Insight Versus Rehearsal in Cognitive-Behaviour Therapy: A Crossover Study with Sixteen Phobics

1987 ◽  
Vol 15 (4) ◽  
pp. 319-336 ◽  
Author(s):  
Geoffrey L. Thorpe ◽  
Jeffrey E. Hecker ◽  
Lorraine A. Cavallaro ◽  
Gordon E. Kulberg
Keyword(s):  
Treatment Group ◽  
Crossover Study ◽  
Cognitive Behaviour Therapy ◽  
Treatment Plan ◽  
Cognitive Restructuring ◽  
Crossover Design ◽  
Group Differences ◽  
Behaviour Therapy ◽  
The Core ◽  
Cognitive Behaviour

Although cognitive restructuring (CR) procedures have not proven very helpful for phobics in recent studies, insight and rehearsal components of CR have often been confounded. To seek possible differences in effectiveness between insight and rehearsal, we treated 16 phobics (eight agoraphobics and eight others) with four sessions of each method, using a counterbalanced crossover design with 1-month follow-ups after each treatment component. Significantly fewer sessions were attended by the clients in the rehearsal/insight sequence, and benefit ratings made by project completers significantly favoured insight/rehearsal. Few other treatment group differences were seen, but those that emerged gave the advantage to insight. Rehearsal seemed unhelpful, particularly to non-agoraphobics. Conclusions are (1) that CR methods show some promise in application to phobias, provided that self-exposure homework forms the core of the treatment plan, and (2) that insight followed by rehearsal is the preferred sequence.

The Treatment of Bulimia Nervosa

1987 ◽  
Vol 21 (1) ◽  
pp. 5-15 ◽  
Author(s):  
Rosalyn A. Griffiths ◽  
Stephen W. Touyz ◽  
Philip B. Mitchell ◽  
Wendy Bacon
Keyword(s):  
Family Therapy ◽  
Treatment Group ◽  
Bulimia Nervosa ◽  
Support Groups ◽  
Cognitive Behaviour Therapy ◽  
Psychoanalytic Psychotherapy ◽  
Future Research ◽  
Behaviour Therapy ◽  
Self Help ◽  
Cognitive Behaviour

We review treatment approaches to bulimia nervosa, with particular emphasis on methodology and research design. The following treatments are considered: behaviour therapy, cognitive behaviour therapy, pharmacological treatment, group therapy, psychoanalytic psychotherapy, self-help and support groups, hypnosis and miscellaneous (family therapy and nutritional approaches). Several directions for future research and methodological recommendations are suggested.

scholarly journals Individualised cognitive behaviour therapy in patients of substance use disorders: three case studies

2020 ◽  
pp. 1-10
Author(s):  
Mafia Shahzadi ◽  
Qasir Abbas
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Cognitive Behaviour Therapy ◽  
Treatment Plan ◽  
Behavioural Therapy ◽  
Opioid Withdrawal ◽  
Individual Treatment ◽  
Behaviour Therapy ◽  
Assessment Scores ◽  
Cognitive Behaviour

Abstract The current study aims to investigate the effectiveness of Cognitive Behaviour Therapy (CBT) in the treatment of patients with substance use disorders. Three diagnosed patients with substance use disorders were recruited —i.e. 305.20 (F12.10) cannabis used disorder, 291.81 (FI0.239) alcohol withdrawal disorder and 292.0 (F11.23) opioid withdrawal disorder, respectively. The patients were detoxified and individual treatment plan was formulated on the basis of CBT. The CBT therapeutic outcomes were evaluated on the basis of pre- and post-assessment scores. Results indicate that CBT worked effectively in one-on-one session. CBT effectively worked to manage patients’ anger, craving, stress, sleep hygiene and assertive behaviour. It is concluded that CBT is an effective approach to deal with patients’ anger, stress, craving, sleep and assertive behaviour. Keywords: Cognitive Behavioural Therapy; Canabis Used Disorder; Alcohol Withdrwal Disorder; Opioid Withdrawal Disorder. Continuous....

scholarly journals Blended cognitive behaviour therapy for children and adolescents with mitochondrial disease targeting fatigue (PowerMe): study protocol for a multiple baseline single case experiment

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
I. L. Klein ◽  
K. F. E. van de Loo ◽  
T. J. Hoogeboom ◽  
M. C. H. Janssen ◽  
J. A. M. Smeitink ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Mitochondrial Disease ◽  
Cognitive Behaviour Therapy ◽  
Psychological Intervention ◽  
Single Case ◽  
Treatment Plan ◽  
Hereditary Disease ◽  
Multiple Baseline ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

