5/5 Psychopathy/CBT Therapy

  1. features and assessment of psychopathy
    - affective (feelings and emotions): egocentric, lacking empathy,

    -assessment: Psychometric test (psychopathy checklist revised)

    • -superficial/gibbness
    • -cunning/manipulative behavior
    • -lack of remorse/guilt
    • -callousness/lack of empathy
    • -impulsiveness
    • -3x likey to commit another crime
    • -behavior is deviant from society
  2. How thoughts, behavior, and
    feelings interact? How does cognitive-behavioral therapy (CBT) deal with thoughts, behavior, and feelings?
    • -identify distorted beliefs and change them
    • -thoughts/behaviors/feeling
    • -hardest to change is feelings
    • -Beck's idea is to focus on THOUGHTS
    • -be realistc, view other options of how people view you

  3. Role of negative thoughts in anxiety?
    • -danger
    • -harm
    • -threat

  4. What’s involved in the first session of CBT?
    • Assessment
    • -what are your concerns
    • -what would you do differently
    • -what would you like to change
    • -biggest impact on your life

    • Relevant History
    • -how have you dealt with things in the past
    • -what was your experience with therapy
  5. Relationship between the therapist and client in CBT
    • Collaborative
    • -therapist and client are both active participants, working together

    • Importance of shared goals
    • - agreement on goals and intervention strategies

  6. What’s involved in psychoeducation?
    • -nature of disorder and symptoms
    • -prevalence
    • -nature of emotions
    • -explanation of specific symptoms
    • -cognitive-behavioral conceptualization

    • Functions of Emotions
    • -provide info
    • -universal
    • -adaptive
    • -don't get rid of emotions
    • -experience and handle emotions more adaptively

    • Explanation of Specific Symptoms
    • -Anxiety Disorders
    • -why do we get afraid, what does it signal
    • -problematic ways of dealing with fear
    • -avoidance
    • -overestimating danger
    • -assuming we can't manage it

    • Goals of treatment
    • -face fears (exposure)
    • -learn to realistically estimate danger (exposure and restructuring)
    • -learn you can tolerate your anxiety (exposure)
  7. Fear Hierarchies
    Expose client to feared situation/object progressively from low ranked fears to very high ranked fears
  8. Flooding
    • -Simultaneous exposure to feared stimulus
    • -0-120mph, no building sense of confidence
    • -doesn't work
  9. Cycle of anxiety over time
    • 1. exposure-anxiety climbing
    • 2. Panic peaking
    • 3.avoidance (escape)
    • 4.anxiety quickly dropping
    • 5.failure to habituate
    • 6.return to trigger
    • 7.return to step 1
  10. How does exposure therapy aim to correct the cycle of anxiety?
    -wait it out long enough to habituate to feared object/situation

    • Mastery of Anxiety
    • 1. exposure-anxiety climbing
    • 2. panic peaking
    • 3. habituation
    • 4.anxiety coasting
    • 5. mastery after going from least to most fearful habituations
  11. Lessons learned by the client in behavioral/exposure therapy?
    • -anxiety is transient
    • -avoidance strengthens fear; exposure lessens it
    • -habituation is natural and automatic
    • -anxiety in anticipation is usually higher than anxiety in actual exposure
    • -feared consequences do not materialize

    • -what happens when you get beter
    • -termination of active therapy
    • -you continue to use the skills and new ways of thinking that you've learned in therapy

    -75%-85% recover
  12. Differences between cognitive restructuring
    and exposure techniques?
    restructuring: trying to rethink cognitively about a feared object, try to think of alternative explanations as to why something is scary

    Exposure: interacting with a feared object and learning to let anxiety decrease on it's own
Card Set
5/5 Psychopathy/CBT Therapy
PSY 329