heaps wes 3 “Chamenvlocica apmrosc. singe be or he vias the patents cnsious \fonnee of» parieularsuation at basi Uta forthe derelpment of & Ehren plan The eopiive theopia's coneepuaiztions are base ot Jarguraons green the pan’ phenomenal Gi, without reerence rie methane of enconcie cones. I cognitive tberpy he ‘ens atomic thoughts are reveled though frat guestioning by vc era and eatful teespection Sythe patient These Lshagees fer sharply from the method of tree asosiaion, which is emlosed co ‘ncover wnconsiow material in pashosnabss, Unive pactostensl ngsve therapy doc nt semard sn sieve review of Ne peal evelopment history. nar dacr kee forthe seaneny of lesvoted mas. The eopnive therapist may well ett por deterrent brotens of confes wah sgaieant eters i thay re seean ve Ihe Patens coven fetes, but the ese model of ccatmen dacs se eran thi hse never eve Unite the ppehosnay, the copie beanie docs aot ateng a stil the patent's anaes by stemig 3 Blas pane deter intnd ener approached 24a elaborsn venare, The cosine thera emoloys eaus that ae exist bone bone,” sod ieipelaie, fr espe, “paradonesl menses” tRevion IS), Sschened is atonal nt eee tthe pata ovis cant be apes Sh teint coset ofthe pate The Sophie shespis tes 1 isin» genie nce aa ines drag rete, eney or Cet defined instances of role playing, e ‘Cognitive Therapy and Benavin Testy a toh tease therspy sd copie therapy, the etesent Reus ‘overly sruturee, and the therapist stumet sate tole The goa of ‘bot farms of therapy ate etumtcibd, unlike the opcrcndol gos ee evocative therapies (Frank, 1961. Along withthe teh thisapis the conve therapist genealy msinisns 2 hereundcnow Focus i oeeoven Both schoot of merapy endorse the Beef tats patient car core a Despite the considetabe simaty teeseen cvgntive ders s9d| lesdnaltekavior theapy, there ate some deine theoreti snd praca ferences between hs two approcher, ARROsED bois ota ies focus on epsifesyapioms andbehsvarprobens eogsve ters sles ‘concerts expliciy onthe wleition assented wih tbe tyrone The trae behave therpiat Sar peter fvus on the patena een ‘cons. which Can be seid by indepenfem obicratonse Unlihethe Thaiorerapat the copie therspat sec not only 12 prod snip redaction, butte medi aides, Ble and eagectaions ab wel Wher he a abe wes introspective dat, te coping espa foes eyond merely dseibisg: anther Hak ia the simutus response chan however Accomizg tothe cognitive tory, thinking proscar conse © sgussiauonomous aye, which ca fneonindependcly of he eons ‘Ben a times. The copii therapist 20 Timed tothe use oso onesioning nod! 9 uncetand metal process, Cosntivetherany nat asimisted » numberof diverse eaten’ teh co steh ab Aetchenbsum'r (197) selimuciont metboge Other “enon: ate employed wih ae sletly behavioral, Without the coe! then, however capetve resent aeld be singly forersp ot therapesti teciqucs. ries Therapy td Raion Emotive Therapy Although the cognitive therapist astmcs an clive rok during the 1 he or eater to work within te parent's Fame of eleenes "Viner, Unite more didactic approaches such as raionlemotive sri hich. astumer tht" paychoopeal_prolems sem ram a ral” se of itational ideas, cognitive therapy sks tol bod iy the patent's sper, idanrncrate cogare Ustonions, The "hin odel of eogniive therapy suuomes shat changes in he pens ng tone about 95 # teat of espera Ieening, ot trough borane satoments by the eri, Contequstly there geet ‘oes upon behavior expernent and othr forme of ea if aig a ins theapy thin in Yationaherotve therapy and oir arose ln (977) hae painted out im hin svicw of Cope They ond the onal Duenlers, exgiine therapy is more “beavis” than tabemative therapy Flay aNbough cogntive therapy is iit to Temtive therapy in tea of thsersieatapsumplona tbe model ‘ying copnkive therapy ts mare Scaled aad has been subjec te ‘yerimentaon, panicwar in the aren of depresion (Bech, ise. sues anc ewomions Ww ceoPATHOLOGY ‘inte oth psyehoansysts and ecthodox behaviors tend o deus ows" “deeritions of thie