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cognitive-behavioral therapy -focus on how well individuals can adapt cognitively
and functionally to their environments
-short-term, structured, goal-oriented form of
psychotherapy
-stresses necessity of challenging maladaptive
thoughts that lead to behavioral problems
-first emerged in 1955
-most widely practiced psychotherapy
-help clients recognize and address cognitive
distortions
• by Albert Ellis, widely known as the grandfather of
cognitive behavior therapy
-Beck
, • originally trained in psychoanalysis, pioneered
cognitive therapy in the 1960s, through his research on
depression
• also developed the popular Depression Inventory
instrument
CBT Relationship to Nursing Theory -Orem's self-care deficit nursing theory
• provides a framework to view CBT as a supportive
intervention
• fosters effective self-care behaviors
-Roy's Adaptation Theory
• premise that individuals use coping mechanisms to
adapt to stimuli, both internal and external
• share underpinnings with CBT.
Indications for CBT -treatment of a wide range of diagnoses
• depression
• anxiety disorders
• substance use disorders
• eating disorders
• severe mental illness
• PTSD
,Principles of CBT include: -way an ind cognitively structures thoughts about self
& the world determines how the ind feels & behaves
-Dysfunctional thoughts are rooted in irrational
assumptions
-Dysfunctional thinking and learned patterns of
maladaptive behavior contribute to psychological
problems
-Ind's can learn more adaptive behaviors which can
relieve symptoms & improve quality of life
-CBT is (+) & stresses collaboration & active
participation
-CBT includes action plans in the form of therapy
homework
Role of the Psychotherapist in CBT -using a structured, collaborative approach to help
clients recognize and reevaluate cognitive distortions
-help clients:
• better understand the behaviors of others
• develop improved coping skills
-Psychoeducation
-Homework
• to help clients reinforce & build on what was learned
during the therapy session
, motivational interviewing (MI) -helps individuals prepare for change
-person-centered, evidence-based approach to
behavior change
-using a collaborative, goal-oriented communication
style
-empowers clients to draw on their meanings &
capacities to facilitate change
• addressing issues with ambivalence and resistance
-grew out of William R. Miller's clinical practice
working with clients with substance use disorders in
the 1980s
• collaborated with Stephen Rollnick to write book:
Motivational interviewing
Indications for MI -reduction of substance use and health promotion
-improving medication adherence in clients with
schizophrenia
MI Guiding Principles -acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation