WHAT IS THE TECHNIQUE OF COGNITIVE THERAPY?

PRIVATE PSYCHOTHERAPY CLINIC -SENIOR ACCREDITED PSYCHOTHERAPIST-Dr.Fawzy Masaoud-LONDON, ENGLAND

Cognitive techniques are aimed at delineating and testing the validity and reasonableness of  the patient’s  specific misconceptions and     maladaptive assumptions.Therapy involves highly specific learning        experiences aimed to teach the patient how to do the following: 

A) Monitor his  negative,  automatic thoughts (cognition).

B) Recognise the connections between cognition, affect, and behaviour

C) Examine the evidence  for and against his distorted negative cognition.

D) Substitute more  reality-oriented  interpretations  for his distorted negative cognition.

E) Learn to identify and alter  the dysfunctional beliefs  that    predispose him to distort and negatively evaluatehis experiences.

Behavioural  assignments are used  with  more  severely  depressed     patients not only to change behaviour but also to elicit cognition      associated with specific behaviours. A sampling of these  behavioural strategies include a Daily Activity Log,in which the      patient logs his hourly activities; a Mastery and Pleasure Schedule,      in which the patient rates the activities listed in his log; a Graded Task   Assignment, in which the patient sequentially attempts various steps to accomplish a task that the patient believes is impossible. Furthermore, behavioural assignments are created to help the patient test outcertain maladaptive cognition.

Various verbal techniques are used to explore the logic behind, andbasis for, specific cognition and assumptions. The patient is given  an initial didactic explanation of the rationale for Cognitive Therapy. Next, he learns torecognise, monitor, and record the negative thoughts associated with incidents in which he felt particularly upset (sad,  anxious, etc.).  The cognition  and     underlying assumptions are discussed and examined for logic, validity, adaptiveness,  and enhancement of positive behaviour       versus maintenance of  pathology. For example, the depressed     person’s  tendency  to feel responsible for negative outcomes while  consistently failing to take credit for his own success is identified      and discussed as a specific verbal technique. Therapy  focuses at times  on specific target symptoms (such as, suicidal impulses). The cognition supporting these symptoms are identified (for example, “Life is worthless and I can’t change it.”) and then   examined withlogic and…

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