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Resolving a difference between cognitive therapy and rational emotive behaviour therapy: towards the development of an integrated CBT model of psychopathology
- Authors:
- HYLAND Philip, BODUSZEK Daniel
- Journal article citation:
- Mental Health Review Journal, 17(2), 2012, pp.104-116.
- Publisher:
- Emerald
Cognitive-behavioural therapy (CBT)-based therapies are predicated upon the theory that psychological disorders are the result of dysfunctional cognitive processes. However, the field of CBT contains many different theoretical models of psychopathology, with each discipline ascribing greater emphasis to a particular cognitive process or organisation of beliefs. This paper seeks to propose a method of integrating the 2 most widely practiced and researched schools of CBT; Beck's cognitive therapy (CT) and Ellis's rational emotive behaviour therapy (REBT). Although there exist a large degree of similarity between the 2 therapeutic approaches, the 2 models do differ in relation to their respective hypothesises regarding the core psychological variable in psychopathology. This paper evaluates these competing predictions on the basis of the available empirical literature. Based on the available evidence an integrated CBT model which incorporates elements of both CT and REBT theory is presented. It is proposed that this integrated model can serve as the stepping-stone toward a larger, single, coherent CBT model of psychopathology.
A cognitive approach to panic disorder
- Authors:
- FORREST Julie, RICKETTS Tom
- Journal article citation:
- Nursing Times, 8.11.95, 1995, pp.27-28.
- Publisher:
- Nursing Times
Outlines the nature of panic attacks and panic disorder and describes a cognitive model of panic disorder. Outlines treatment and a case example.
Family matters
- Author:
- CONNEELY Paula
- Journal article citation:
- Every Child Journal, 1(6), 2010, pp.48-51.
- Publisher:
- Imaginative Minds
- Place of publication:
- Birmingham
The Meriden Family Work Programme, an NHS organisation hosted by the Birmingham and Solihull Mental Health Foundation Trust, was established in 1998. Operating as a trading arm of the Trust, securing training and organisational development contracts across the UK and further afield, its overall aim is to provide services to ensure that evidence-based family approaches are available to families where a member experiences mental health issues, and that staff have the necessary skills and training to carry out this type of work. This article focuses on the challenges of working with whole families in adult services. The Meriden Family Work Programme uses a psychoeducational approach known as Behavioural Family Therapy, a skills-based intervention that usually takes 10 to 14 sessions to deliver. It provides information to the service user and their family about the service user's mental health and treatment, explores how the issues and experiences affect each family member, and introduces a model of problem-solving with the aim of reducing stress within the family environment and enhancing family-based coping strategies. The article discusses the model of family work, the therapy process, parental mental health, training adult mental health workers, and the importance of the concept of whole family thinking.
Cognitive therapy of schizophrenia
- Authors:
- KINGDON David G., TURKINGTON Douglas
- Publisher:
- Guilford Press
- Publication year:
- 2005
- Pagination:
- 219p.,bibliog.
- Place of publication:
- New York
Cognitive-behavioral therapy has been successfully employed in the treatment of such problems as depression, panic disorder, and phobias. Now, providing a promising approach to patients with the most intractable problems, this book details the practical application of cognitive-behavioral therapy to the pervasive disorder of schizophrenia. The techniques described in this book, drawn from relevant theory and research, are designed to complement other treatments for schizophrenia, including medication, rehabilitation, and family therapies. Making a clear distinction between the diagnosis of schizophrenia and the debilitating label of insanity, the authors contend that people with this disorder are not inherently irrational but instead, suffer from a circumscribed set of irrational beliefs. The book presents easily learned techniques that professionals can employ to help patients alleviate the impact of these beliefs and start drawing upon the strengths and rationality they do possess to improve their daily lives.
The Solihull approach: changes in health visiting practice
- Authors:
- DOUGLAS Hazel, GINTY Michelle
- Journal article citation:
- Community Practitioner, 74(6), June 2001, pp.222-224.
