Evidence Based Midterm

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Anonymous
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152165
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Evidence Based Midterm
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2012-05-04 14:37:14
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Evidence Based Midterm
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Evidence Based Midterm
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  1. common characteristics of anx pts
    • HIGH degree of self focused attention
    • personal perfectionism
    • emotional perfectionism
    • strong desire to please others
    • fear of failure
    • impressionistic cognitive style
    • focus on predictability, permanence, order and routine
  2. GAD-forms of emotional avoidance
    • procrastination-behavioral
    • reassurance-cognitive
    • talisman, good luck charm-safety signal
  3. ALL Anx d/o's-forms of emotional avoidance
    thought suppression-cognitive
  4. Depression-forms of emotional avoidance
    trying to think positive
  5. Social phobia-forms of emotional avoidance
    • avoiding eye contact-behavioral
    • overuse of sunglasses-safety signal
  6. PDA-forms of emotional avoidance
    avoiding exercise/physiological arousal-behavioral
  7. cognitive content-specificity
    • central concept to theory and practice
    • diff mood states associated w/ distinct cog content
    • enables clinician to see whether you have "hot cognitions"
  8. content specificity-depression
    • negative view of self
    • neg, view of others/experiences
    • neg view of future
    • critical attention directed INWARD
  9. content specificity-anger
    • hostile attributional bias toward others
    • labeling others
    • otehrs' intent is deliberate
    • sense of unfairness
    • others' violation of personal imperativeness
    • critical attention is directed OUTWARD
  10. content specificity-anxiety
    • overestimation of magnitude of danger
    • neglect coping strategies
    • overestimation of probability of danger
    • ignore rescue factors
    • social anxiety-feer of neg. eval
  11. content specificity-panic
    catastrophic misinterpretation of normal bodily sensations
  12. Relationship is a VIP
    • want to avoid thinking of relationship in "either-or" terms
    • both tx relationship and procedures are important
    • they are contemporaneous
  13. Anx session structure
    • Socratic Dialogue
    • Empathy
    • Psychoeducation
    • Daily Thought Diaries
    • SUDS ratings
    • Scaling
    • Contingency Management
    • Self-instruction
    • Cognitive restructuring
    • Test of Evidence
  14. SLIDE 12
  15. Anxiety techniques.....???
    • collaborative empiricism
    • guided discovery
  16. collaborative empiricism
    • clinician and pt work as partners
    • not only equal partners
    • may be a therapeutic goal
  17. empiricism
    therapy is observable, quantifiable and transparent
  18. guided discovery
    • clinician is coach and shepherds pt through data collection using empathy, questioning and beh experimentation
    • transcends refutation and disputation
    • goal is to create doubt where there was once certainty of belief
  19. broad conceptual areas for anx intervention
    • increase coping skills
    • increase thinking
    • decrease avoidance and increase self efficacy
  20. increase coping skills-anx
    • relaxation
    • stress management
    • assertiveness
  21. increase thinking-anx
    • cog restructuring
    • rational analysis
  22. structure
    Components of session, relationship; assessment measures, DTRs; homework assignment, exposure trials, social skills practice, etc.
  23. content
    • the WHAT
    • material produced from structure elements
    • ex. thoughts, feeling, beh, etc
  24. Process
    • the HOW
    • way the pt reacts to structure and content
    • ex. avoidance, irritation, smugness, etc

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