最新Skills in Cognitive Behaviour Counselling教学讲义PPT.ppt

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1、SkillsinCognitiveBehaviourCounsellingCBTasaninterpersonaltherapyInasense,alltherapiesareinterpersonal-thequestionis:cantheinterpersonaldimensionbemobilisedinthecauseofthetherapy?Asmalldiscordantphrasecanbetrayaloominginterpersonalissue.Thecoreofthemostsalientcogniti

2、onsisinvariablyinterpersonal-seeDon’sformulationmap(nextslide)Don’sformulationEARLYEXPERIENCE:Alcoholicparents;inconsistentparenting;basicneedsnotmet.COREBELIEFS:Iamunlovable;peoplearenottrustworthy;theworldowesmenofavours.ASSUMPTIONS:IfIonlyrelyonmyself,I’llbeokay;

3、ifIcangetsomeonetoloveme,I’llbeokay(ANTAGONISTICSCHEMAS).InterpersonalaspectsofgoalsforCBTGuidano&Liotti(1983)makethevaluablepointthatunderstandingtheimportanceofattachmentintherapyshouldnotblindustothevalueofdetachment:whilewecanworkwithclientattachment,ourgoalshou

4、ldbethatclientsshouldeventuallydetachfromusandwalkontheirowntwofeet.Anotherimportantaimoftherapyisforustohelpclientsunhookthemselvesfromnegativeinterpersonalpatterns.Inorderforustohelpthemdothat,itisoftennecessaryforustofirstbecomeunhookedfromthemtoo.Unhookingfromne

5、gativeinterpersonalpatternsNegativeinterpersonalpatternsoftenshowself-fulfillingprophecies–e.g.,sociallyanxiouspeopleoftenlook‘haughty’andthisdrawsnegativeattentionfromothers–theverythingtheyfearmost.Suchinterpersonalpatternsoftenbecomeobviousduringtheassessmentphas

6、e.Therapistscanchecktoseeiftheyoperateinthetherapysessionsaswell.RelationshipsignalsandrelationshipbreakdownsintherapyRELATIONSHIPSIGNALSareoftensmalldiscordantclientbehavioursthatseemalittleoff-key.Therapistsshouldbeginbyjustnoticingthemandthenwatchtoseeiftheyrecur

7、.RELATIONSHIPBREAKDOWNSarehighlydisruptiveclientbehavioursthatthreatentoderailthesessionoreventhewholetherapy.SkillsfordealingwithinterpersonalissuesinCBTCLIENTS’PATTERNSOUTSIDETHERAPYReviewthecognitionsthatlurkunderneathrelationshipdifficultiesexperiencedbytheclien

8、t.Paycloseattentiontohowthecognitionslinktoemotions.Tryreplayinginterpersonalscenarioswithdifferentthoughts:canuseathoughtrecordoractoutas