scholarly journals Modification of Core Beliefs in Cognitive Therapy

Author(s):  
Amy Wenzel
2014 ◽  
Vol 7 (3) ◽  
pp. 217-234 ◽  
Author(s):  
David J. A. Dozois ◽  
Peter J. Bieling ◽  
Lyndsay E. Evraire ◽  
Irene Patelis-Siotis ◽  
Lori Hoar ◽  
...  

1997 ◽  
Vol 25 (1) ◽  
pp. 1-26 ◽  
Author(s):  
Melanie J. V. Fennell

Although low self-esteem is common in clinical populations, a cognitive conceptualization of the problem and an integrated treatment programme deriving from that conceptualization are as yet lacking. The paper proposes a cognitive model for low self-esteem, deriving from Beck's model of emotional disorder. It outlines a treatment programme which integrates ideas and methods from cognitive therapy for depression, anxiety and more recent work on schemas or core beliefs. The model and treatment are illustrated with an extended case example.


1995 ◽  
Vol 9 (4) ◽  
pp. 215-227 ◽  
Author(s):  
Leah P. Dick ◽  
Dolores Gallagher-Thompson

The purpose of this case study is to describe, in detail, a systematic approach that was used to modify a long-standing dysfunctional schema in a depressed female outpatient over the age of 60. In our opinion, this paper addresses a gap in the current cognitive therapy literature which contains very little description of methods for schema change. The client, Mrs. A., was depressed as a result of caring for her elderly mother who was suffering from advanced Alzheimer’s disease. She first received a 20-session course of treatment for her depression which focused on goals such as reducing guilt, setting limits, and making some time for her personal needs. After attaining these goals, she was given the opportunity to participate in an intense program of 18 additional individual sessions to evaluate and revise a key core belief, using an adaptation of Young’s (1990) method of the Historical Test of Schemas. This core belief was stated as follows: “In order to alleviate my feelings of inferiority, I must be all things to everyone.” Mrs. A was able to discuss the origin and the maintenance of this schema throughout her life, and she also was able to revise it in a way that allowed her to be more accepting of herself and her abilities.


2011 ◽  
Vol 37 (3) ◽  
pp. 328-334 ◽  
Author(s):  
I. R. de Oliveira ◽  
V. B. Powell ◽  
A. Wenzel ◽  
M. Caldas ◽  
C. Seixas ◽  
...  

1994 ◽  
Vol 164 (2) ◽  
pp. 190-201 ◽  
Author(s):  
Paul Chadwick ◽  
Max Birchwood

We offer provisional support for a new cognitive approach to understanding and treating drug-resistant auditory hallucinations in people with a diagnosis of schizophrenia. Study 1 emphasises the relevance of the cognitive model by detailing the behavioural, cognitive and affective responses to persistent voices in 26 patients, demonstrating that highly disparate relationships with voices - fear, reassurance, engagement and resistance - reflect vital differences in beliefs about the voices. All patients viewed their voices as omnipotent and omniscient. However, beliefs about the voice's identity and meaning led to voices being construed as either ‘benevolent’ or ‘malevolent’. Patients provided cogent reasons (evidence) for these beliefs which were not always linked to voice content; indeed in 31 % of cases beliefs were incongruous with content, as would be anticipated by a cognitive model. Without fail, voices believed to be malevolent provoked fear and were resisted and those perceived as benevolent were courted. However, in the case of imperative voices, the primary influence on whether commands were obeyed was the severity of the command. Study 2 illustrates how these core beliefs about voices may become a new target for treatment. We describe the application of an adapted version of cognitive therapy (CT) to the treatment of four patients' drug-resistant voices. Where patients were on medication, this was held constant while beliefs about the voices' omnipotence, identity, and purpose were systematically disputed and tested. Large and stable reductions in conviction in these beliefs were reported, and these were associated with reduced distress, increased adaptive behaviour, and, unexpectedly, a fall in voice activity. These changes were corroborated by the responsible psychiatrists. Collectively, the cases attest to the promise of CT as a treatment for auditory hallucinations.


Author(s):  
Tom Burns ◽  
Eva Burns‐Lundgren

Cognitive behaviour therapy (CBT) brings together the strengths of behaviour therapy and cognitive therapy. ‘Cognitive behaviour therapy’ identifies three layers of thinking in CBT theory: negative automatic thoughts, underlying assumptions, and core beliefs (often called schemas). CBT is very structured and pretty prescriptive. Once negative automatic thoughts have been identified they need to be tested and examined. This is referred to as collaborative empiricism. Collaborative empiricism has two functions. The first, and most obvious, is to identify, test, and modify negative automatic thoughts. The second is to teach the patient to become her own therapist. Specialized CBT—mindfulness-based cognitive therapy and dialectical behaviour therapy—is also described.


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