Abstract Background Mitochondrial disease is a rare, hereditary disease with a heterogeneous clinical presentation. However, fatigue is a common and burdensome complaint in children and adolescents with mitochondrial disease. No psychological intervention targeting fatigue exists for paediatric patients with a mitochondrial disease. We designed the PowerMe intervention, a blended cognitive behaviour therapy targeting fatigue in children and adolescents with mitochondrial disease. The aim of the intervention is to reduce perceived fatigue by targeting fatigue-related cognitions and behaviours. Methods A multiple baseline single case experiment will be conducted in five children (8–12 years old) and 5 adolescents (12–18 years old) with mitochondrial disease and severe fatigue. Patients will be included in the study for 33 weeks, answering weekly questions about the fatigue. Patients will be randomly assigned a baseline period of 5 to 9 weeks before starting the PowerMe intervention. The intervention consists of face-to-face and online sessions with a therapist and a website with information and assignments. The treatment will be tailored to the individual. Each patient will work on their personalized treatment plan focusing on personally relevant goals. The primary outcome is perceived fatigue. Secondary outcomes are quality of life, school presence and physical functioning. Discussion The results of the PowerMe study will provide information on the efficacy of a blended cognitive behaviour therapy on reducing perceived fatigue and its impact on daily life in children and adolescents with mitochondrial disease. Strengths and limitations of the study design are discussed. Trial registration Dutch Trial Register NTR 7675. Registered on 17 December 2018. Identifier https://www.trialregister.nl/trial/7433

Cognitive behaviour therapy for schizophrenia

2012 ◽  
pp. 1313-1317
Author(s):  
Max Birchwood ◽  
Elizabeth Spencer
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Medication Compliance ◽  
Psychotic Symptoms ◽  
Behaviour Therapy ◽  
The Core ◽  
Cognitive Behaviour ◽  
Psychosocial Approaches

Cognitive behaviour therapy (CBT) for schizophrenia focuses on the core psychotic symptoms of hallucinations and delusions. Other psychosocial approaches to psychosis (e.g. intervention with families and to promote medication compliance) also frequently use CBT techniques. In this chapter, however, we focus on CBT for delusional beliefs and other psychotic phenomena and review evidence for its efficacy.

Temporal Patterns of Change in Panic Disorder during Cognitive Behaviour Therapy: An Indian Study

2013 ◽  
Vol 42 (5) ◽  
pp. 513-525 ◽  
Author(s):  
M. Manjula ◽  
P.S.D.V. Prasadarao ◽  
V. Kumaraiah ◽  
R. Raguram
Keyword(s):  
Panic Disorder ◽  
Anxiety Sensitivity ◽  
Cognitive Behaviour Therapy ◽  
Temporal Patterns ◽  
Cognitive Restructuring ◽  
Structured Interview ◽  
Sensitivity Index ◽  
Behaviour Therapy ◽  
Cognitive Domains ◽  
Cognitive Behaviour

Background: CBT has been proven to be effective in the treatment of panic disorder; however, attempts to study the process of change are limited. Aim: The study evaluated the temporal patterns of change in the panic symptoms, cognitions, behaviours, and anxiety sensitivity in subjects with panic disorder being treated with CBT. Method: Thirty subjects with panic disorder were allocated to two groups: Cognitive Behaviour Therapy (CBT, n = 15) and Behaviour Therapy (BT, n = 15). Assessments were carried out weekly for five consecutive weeks using the Semi-Structured Interview Schedule, the Anxiety Sensitivity Index, the Agoraphobic Cognitions Questionnaire, and the Texas Panic Attack Record Form. The CBT group received comprehensive CBT and the BT group received psycho-education and Applied Relaxation. Results: Following intervention the change was continuous and gradual on all the variables in the CBT group and the scores reduced to a functional range after 4–5 weeks of therapy. Such a change was not evident in the BT group. Significant change was evident in cognitive domains following the introduction of the exposure and cognitive restructuring within the CBT group. Both cognitive and behavioural techniques contributed to the overall change. Conclusion: CBT had an impact on the cognitive domains and significant changes were evident corresponding to the addition of cognitive restructuring and exposure techniques in the 3rd to 5th week. Both cognitive and behavioural components are therefore crucial for overall improvement to occur.

DOES PROBLEM SOLVING ABILITY PREDICT THERAPY OUTCOME IN A CLINICAL SETTING?

2001 ◽  
Vol 29 (4) ◽  
pp. 485-495 ◽  
Author(s):  
Stirling Moorey ◽  
Christoph Holting ◽  
Peter Hughes ◽  
Peter Knynenberg ◽  
Albert Michael
Keyword(s):  
Problem Solving ◽  
Cognitive Therapy ◽  
Clinical Setting ◽  
Cognitive Behaviour Therapy ◽  
Cognitive Restructuring ◽  
Learned Resourcefulness ◽  
Therapy Outcome ◽  
Behavioural Activation ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

This study tested the use of a problem solving measure (The Problem Solving Scale: Center for Cognitive Therapy, 1988) as a predictor of outcome in patients receiving cognitive behaviour therapy (CBT) in an NHS psychotherapy service. Lower scores at assessment on the Problem Solving Scale (PSS) were predicted to be associated with poorer outcome for all diagnoses (but particularly depression) and higher dropout. The PSS predicted outcome for depressed patients receiving CBT, but not anxious patients or patients with other disorders. Poorer problem solving was not associated with dropout from therapy. Components of the scale that were most closely correlated with global outcome seemed to reflect the behavioural activation and cognitive restructuring skills taught in CBT for depression. Since this is the second study to connect PSS scores with outcome in depression (Scott, Harrington, House, & Ferrier, 1996), the possibility that aspects of learned resourcefulness are relevant to patients' suitability for CBT remains alive, and further research in this area is indicated.

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