- Publisher:
- Community Practitioners' and Health Visitors' Association
Health visitors in Solihull now have access to systematic approach to working with children with behavioural problems. Explains the background to the approach and some of the benefits it brings to practice.
Cognitive and behavioral treatment of compulsive hoarding
- Authors:
- FROST Randy O., STEKETTEE Gail, GREENE Kamala A. I.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(3), 2003, pp.323-227.
- Publisher:
- Oxford University Press
Compulsive hoarding appears to be a common variation of obsessive-compulsive disorder that is associated with elevated anxiety, depression, and disability, and that is commonly accompanied by a variety of comorbid conditions. In this article, the authors present a model for understanding this multifaceted problem, from which we derive specific treatment interventions that pertain to problems with information processing; excessive attachment with strong beliefs pertinent to saving possessions; avoidance of distress associated with discarding or making decisions about possessions; and excessive acquisition and difficulty discarding possessions. A case example illustrates these problems, methods of assessment, and interventions that proved successful during cognitive and behavioural treatment.
Overview of treatments for obsessive-compulsive disorder and spectrum conditions: conceptualisation, theory, and practice
- Authors:
- MALTBY Nicholas, TOLIN David E.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.127-144.
- Publisher:
- Oxford University Press
This paper presents an overview of obsessive-compulsive disorder (OCD) and the obsessive-compulsive spectrum disorders (OCSDs) by outlining the major arguments for and against the spectrum construct. Cognitive, behavioral, and biological models are reviewed, as are assessment strategies for adults and children. Treatment options for OCD are critically evaluated, and it is argued that exposure and ritual prevention (ERP) has the best support as the first-line psychological treatment. Suggestions for overcoming the most common obstacles faced during treatment are provided. In addition, strategies for dealing with partial or nonresponse or treatment refusal are discussed. Stepped-care models are presented as a potential method of addressing the problems caused by the expense and time commitment of existing treatments.
A cognitive model of persecutory delusions
- Authors:
- FREEMAN Daniel, et al
- Journal article citation:
- British Journal of Clinical Psychology, 41(4), November 2002, pp.331-347.
- Publisher:
- Wiley
A multifactorial model of the formation and maintenance of persecutory delusions is presented. Persecutory delusions are conceptualized as threat beliefs. The beliefs are hypothesized to arise from a search for meaning for internal or external experiences that are unusual, anomalous, or emotionally significant for the individual. The persecutory explanations formed reflect an interaction between psychotic processes, pre-existing beliefs and personality (particularly emotion), and the environment. It is proposed that the delusions are maintained by processes that lead to the receipt of confirmatory evidence and processes that prevent the processing of disconfirmatory evidence. Novel features of the model include the (non-defended) direct roles given to emotion in delusion formation, the detailed consideration of both the content and form of delusions, and the hypotheses concerning the associated emotional distress.
Developing early intervention services in the NHS: a survey to guide workforce and training needs
- Authors:
- SINGH Swaran, et al
- Journal article citation:
- Psychiatric Bulletin, 27(7), July 2003, pp.254-258.
- Publisher:
- Royal College of Psychiatrists
The authors conducted a questionnaire study to establish the incidence, specialist staff availability, treatment provision and socio-demographic profile of patients with first-episode psychosis referred to all adult and child and adolescent community mental health teams in south and west London. All 39 teams completed the questionnaire, identifying 295 cases of first-episode psychosis (annual incidence 21/100 000/year) referred in the year 2000. Teams manage to engage most patients with first-episode psychosis. A total of 73% of cases of first-episode psychosis were on some form of Care Programme Approach. However, many teams did not have adequately trained staff to provide psychosocial interventions. Even where such staff were available, care was focused mainly on monitoring medication and risk assessment, with only half the teams providing psycho-educational programmes and only a quarter offering individual cognitive-behavioural therapy to those with first-episode psychosis. Establishing early intervention services nationwide will require significant new resources, including specialist trained staff, which could prove difficult to provide in inner-city areas. Rather than a single, uniform service model, several models of early intervention services based on locally determined need might be more realistic and appropriate, and also allow research into their relative efficacy.