pupchlogcalprosaaey ie copie Pst accept inva interpretations of evens ay base welt. “st In ever to understand smtinsl rations to an een ¢ ‘aoc nd Hs personshor prvi meaning. The public esting oT 0 is fomal and abjective, devoid of any peut sigiicice + eon lan IF boy is teased by his rem, the bjesive mening ef he even ly that they ate haressng him, On the ote ante persoeasige ling" of "They Nae ne” Private meanings at egal alin Ti Hes that te nena meaing of ah nt determines he ems End iager tthe tne af = paar event order a desis ts pesona Ipeseng ce subcguen secon, "denying Dyslunctinal Thowyhic and “Their Kelston Lo Symptons") When» petton atch ea unveae inciting to ere e othe may experience am excetve Ot inspiron Crmaionsl spose consequence A woman lying in bed who belive tat evey soe ea promt il fc excesive anit. [Nate tht ia the very 21 of seltobserstion, paints begin fo 2opk a positon of greter dtanee and abectiniy sieve their thoughe. Daring the eoue of cognitive therapy, through the thespi' sppreashy he sell ‘monorig lke, 20d the Homework seipament, hres Ky este et Pronilsate conveyed tothe palin (1) perepion a itepsctatons af Fesiy ate aot emia to relay Hace 2) serpeatine raya Wie, 0) belie ae hppateses which are rubjeel to dhvosfination and ‘modisation, We astme that the Bont way fora pate to aby soca a9 potemalorcal feomewost i treegh sceuulted leuraeg cepeeneeh, fair than trough» party date ff he pat 9f se thsi ‘Acording tothe cognitive mode, if we Anuw the meaning carton soche 10 seria situation, then we sould beset predist bene her nouues! rantion” An inltidual wil nd parcvar relevance the ‘tj nd events ubich our upon hi of her persona damsin, Cental to the conan the rida seh coneap, hin he physica srbareand pritoal alibtce, his or her plead talver.Chatred abot the self fnvesca; for exam fy, fens, tod material posses. Qk ‘sve of perons donain ryt deyterf sbetraton fay his shoal ox thn group ta the moe tangible Heals of justice ot moray “Te concept of persona domain els to cals how 3 person can Become ‘ined member of sor her eb group i honored, or comvctaly. how {n nuhnaea om fs outraged i a clam aroup member persetod "At outing of the hinds of iestonal Conent asus ith the satiou neroie ddan petnted in Table The dpicscd pat Perce the Tow of somctifag ccna! for beppincsty aad cae fotiuce negative outcomes im the Tuure: comoqucliy, be or se ‘perncssudaess, Cusppoinuneat, ad spaihy. On the other Sun, the sini pen oveilues his of ber enpeienees and becomes elated a 4 Sak Ar anuoue paler spticiater unaoidube danger to his of et oman and felssexity or puis, The phabeiadiviiat abso antcpaten fiscal or psyehologeat hat, Bei ie definable sitwtion that cap be aided. Pano indvidsl Scleve tat ethers ee deliberately sbssing leonvonat Content of Hewrte Oeoder eo fm and xpeiece angst over the supose injaies fo which they have debate The thought of an obsessional poron ase four on ako vege, bot difer fom those of the ansitynearei i tht they are neened with at action the patient belies He or he shoul have ake, ne be or she should not have taken. Compulsons. such ah cacein wd washing, ae timp to relive obsession thro aeons whe the io elites wl mar off danger, DUNMOW TYPES OF cogwmVE DISTORTIONS Wie the range of cognitive distortions is pete ine, cena '% a errs in thinking seem to occur wh repuanty im cleat pan = latowngeniations are not mast to be edaesie of sideceng, {ate offered simply to asin the therapist ia sacurng his oe hey 1, Selective abirecion: Haves fosssing 003 dei 04 of context that the sigwiance of the total situation is mised (Bec, 1990) tos smile 9 college prefs Letring to 2 Tare: eats mish secgioy 10 membor ofthe audince who had fan step wale sed many sadenis ho appeared ale od intrested, Secive soaraenes ‘eens afr of sims se. The individual is predispose to pene sift stations actor relevant 19 hi o hr idesynerts sein ‘has fare, danger, or resin, sf be eatively nperinst oe 2. dedtcary njecence: eer to concosions tht ate made on