An examination of structural dissociation of the personality and the implications for cognitive behavioural therapy

2011 ◽  
Vol 4 (2) ◽  
pp. 53-67 ◽  
Author(s):  
Simon Harper
Keyword(s):  
Literature Review ◽  
Cognitive Behavioural Therapy ◽  
Dissociative Identity Disorder ◽  
Behavioural Therapy ◽  
Top Down ◽  
Bottom Up ◽  
Cognitive Behavioural ◽  
Structural Dissociation

AbstractThe aim of this review was to ascertain whether an examination of the theory of structural dissociation of the personality (TSDP) and its treatment may lead to recommendations in the treatment of dissociative identity disorder (DID) and other trauma-related disorders utilizing CBT. An analysis of the neurobiology of trauma will aid this process. The literature review considers a variety of literature on TSDP. Several themes were identified which suggested that dissociation refers to a structural dividedness of the personality and that there is a psychobiological pathway for all trauma-related disorders. Additionally the role of bottom-up vs. top-down processing was explored. Recommendations for the treatment of trauma-related disorders using CBT have been made.

scholarly journals The role of cognitive behavioural therapy in living well with COPD

Breathe ◽  
2019 ◽  
Vol 15 (2) ◽  
pp. 95-97 ◽  
Author(s):  
Karen Heslop-Marshall ◽  
Graham Burns
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Living Well ◽  
Cognitive Behavioural

scholarly journals Cognitive Mediation of Cognitive-Behavioural Therapy Outcomes for Anxiety-Based School Refusal

2012 ◽  
Vol 41 (5) ◽  
pp. 549-564 ◽  
Author(s):  
Marija Maric ◽  
David A. Heyne ◽  
David P. MacKinnon ◽  
Brigit M. van Widenfelt ◽  
P. Michiel Westenberg
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Internalizing Problems ◽  
Self Efficacy ◽  
School Attendance ◽  
Behavioural Therapy ◽  
School Refusal ◽  
Post Treatment ◽  
Cognitive Behavioural

Background: Cognitive-behavioural therapy (CBT) has proven to be effective for anxiety-based school refusal, but it is still unknown how CBT for school refusal works, or through which mechanisms. Aims: Innovative statistical approaches for analyzing small uncontrolled samples were used to investigate the role of self-efficacy in mediating CBT outcomes for anxiety-based school refusal. Method: Participants were 19 adolescents (12 to 17 years) who completed a manual-based cognitive-behavioural treatment. Primary outcomes (school attendance; school-related fear; anxiety) and secondary outcomes (depression; internalizing problems) were assessed at post-treatment and 2-month follow-up. Results: Post-treatment increases in school attendance and decreases in fear about attending school the next day were found to be mediated by self-efficacy. Mediating effects were not observed at 2-month follow-up. Conclusions: These findings provide partial support for the role of self-efficacy in mediating the outcome of CBT for school refusal. They contribute to a small body of literature suggesting that cognitive change enhances CBT outcomes for young people with internalizing problems. Regarding methodology, the product of coefficient test appears to be a valuable way to study mediation in outcome studies involving small samples.

THE ROLE OF COGNITIVE BEHAVIOURAL THERAPY IN FACILITATING ADAPTATION TO ILLNESS IN RHEUMATOID ARTHRITIS: A CASE SERIES

2001 ◽  
Vol 29 (3) ◽  
pp. 303-309 ◽  
Author(s):  
Louise Sharpe ◽  
Tom Sensky ◽  
Natalie Timberlake ◽  
Simon Allard ◽  
Chris R. Brewin
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Illness ◽  
Cognitive Behavioural Therapy ◽  
Case Series ◽  
Behavioural Therapy ◽  
Behavioural Intervention ◽  
Disease Course ◽  
Medical Disorders ◽  
Cognitive Behavioural

A considerable literature has developed over the past two decades that has investigated the utility of cognitive behavioural treatments for a variety of medical disorders, including rheumatoid arthritis. Research has consistently found that psychological variables affect the course of the illness and that cognitive behavioural approaches can improve psychological and physical function. However, the literature has focused almost exclusively on chronic illness. There is little literature that has investigated the role of cognitive behavioural therapy in facilitating the adjustment early in the disease course to diagnosis and subsequent illness. The diagnosis of any potentially chronic illness has enormous ramifications for a person's life and it is well documented that many people become depressed even early in the disease course. Theoretical accounts have been put forward that allow a model for understanding the process of adaptation and offer a foundation for the use of cognitive and behavioural strategies with a recently diagnosed group of patients. The present paper reports the use of a cognitive and behavioural intervention to facilitate coping and adjustment to illness.

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