5/5 Psychopathy/CBT Therapy

- affective (feelings and emotions): egocentric, lacking empathy,

-assessment: Psychometric test (psychopathy checklist revised)

• -superficial/gibbness
• -cunning/manipulative behavior
• -lack of remorse/guilt
• -callousness/lack of empathy
• -impulsiveness
• -3x likey to commit another crime
• -behavior is deviant from society

• -identify distorted beliefs and change them
• -thoughts/behaviors/feeling
• -hardest to change is feelings
• -Beck's idea is to focus on THOUGHTS
• -be realistc, view other options of how people view you

thoughts>>behaviors>>feelings

• -danger
• -harm
• -threat

-behaviors>>>feelings

• Assessment
• -what are your concerns
• -what would you do differently
• -what would you like to change
• -biggest impact on your life

• Relevant History
• -how have you dealt with things in the past
• -what was your experience with therapy

• Collaborative
• -therapist and client are both active participants, working together

• Importance of shared goals
• - agreement on goals and intervention strategies

-Homework

• -nature of disorder and symptoms
• -prevalence
• -nature of emotions
• -explanation of specific symptoms
• -cognitive-behavioral conceptualization

• Functions of Emotions
• -provide info
• -universal
• -adaptive
• -don't get rid of emotions
• -experience and handle emotions more adaptively

• Explanation of Specific Symptoms
• -Anxiety Disorders
• -why do we get afraid, what does it signal
• -problematic ways of dealing with fear
• -avoidance
• -overestimating danger
• -assuming we can't manage it

• Goals of treatment
• -face fears (exposure)
• -learn to realistically estimate danger (exposure and restructuring)
• -learn you can tolerate your anxiety (exposure)

Expose client to feared situation/object progressively from low ranked fears to very high ranked fears

• -Simultaneous exposure to feared stimulus
• -0-120mph, no building sense of confidence
• -doesn't work

• 1. exposure-anxiety climbing
• 2. Panic peaking
• 3.avoidance (escape)
• 4.anxiety quickly dropping
• 5.failure to habituate
• 6.return to trigger
• 7.return to step 1

-wait it out long enough to habituate to feared object/situation

• Mastery of Anxiety
• 1. exposure-anxiety climbing
• 2. panic peaking
• 3. habituation
• 4.anxiety coasting
• 5. mastery after going from least to most fearful habituations

• -anxiety is transient
• -avoidance strengthens fear; exposure lessens it
• -habituation is natural and automatic
• -anxiety in anticipation is usually higher than anxiety in actual exposure
• -feared consequences do not materialize

• -what happens when you get beter
• -termination of active therapy
• -you continue to use the skills and new ways of thinking that you've learned in therapy

-75%-85% recover

restructuring: trying to rethink cognitively about a feared object, try to think of alternative explanations as to why something is scary

Exposure: interacting with a feared object and learning to let anxiety decrease on it's own