he bass insdconate or immrarer informtion, Gast “aerate RICHARD © SEOROSIAN AND AARON. BECK 133 ‘cipetslnost any kind of event terme of ha ot her povlorwed eon Sons, The anaiows pain: inverimnstaly interpre his or fet ace ‘of inl i terms of personal dager 3. Otergenralzation: ate Blanket judgments or predictions based pon 3 single incident. Our eelege profeior might say'to hone, chee stvaye.boeed prone with my leures™ or wim 3 dal tenes Oversncains is slo 2 manifestation ofa espons it.The ieicaeah ‘basa preessing subs bl thats triggred ty positon npc He ot she thea interprets the apeite even in frm af Bees ot aeveraied cee 4, ecionlizvion: in is mos extieme form. i exemplified by the paranoid indus’ teas of rlerece snd perecuony Gelato tee oe ‘at farms of sellseferene goeur in neurle polenta wea teas a, ‘overestimate the extent vo whieh parislr events terested to nee ace 4 graduate solet who caconired a witersarm an hs uy 0 ean, ing exam assméd thatthe weacherous wenherContons nore weakens Sirecied a im pesonally (Schoo. 1923) 5, Polarized thinking: invelses sang information inte one of two chaiomous eateores, goed or bas, sucess fares sccopuee oe ‘een, and 30 forth, Beck (976) dzcused the ane ets ene sou oe vihom anhing sow of complete acceptance fom sine igre ecicg fn lel to subsequent cigs of sadness Simlsy, some eeeideae on luck selconicelin eating and dating cosapiatice hex probes ve, in cers of ol sbatinene verses untstrsnedconsumpiion se thay fod 'o canider 9 more moderate level ef Taod of alahel inte ae case 6 Magnification ond exegseration: ancber masitetton of the london (@ make extreme jodament, resto o0 oretemplane upon he Ios arrswanl, negative consequat that tan ste ay Seni ‘Ths, a anacy-rone maa planning to fake a4 sulomable tne ear sea onthe ponsitiiy of being hited in an sete, Frequstys the lecevonn diners 1. Assuming escesive egponsibitiy: Wsirted dean by the Liza ideation of son payenate Indivisual whe tlie they sorte ase for Moods, eamhysshes, and other natal Gonsers Pasty wag oy ‘irre eon may noneteen aide negate stele tr raged Pessoal defences. A research cenit Mamed Nes forte lees ‘uhordinate had flied aebaanial by of Gat, aboush ne neo wg raed of responsibity forte incden by his epcio, 1 Incorrect easarments rzandng dong wei soe: reac 9 bth LSS Sina or ether poo aig rom ho puss suoesing, teas Papehoocal hen ft (0 eptivefesings sch ochuiion ‘Sica wh oarur au a resuk of fel, ery oF eesti. ERC oretetinstes the sk involved in ituattong sec the woman Tene nafeaion in a wide purely of condisons, is Ukly 10 be ssvlysnaiows and {0 fad a8 ott consiced or Hlaed ie, Or “iter hang. pesson whe tabislyuedcrestimatesdonger or is, may Sancta Reve aceidenis may tepeaedlyencoume difficics wi 3 Dysyoncisnal euinudes sbout please vers pain: rele the some innate hold fearing the preregister tue Rapes wom, We have tested a numberof gragaste sens for eran, (Se eonvinced thatthe Care Mapiness and selfwonh wee eon |e te ntainment ta pactisardepree. Theives of people wo ae ‘esa hy pleasare-pam ules may have a gem overdiven aly. Toone, he sein of svelte goal a aban Tor happiness o el 2 So ead to fetings 0 depron, sve fare to mete pou an Gost hs of elencem and stem of hopelessness, Exams of some esacnees that render people aera to depression (Bech, 1976) 26 4 Ws wonder to be ponuar famous, weahy steele 18 be vioratan medionte by Irtaakes mista, it means hat ep by cles a pert deena om what thers thik of me 2. [eat te aithow foe, Imp spose CSneeea parent, child) een lve me, Pm won ce Wi dont take adeantage of esery oppoanity to advance ysl, se regret tte 10. “Tyranny of the shui sure poi rs at they fepesem weasel onesie! (Homey. 