Relationship between Mood Improvement and Questioning to Evaluate Automatic Thoughts in Cognitive Restructuring with a Virtual Agent

Author(s):  
Kazuhiro Shidara ◽  
Hiroki Tanaka ◽  
Hiroyoshi Adachi ◽  
Daisuke Kanayama ◽  
Yukako Sakagami ◽  
...  
Author(s):  
Susan E. Sprich ◽  
Steven A. Safren

Self-coaching or cognitive restructuring is a valuable skill for those with attention-deficit/hyperactivity disorder (ADHD). This chapter continues the discussion of the cognitive component of cognitive behavioral therapy (CBT) introduced in the previous chapter. It includes instructions regarding how to review thought records, and it uses a coaching metaphor to discuss various styles of coaching. The chapter concludes with a discussion of how to formulate helpful alternative thoughts to use in place of negative automatic thoughts.


Author(s):  
Steven A. Safren ◽  
Susan E. Sprich ◽  
Carol A. Perlman ◽  
Michael W. Otto

This chapter continues the discussion of the cognitive component of treatment for ADHD introduced in Chapter 8. It includes instructions for the therapist regarding how to review thought records with clients. Therapists can use a coaching story to contrast positive and negative ways of thinking. Therapists learn information about helping clients learn adaptive thinking, which involves formulating helpful rational responses to use in place of negative automatic thoughts. A case vignette illustrates how clients can begin putting these cognitive restructuring techniques into place.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

This chapter covers the two remaining major steps in cognitive restructuring. The first of these is questioning whether automatic thoughts are really true. A list of all-purpose questions called “disputing questions” is presented. Some of these questions are particularly appropriate for automatic thoughts (ATs) with certain thinking errors, and others work for a variety of thoughts. The next step in the cognitive restructuring procedure is to develop a rational response, which is a statement that summarizes or highlights the key points a client has discovered working through the Anxious Self/Coping Self dialogue. Often the rational response is a shorthand reminder to stay focused and think more rationally. When people are in a situation that makes them anxious, they can repeat the rational response in their head as ATs arise.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

Many individuals in treatment for social anxiety have some difficulty with casual conversations, even if it is not the primary focus of treatment. This chapter presents psychoeducational material about the importance of small talk in everyday life. The amount of in-session time spent will depend on how central this topic is to the specific client and how well the client is able to glean key points from the reading on their own. Two primary messages from this material are (a) casual conversations are the gateways to more significant relationships and (b) such conversations are, by definition, about inconsequential topics. Conversational situations are often the easiest exposures to design. They typically require few props, and a variety of circumstances can be easily staged. This chapter covers three typical automatic thoughts for conversations: not knowing what to say, not having anything interesting to say, and having poor conversational skills.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

This chapter introduces the idea of information-processing biases using the “amber-colored glasses” metaphor. Although information-processing biases are well established in the research literature, this is a difficult concept to communicate to socially anxious individuals. By describing the amber-colored glasses as a natural outcome of a particular combination of genetics, family environment, and important experiences, the therapist can indicate that the way in which the client processes information makes sense; it just may not be functional. The chapter also covers identification of automatic thoughts (ATs) and finding logical errors (the identification of thinking errors) in ATs. The notion of ATs is used extensively throughout treatment.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

Cognitive restructuring is a procedure that helps to examine how people are thinking and to consider whether there may be a more useful way to look at a situation that makes them anxious. Clients learn to identify the thinking errors in the automatic thoughts (ATs) they have when they get anxious. They also have the opportunity to see if they tend to use particular thinking errors when they have anxious thoughts. Clients are taught (a) what they think influences how anxious they feel and (b) how to change what they are thinking so that they can better manage their anxiety and do the things they want to do in life. This chapter introduces the idea of information-processing biases using the “amber-colored glasses” metaphor. As people learn to change their ATs, they feel less anxious and depressed.


Author(s):  
Debra A. Hope ◽  
Richard G. Heimberg ◽  
Cynthia L. Turk

This chapter delves deeply into clients’ automatic thoughts (ATs) and examines some of their core beliefs that underlie these ATs. As individuals work through various exposures and associated cognitive restructuring, both therapist and client may notice that certain themes keep reoccurring. Themes in automatic thoughts reflect core beliefs that drive all of the difficulties a person is experiencing. People who have difficulty with anxiety and depression usually have one or more dysfunctional core beliefs about themselves, other people, the world, or the future. Therapists often talk about finding these core beliefs by searching through the layers of ATs and emotions, similar to the process of peeling an onion.


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