COGNITIVE APPROACH EXPLAINING DEPRESSION

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  • Created by: _Holly98
  • Created on: 05-04-16 11:41

BECKS COGNITIVE THEORY

PSYCHIATRIST 1967 SOME PEOPLE MORE VULNERABLE THAN OTHERS

PERSONS COGNITIONS CREATES VULNERABILITY

THREE PARTS COGNITIVE VULNERABILITY

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FAULTY INFORMATION PROCESSING

DEPRESSED ATTENT NEGATIVE ASPECTS - IGNORE POSTIVES

E.G.  ONE LOTTERY FOCUS FACT COULD WON MORE

SMALL PROBLEMS OUT PROPORTION

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NEGATIVE SELF - SCHEMAS

SCHEMA PACKAGE IDEAS INFRO DEVELOPED EXPERIENCE - MENTRAL FRAMEWORK INTEPRETATING SENSORY INFO

SELF SCHEMA INFO ABOUT OURSELEVS

SCHEMA INTEPRT WORLD SO NEGATIVE SELF SCHEMA - SEE US NEGATIVE WAY

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NEGATIVE TRIAD

DYSFUNCIONA VIEW - THREE TYPES NEGATIVE THINKING OCCUR AUTOMATICALLY 

-VE VIEW WORLD - "WORLD COLD HARD PLACE" - NO HOPE ANYWHERE

-VE VIEW FUTURE - "ECONOMY WONT GET BETTER" - REDUCE HOPEFULNESS ENHANCE DEPRESSION

-VE VIEW OF SELF - "I AM FAILURE" - ENHANCE DEPRESSIVE FEELINGS CONFIRM EXISTING EMOTIONS

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EVALUATION: GOOD SUPPORTING EVIDENCE

RANGE EVIDENCE SUPPORTS IDEA DEPRESSION FAULTY INFO PROCESSING, NEGATIVE SELF SCHEMA & COGNITIVE TRIAD

GRAZIOLI & TERRY ASSESS 65 PREGNANT WOMEN BEFORE / AFTER BIRTH. 

WOMEN HIGH VULNERABILITY MORE LIKELY DEVELOP POST NATAL DEPRESSION

CLARK & BECK REVIEWD & CONCLUDED SOLID SUPPORT

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EVALUATION: PRACTICAL APPLICATION IN CBT

FORMS BASIC CBT THERAPY

ALL COGNITIVE ASPECTS IDENTIFIED CHALLENGED CBT 

THERAPIST CAN CHALLENGE THEM - ENCOURAGE PATIENT TEST WHETHER THEY ARE TRUE

TRANSLATES WELL SUCCESSFUL THERAPY

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EVALUATION: DOESNT EXPLAIN ALL ASPECTS

FOCUS BASIC SYMPTOMS 

DEPRESSION COMPLEX

PATIENTS DEEPLY ANGRY BECK CANT EXPLAIN EXTREME EMOTION

SOME SUFFER HALLUCINATIONS OCASSIONALY COTARD SYNDROME

CANT EXPLAIN THESE CASES

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ELLIS ABC MODEL

ALBERT ELLIS (1962) PROPORSED GOOD MENTAL HEALTH RESULT RATIONAL THINKING

CONDITIONS ANXIETY / DEPRESSION RESULT IRRATIONAL THOUGHTS

ELLIS DEFINED IRRATIONAL - THOUGHTS INTEFERE US BEING HAPPY / FREE PAIN

ABC MODEL EXPLAIN IRRATIONAL THOUGHTS AFFECT BEHAVOUR / EMOTIONAL STATE

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MODEL

A - ACTIVATING EVENT

  • FOCS IRRATIONAL THOUGHTS TRIGGERED EXTERNAL EVENTS
  • DEPRESSED EXPEREINCE NEGATIVE EVENTS 
  • FAILING TEST / ENDING RELATIONSHIP = TRIGGER IRRATIONAL BELIEFS

B - BELIEF

  • IRRATIONAL BELIEFS - E.G. UTPOIANSIM - LIFE MEANT TO BE FAIR

C - CONSEQUENCES

  • IRRATIONAL BELIEFS = BEHAVIOURAL CONSEQUENCES
  • MUST SUCCED THEN FAIL - TRIGGER DEPRESSION
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EVLALUATIONS: PARTIAL EXPLANATION

NO DOUBT SOME CASES DEPESSION FOLLOW ACTIVATING EVENTS - REACTIVE DEPRESSION - DIFFERENT COMPARD ARISE NO OBVIOUS CAUSE

ONLY APPLYS SOME KINDS - ONLY PARTIAL EXPLANATION

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EVALUATION: PRACTICAL APPLICATION IN CBT

LED SUCCESFUL THERAPY

CHALLENGING IRRATIONAL BELIEFS - REDUCE DEPRESSION - SUPPORTED RESEARCH EVIDENCE (LIPSKY 1980)

SUPPORTS BASIC THEORY SUGGEST IRRATIONAL BELIEF SOME ROLE DEPRESSION

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EVALUATION: DOESNT EXPLAIN ALL ASPECTS DEPRESSION

EXPLAIN WHY SOME MORE VULNERABLE RESULT COGNITIONS

DOESNT EASILY EXPLAIN ANGER OR HALLUCINATIONS

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EVALUATION: IRRATIONAL BELIEFS MAY BE REALISTIC

NOT ALL IRRATIONAL

ALLOY & ABRAHMSON DEPRESSIVE REALISTS SEE THINGS WHAT THEY ARE WHEREAS NORMAL VIEW ROSE TINTED GLASSES

DEPRRESED PEOPLE ACCURATE ESTIMATES LIKELHOOD DISTASTER THAN NORMAL CONTROLS

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