1980) Samples fom the commen ‘st (978) ele utomerie 4fnunctions similar 2 Fahoul be the atest of peer fps unafninesn = vy TSould be he perfect lover, frien paral, teacher, den, Tohouid neve eel hut {should aleays be happy and sree, 3. IahowldKoow,aedentand, and foresee esting thou! never be tied or et ik THE THERAPEUTIC COLLABORATION “Ve most etetive format for paychatheray invalees therapist an patient in colsorative venture By regarding the patient 3s 3 clad for the herapitconveye respect abu gain valuable suinence On the bier hotd, the presentation of therapy im 4 mysierous Ligh inst ‘pendency by iying thatthe paint Lacks the abiny to compel Snccstand snd porate in therapy. Demyatiying the eaten poset neo dsfine the patient amgre compen perro, wh i fly supe of iting and maintaining te steps necessary For sl isprovere 'A the ott the therapist should presenta theroupycaticnae fox she se of egpntine trap, geared tothe parle patient's evel of 39h ‘hon, ta tha opus the asghment9f eeading materi sush a8 Cope vith Depression (Beck & Greenberg, 1974) and few chapters from tle in bass (Dock, 176 Elin 1978) fr ome rating canbe gute il ‘vindicated by Heher (1990, be we of prtbranypocratnion sce Be sorvtoniy creased the ellectvenem of rarows forms sf 3 tholope!tetmen. Tn ovr view, the more the puient kmes about wha, ‘Ta eter hetany andthe satu of Bi or he rl the pros he ksh Rogen ie onan of vara ng, ane Pustive outcome io peyehaterany (Bergin & Suinn, 1973). the copncve api nho hs fd to seuie thet sil wll encounter dels in Iteang the more problemace patente Sisal, the heaps oun en {ence hth ny of what Be ot she hao eifer can inlucne the ot ome of therapy (Frank, 1998). Optimal, the cognitive thera shoal Fves wide petite of atrpersona behaviors [om whi he ake Sn iow therapete intervention Tei likly tha the stinethecap sede gece ebro socom of ierpersonal alls ae 3 teal of iran assay of ptt. {By acne" sbeking information from the patent eegsing the They abmple statepes as Seianng the Sesion wh the question, "a problems shld we pet on eu at of ngs to ican (od “Covntve therapy em be coneepaied ae tepaving the atc aed the therapy peronat acetinn” (Rel 1955). The htop bbs Sl should atomic wth auch 2 view. Tha the palin shouldbe Blped fo uodeand that thrany ia Uiabndhervesspprvch, tat tlle of 20 Itewenton eta belp ve fciiate the esument proces and thatthe eed ‘ct provides bal forthe trap 9 molly is Ge ber appro, In ovitng with the patent snd in adjusting bit ox her approach accorting ‘he demands of the pacar steaion, the heroin ts a «poner [As Mahotey (1974) bat pointed out, the topic of estane or coamercontat” has bean feltively untouched in the Behavior they ‘Siiue: Nonebetey the eopaive tberpat nec to e seni to ahd fay sole evslace af dapreemen!, noneonilinec, and other reooperative hanno he pat of be paint, Ingling wea the ef on hae there saythiog Isai odey that irae you” conveys (Enema thatthe patent's neptive reasons are valuable dat an ‘Sent te Feely cuted There ie tome enpeimental evidence tht foe Vining ates about potently incomes! or troublesome aspects of cinewart and etbeetheapewtic asgmmens con increase adherence (Bed Sun B79), Mote! seed from the patie rearing hs or he cpa ve actions toward therapy sad the thera proves fndspeable “Yematian tt enabler the therapist (1) to modify the Steal teatmest rica, sid (2) fo senly nd medify imprint dsfncional exes AIR nas, wheter neu tet or esperoncd eno be twat by Sen's repeated actions or seep, expressed in phrases such a enous Trew “obs” shows be deat ih oth same ays 8 2 he potlome venigae and crlute te flan opens ‘hn otsig vignete conevning the we of nega rscioe a ‘gist Tor the therapeu al” eames ftom the eae of 3 severe ERovesed,sncidal young woman. tn the middle of af nero the Sapo sifd to Cex his smu, The potent, who You ben Fecising sev sue ehevbre sted, "Why re you Inghing at me?” The eri tuna! the mova tht he had bon clearing his mal passe ra ich dmnnaratc for her how the sound bad been prodsed The potent thar hoc suave that she Rag atonal sumed ta he sound Bad fn cnihe divested ater Te incident forecasted the a i SECM AE Conta seunnes he interpesone Fe for cues dang. ‘Reston fcm ater, and distorted information in the oes. "ie emate darted above ano underlines apote rei! element in ogg