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1. In CBT what technique is used in Socratic dialogue? - ANSWER asking
specific questions derived primarily from restatement of the individual's
own words where the individual is able to self-discover insight, which leads
to subsequent changes
2. What are the seven basic types of questions in Socratic dialogue? -
ANSWER memory
translation interpretation
application
analysis
synthesis
evaluation
3. Rules of Socratic dialogue in CBT - ANSWER 1.) Collaborative dialogue,
goal-directed, specific
2.) Problem list generates plan of direction. Each question is strategically
placed in order to reach predefined goal.
3.) Questions are short, focused, and targeted
4.) Questions should keep anxiety at a minimum
,5.) Questions should be framed to elicit an affirmative response
6.) negative responses to questions mean that the question should be
reframed to gain an affirmative response
7.) Monitor patient's reactions, if a question increases a reaction address it
immediately
8.) Pace questions to individuals' mood, style, and content
9.) Have an internal map for the session and move in a planned direction
toward desired goal
10.) Self-monitor, don't jump in and offer interpretations or solve problems
11.) Extremely limit self-disclosure
12.) May use every-day experiences as therapeutic metaphors
4. Downward Arrow in Socratic Dialogue - ANSWER logical sequencing of
reasoning uncover underlying assumptions in logic and sequence by asking
"If this is true, then what happens?".
5. Idiosyncratic meaning in Socratic dialogue - ANSWER assists the patient
to clarify statements and terms used so that both people have a clear
understanding of perceived reality.
6. Labeling distortions in Socraic dialogue - ANSWER identify automatic
thoughts that are "dysfunctional or irrational" Pick 5 cognitive distortions in
first session when the distortion is noted pt is encouraged to stop and
notice what they said and reframe the information
,7. Questioning the evidence in Socratic dialogue - ANSWER assists the
individual in questioning the facts related to their cognitions and
conclusions. Is the information based on facts or assumptions?
8. Examining options and alternatives in Socratic dialogue - ANSWER
development of all possible alternative explanations to learn the skills in
generating options rather than "only one way" thinking
9. Reattribution in Socratic dialogue - ANSWER In individuals with the
habit of accepting all or most of the blame for outcomes, this is an excellent
technique for redistribution of responsibility. also helpful for individuals
with personality disorders that place the blame squarely on the shoulders
of others
10.Decatastrophizing in Socratic dialogue - ANSWER allows for balance
and realistic focusing by examining the "worst possible outcome" and
developing a plan of action
11.Advantages and disadvantages in Socratic dialogue - ANSWER
examination of the advantages and disadvantages of certain situations
helps them to develop alternative perspectives. This breaks the "all-or-
nothing" mindset and permits a more balanced view of the situation
12.Paradox or exaggeration in Socratic dialogue - ANSWER should only be
used by the very skilled APPN; otherwise, the patient may view this
technique as sarcasm or belittling.
, 13.the APPN takes an issue to the extreme to help the person see the absurdity
of the overinflated viewpoints.
14.Turning adversity to advantage in Socratic Dialogue - ANSWER
individual is helped to identify how to use what appears to be a negative
situation to his or her advantage "make lemonade out of lemons"
15.Cognitive rehearsal in Socratic dialogue - ANSWER Prior to making a
behavioral change it is sometimes less threatening to "practice" the new
behavior through visualization and discussion
16.Automatic thought records in Socratic dialogue (key component of CBT) -
ANSWER used as homework after introducing the process within the
therapy session. The individual completes the columns in the ATR
identifying a troubling situation, resulting emotion, and thoughts associated
with both.The APPN and patient work on clarification and development of
"rational" responses to debate or challenge the original reaction. When
practiced and repeated, the process of clarification and debate becomes
internalized
17.Thought stopping in Socratic dialogue - ANSWER the patient interrupts
their stream of thoughts with a sudden stimulus such as snapping a rubber
band on the wrist, and then changes their stream of thoughts
18.Cognitive restructuring in Socratic dialogue - ANSWER The patient is
asked to check in a few times a day at random times and write down what
he or she is thinking the APPN and patient review the log and underline
which thoughts are negative and identify the CDs the patient uses they then