Cognitive and Behavioral Therapies

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Neda317
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233484
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Cognitive and Behavioral Therapies
Updated:
2013-09-08 00:25:07
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behavioral
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Cognitive and Behavioral Therapies
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  1. Behavioral Theory
  2. •Cognitive Behavioral Therapy
    (CBT)
  3. •Rational Emotive Behavioral Therapy
    (REBT)
  4. •Acceptance and Commitment Therapy (ACT)
  5. Counter Transference
    (doc’s feelings toward pt)

    • •Guilt,
    • reminder of someone/something else, stereotypes and bias

    • •Lead
    • to medical errors, negligence, carelessness in diagnosis
  6. repeat (“You said that you don’t feel
    like eating?”)
    Reflection
  7. = closed question, want details
    (“Vomiting for a while, you say? How long?”)
    Clarification
  8. encourage pt to keep going (“uh-huh, I see, what
    then?”)
    Facilitation
  9. allows time for pt to
    think/set pace of questioning (**crickets chirping**)
    Silence
  10. only when inconsistencies, need strong
    alliance (“You said that you are not under the influence of drugs but I can see
    needle tracks on your arms”)
    Confrontation/Challenge
  11. saying something pt
    might not be aware of, theory from observation (“You said that you don’t want
    to undergo chemotherapy. Is it because you are afraid of losing your hair?”)
    Interpretation
  12. = (“I think I know why you’re here, let’s
    now talk about your past med history”)
    Transition
  13. = ONLY WHEN IT HELPS THE PT OR ANSWERS
    THEIR QUESTION!
    Self-revelation/disclosure
  14. Thank you, good job, that’s great to hear
    Positive Reinforcement
  15. normalizing experiences (“A lot of people
    feel the same way when hearing they have an illness”)
    Validation
  16. express interest, concern, tell truth (“I
    know it’s tough but I’ll do the best I can”)
    Reassurance
  17. ONLY AFTER LISTENING FULLY TO PT AND IF
    PT IS READY TO HEAR
    Advice
  18. summary, written instructions better,
    wait after shocking news before discussing treatment/options, call back to
    check up
    Ending Interview
  19. pt’s tend to remember only 1st and last things doc says
    REMEMBER
  20. gives info, course of action, encourages
    like a counselor, good when modifying self-injurious behavior
    Deliberative (“doc=friend”)
  21. decision up to pt,
    good for first time consults
    Informative (“info only”)
  22. doc knows pt well, gives advice based on this,
    flexible, takes input from pt
    Interpretative (“shared decision”)
  23. doc says and pt
    obeys, good in emergencies and in cultural settings that expect it
    Paternalistic (“doc knows best”)
  24. what to do wit pt. with Histrionic (OVERLY DRAMATIC)
    calm,say no to seduction, set boundaries
  25. what to do wit pt. with 
    dependent
    limits
  26. what to do wit pt. with Borderline (Attention)
    define appropriate behavior, giverespect, responsible for own actions
  27. what to do wit pt.  with 
    Narcissistic (Arrogant)
    calm, non-defensive, build trust
  28. what to do wit pt.  with
    Suspicious
    • respectful, non-defensive, formal (warmth
    • = more suspicion), explain in details/plan
  29. what to do wit pt.  with
    Isolated
    respect privacy, stay formal
  30. what to do wit pt.  with
    Obsessive
    • detail,
    • include them in own care
  31. what to do wit pt.  with
    Help-Rejecting Complainer
    DO NOT ENCOURAGE SICK ROLE, limits
  32. what to do wit pt.  with
    Manipulative
    • respect, look out for malingering,
    • confront inappropriate behavior
  33. = biological human grouping
    Race
  34. common ancestry, beliefs, history
    Ethnicity
  35. shared values, behavior, traditions that
    are learned and transmitted
    Culture
  36. •values,
    beliefs, ideals
    Subjective dimension
  37. •“rules
    and rituals”
    Objective dimension
  38. melting
    pot”, host culture replaces original
    Assimilation
  39. “mosaic”,
    keep original culture while adding parts of host culture
    Acculturate
  40. •Mental
    illness defined by culture (sorcery, possession causing dz,
    loss of soul)
    Culture Bound Syndromes
  41. •Respect
    belief of patients, if no harm being done, find rx that can be taken along with natural
    remedies
    Role of Healers

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