therapy eaperensl ewig. A dnacti sporoeh eso fa te pradacelonpcrin Iniroveets Ia encionig, since i excludes the fat sh2pariquntebasmer and at u9 active pote solver, nd thes Tohis "dewerelesnig,” the acquisition of more gectlived modes of ruanagement. fs contras, knowledge acquired bythe piel a a rest fi sehsssal enperimens, active dsovery, 20d calighteingexpeines, fas» much mare immediate, foretal Impact. Moteve, tbe theranis's roti wl safer evelyn the patient am confi the prinsips Stoned during senmen through his or er ow experience Forex the erp cn ane the lent that feelings stem from thiaking. tun” wit temsia the resin of the bypothaal wat eae Se monstatel ines fe” that when the patem experiences Pople, el frie hough be ose fe 34 ‘Neher the thera ar he patent shold expect major changes in cognniveprocesing of data tpecur afer one or tee Teese festons, Parielse dysunctnal heres eb uppene repeatedly, and may neces these wve of eps esverion, Silay, people wil erie di Face wil sue bach i the corse of recovery. a8 the) Mesos in thar dete af bist dafnstont eogntuns. Once agin, the theapin Should dply an adaptive rigal attitude forthe patent, by mating rer ber opinium, and by demonstrating how the fenton of ssa ting ren of slersbity iol prime herpetic als ‘THe THERAPe herp provide tte of coninaty im the eesicient for hoya oe bers ay wel a forthe patent. White he thers guaty eles each extn wih a set of actives (or example, ttt cognitions rebrEcg ‘Sitatcay, tach song sills 0: sanity, an 0.09), te pains oud feron ats poniipmt ia the ting of 2m apends forthe Terps hour Tree ols flaiedy welstonutedapproseh iin the tes ene Teor for th ptt the noion that therapy fees the procrse punting aod aolion of spose problems, 6 onrased fo wt Fattepratin, Even nhee 2 aestred apvosch i employ, foweve Ute nr mus he expsialy Reve ae peative Io the esi Eee fie paint: Moveore, ance mot theres feaagess sean De Shther often wore han ave problem ean Be atachedsimtaneoen tample, supra in anety-prone patel asked te monitor bs or Ber SInomatic howghts during an aosesy attack. Simply by ueining he [k ibe tneapis has bepen to ealate the vallty of the. Syancesns ‘Bough Likense, by suming the fle of chrorcier of his ore tis, tne fuente likly fo. adopl = postion of prester dit jetty Fieri the ate. “The mijor ust confonting the therspeatic “tani” ding the ft inerinw isthe development of specifi formation ofthe pen’ prob Tema, Escaaly, the thrapin oats Belp the patent verbalize his r ber {diet complain 9 may that se9 the sage (0Fsubueque! inlets, ‘hos gle! stcments such w2 "Cea Bandle my problems” ail nen! erationlizd, rsa ite more conrete sm for example.“ reraerpar the oly ime 1 eave he hows ise buy fod.” AB taal 2a yen to eaperence rll fom dicots anda increase 6 Ti pet reviews his oF Ner mar complai the therapist may AQERSERIY many dene problems tat are from sma fsa Se ee ute reduction” exemple by the FEwing ee Fee sere) fasied her Mexyle de to» feof [omc ih lose pee, lng an oe a. ign ne phobia separatay through te we af Hemate i emet at have bean © ongthy, expensive procs, Cate ee ely common clement nal fhe sya Aa 38 dae ia satloration. by facing ons “common deo: SORES he heap und patent ere able fo neti al er Sin iy ail Ha problem reduction abo apis to spec cree coe Geeta, ch conse af 3 poislar coaguraion of fecha Tc erp can gear hor ber interventions tomar cenit ones of the order, 40 a2 eta hopeesness, oF Low se SSPE prvcram im mood, appetite, and sleeping paters wih ENAVIORAL INTERVENTIONS IN THE EARLY TAGES OF TREATMENT For many pate, ay be esrb to fsus de bahrain nn See Ae any ps of eatment. This emphasis spare rine seer, depesed patents wh espeteie apathy, abedoni, ee nmotiiy, Sock snlvdaats wil need fo ale Wie patens ‘Shdtawat and immobility, Before they Car fly apply estes tothe GT changin thei cognitions. Cognitive and horn wechiges PASTAS compiementan, however since the as of the aller may POG theropie wih the ew erry pono the patient's ble SEE To ttre, true consider the cae of depesive midleaged 2a complainy ef Teling sy Grested that He wnable 0 Fare se SANs Cea the seat of rack a neapaciting yon wil reese ane tnt pois of treatvet. Im adits to andi & thorugh ‘Fehoruol anit (Ranfer de Sastow, 1565) af the fob =~ ae to kare ae eentton) tbe therapist should lea ater Jo delineate the copie ‘ine othe Compluatbyseing the lowing srs of gusto 1. When you begin to conse the prospect of going out, what 2, Rune Goo stall decled to fave the Bouse, thes shave. SoeeA Stee and to forth, Imagine youre slancing athe ore redy to open R: What thovghs are running through your | 3. Whar go pou pesat might hapren to you i you were Le Kae the owt lon! rdough he numberof thai! tetaigues aval othe cma tie herp o couse, gate args the ftiowing etods Have proven eect eneay with peed ad antes ptt eefensh Sedalng, Buarganted chive or apathetic patents finds West pn hes Cay setter In same delay ah the Pilati on) Plea Montorng. Paes ae ated to end hein se, ang thove tht provide them mh 9 ems of ether ae earner bth, Oat gol seed by ths tehique 5 Fo a Nitar tee soe of sootonia Ifthe patel ins" Sahing itzde jot anys he rae en be asked (0 re he tat aes Ste om suc sisson sample. 28 fvernt Sle Feciicniuntay to gve Wen“ plessre tings toa hoo her Pee epee tot soze woe on varatonwbsened th Felon than eer For anes of Mobo pati ser Chetan le spseing mote cee he ete shane 3 Sisal Tak aaipument By poring sucesne on tan odes behrion te patisn cam nln mar hp Be! way Oh GS ant Tan a seecy deposed india who fat oud 1 Stee Et Ber nn fod tay wor oward he Gol of penny» fl am by nating th bling ane ot nen ening = pa sejor apes con ae aie gale oho sulle em Suey far example, a woman waht far af eng began a see of Masel onipamans by Seong er ear othe en eh her sect ad then Eee getty euande i ound ip ells cond dive ey pare me fe on ime ah note her td wus ges of Beng ‘Ueto Reicanal Toe he we of oe paying aed imag the ptesn te reared fr peemtly real ieee or ame IM Scher tet umtus abou cfrotg ho soperisor upon scsing £0 wee ice tou of sea and deptession Rad ecesSiated 3 frthy Toe ates He and te brit tle layed numberof pte ong tone which the psi fered intercon wit the supervise, is ° courte § sit Wen te pte played te superior, the eran nas abet dis mini ie apprptiie esetne behavior. ‘The paint wes 12> "Bs ete tine the stegis be develops in heagy docing bi SERIES ENN te supervisor, who, peeps ae surpingy tome 010 ies tbvestesing than he had pred, Dencwa Experinens. Conary ¢9 cere misoncepeaiatins putiogcopnive Uri (or example, Ledge, 1978), the copie pis des ot simp attempe to et the palin to "change is or her SP dec it pemwasion o rasurance wee sffiien to change cog we suttniens sed aystonctonal assertions, few patcls weal eer ‘Samm, nce most of them have alead received these qusitherapeui dane nom the sigaicon eters tn thee ies Oy designing "1 ss mana the pion ao herp ean work tpstes ts the Shy Sas tiny of aptenctionl cogntons by asming the ros of Unghigmens A young men bo worked the couse no Busy sewsstand eed te sic se ad borome dsreed, women were a longer ited to hin, "The therapist explained tobi that Defoe work could SSS Wh Neeewetatbehavin war noceaar to determine whether Feehan tad ceased to ind him apesing. He was asked record on TER LeR the umber of women wh raced him 2 finaious mon “SERS ered on far more women Mite wih hi each day than be bad seated tn fst, he had eve received 28 outight propesion dig he ekat reed Keeping “ie Tportance of obtaining a slid data baje™ before attempting spec inteenont i asrted by the follwing se. A woman wh a SET JRSG tre fom paranoid dtsions coniowed to ania i SOMES Gpyrovel ftom sthore after her payebavesympioms ade Med te apiwipation of rseetion rete! on the assumption tt be hee aha siete were thinking. Therefore, she wat asked (0 emt 3 init enperiwon daring the therapy Boer, to determine the sce) Crees She nad saps vo pues the therapis thouris, which Scud writen dows on ie ov aed was corre every nsec She Mptchd the experiment wah cr fsband ca ight forthe Following sepa wat toa innaras. Therefer, she worked enlg ToSsiC Ie hr flor at "mind ceaing,” wheneter she automate Prednsed jst or Ueaprova eo eset. Fates the experiment a0 Peaetined ihe oad fr tbe patient aad er Buse to inpeve the Cy (Tiss communis pit af we which he bers ad Been roe Slnating vsucenfly fr some tine Bevavorerpoiments are Gee useful i thé calmes of individuals ntieroy fem sperms of sanity. For exams, + woman it Re mid ERIE sfgbe eepveeing pune acct sm strc, the Taunremat aed Se aie usc ler ancy was aeecisted ih the convicinn Sha something teste was about 10 happen to her, She began to curs hee Wm aktor tbe bow due to bor ans sacks. Along wih her Bustand UerRttpit sconce her to tie enronect of vatous Soret As ey Reorder busines suecesflly in ne sre afer smother, wihow he} Srcpoedonseqdaces securing het anvicty Bega to diminish, ar she | retloncd restr confidence i her aby 10 Go out shopping alo, IDENTIEVING OYSFUNCTIONAL THOUGHTS AN ‘hein RELATIONSHIPS TO SYMPTOMS ‘One f the prime goats of caine therapy ithe entation and rmotiheason, of maladaaive though atiocated with the patients Soups, AY devrbed levee (Deck, 1976) "be tem “malsdapve SENT is Spc to eeation that itereres the abit Lo cope sith Tie rypevenen unnecetsriy Jsrams imeroal harmony, and produces Ranga of etcssive emotions! reacttns tht ate ptf” (p38) 1 ‘Howls be empbasiacd, however, thatthe therpit aoe the puiet sed c@ SRC atsomeagresment cones what Kinds of though ae ietelring Tine patents welling and. taint of He goal: otersse 3 Tanstarate efor canast be ssained fo onder t achive 2 corte ‘Rttniion of te copntive datorions tht requ mocifeation, the the hie and poten mug work 24 colwesigators of the patient's (bought rcqucny. ates teem being aware only of steatons oF acshotng stilt ad ter emotional reactant them, without being ae s0 Way Ro incrnening Wenton, Such idadale ae unaware of te tole of ike vey imcrming ther emiionl reat and the heusioe, Net Teinmat experince indester tht people ean become eet bret Of TEE frtoush ennare Porsuaple an eberwne slfaheinied soe Tee camplined that she engaged in extensive eating binges for => Tppurcal reson Tnaty she Sleved tht er bouts af verting 2% omy shone tee comm bu aig llesed mysterious sane Tore tht {ook pone of her il She was Soked to Beep detaled "rd other IMovgit during the binge, at well at during the pets in which ef Teinged tw evtet Het record beeping began to evel Bat Ber enessine ood consumion was connienty preceded by thoughis concsring er {Raginel infor to others whi cur led 0 ancy, SetPtevon ard subse fo overesting. She was eventual ale Yo control she reni= ‘ion sbow fe ilesiaiy. and berby sboned the eaung binges "he sgneted previously septing on one's hough prsreses i sil thet Cao be tune Going the thera Sesion, Conseuenty. the counine herapi neds to derelop a repetite of mids for eiciing somatic Dovght within the interview statin One tsbmigue lneles sation oe ‘Ge fo Yetpeine ibe Woublsomesiuston, ond to eerie eka sora thoughisasoeied with the ienea, Samim We pao cal es aed to vile an incident tal ecard ute the senion homens ‘ble shantons that involve inteperonalnrasio or 8 erie 1 the sntetew through the wef tle Bipng. Far exomple, Sessa jman who esperencd tension Gung shen encouster, Wat aioe ie sate casa soil convertion vith the therapak geod ose de Dering where he pew up, hs many siblings he had and to fren, Boag Xe conheslion, she rpured thinking. “He ging to thik oe bor r4°V'o: nat gorge kauw wht to oy ext Mur ite god sige mnager, the supine thera howd eae 2 sae sonoprte mattias and prope Thus an onceplyed ees sdaste wo repo tat he wit tov aera i ern teed rong ae ‘ant ut" was handed 3 newspper to pete Uenng he thee hae fet he eve everitabie Barge of anny ining onshan ae find 3 jobs Pm 3 ashing.» faa, Pace as pane oe ye orl, a, he andthe theanet mere able te formulate tod ton

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