Does CBT for Psychosis Have an Impact on Delusions by Improving Reasoning Biases and Negative Self-Schemas?

2018 ◽  
Vol 226 (3) ◽  
pp. 152-163 ◽  
Author(s):  
Stephanie Mehl ◽  
Björn Schlier ◽  
Tania M. Lincoln
Keyword(s):  
Behavioral Therapy ◽  
Theoretical Models ◽  
Self Esteem ◽  
Secondary Outcome ◽  
Intervention Effect ◽  
Produce Change ◽  
Attribution Biases ◽  
Carry Over ◽  
Implicit And Explicit ◽  
Reasoning Biases

Abstract. Cognitive-behavioral therapy for psychosis (CBTp) builds on theoretical models that postulate reasoning biases and negative self-schemas to be involved in the formation and maintenance of delusions. However, it is unclear whether CBTp induces change in delusions by improving these proposed causal mechanisms. This study reports on a mediation analysis of a CBTp effectiveness trial in which delusions were a secondary outcome. Patients with psychosis were randomized to individualized CBTp (n = 36) or a waiting list condition (WL; n = 34). Reasoning biases (jumping to conclusions, theory of mind, attribution biases) and self-schemas (implicit and explicit self-esteem; self-schemas related to different domains) were assessed pre- and post-therapy/WL. The results reveal an intervention effect on two of four measures of delusions and on implicit self-esteem. Nevertheless, the intervention effect on delusions was not mediated by implicit self-esteem. Changes in explicit self-schemas and reasoning biases did also not mediate the intervention effects on delusions. More focused interventions may be required to produce change in reasoning and self-schemas that have the potential to carry over to delusions.

Convergent and Predictive Validity of Implicit and Explicit Anxiety Measures as a Function of Specificity Similarity and Content Similarity

2008 ◽  
Vol 24 (4) ◽  
pp. 254-262 ◽  
Author(s):  
Tobias Gschwendner ◽  
Wilhelm Hofmann ◽  
Manfred Schmitt
Keyword(s):  
Implicit Association Test ◽  
Theoretical Models ◽  
Implicit Measures ◽  
Speech Anxiety ◽  
Behavioral Indicators ◽  
General Anxiety ◽  
Anxious Behavior ◽  
Content Similarity ◽  
Implicit And Explicit ◽  
Validation Strategy

In the present study we applied a validation strategy for implicit measures like the IAT, which complements multitrait-multimethod (MTMM) analyses. As the measurement method (implicit vs. explicit) and underlying representation format (associative vs. propositional) are often confounded, the validation of implicit measures has to go beyond MTMM analysis and requires substantive theoretical models. In the present study (N = 133), we employed such a model ( Hofmann, Gschwendner, Nosek, & Schmitt, 2005 ) and investigated two moderator constructs in the realm of anxiety: specificity similarity and content similarity. In the first session, different general and specific anxiety measures were administered, among them an Implicit Association Test (IAT) general anxiety, an IAT-spider anxiety, and an IAT that assesses speech anxiety. In the second session, participants had to deliver a speech and behavioral indicators of speech anxiety were measured. Results showed that (a) implicit and explicit anxiety measures correlated significantly only on the same specification level and if they measured the same content, and (b) specific anxiety measures best predicted concrete anxious behavior. These results are discussed regarding the validation of implicit measures.

When apologies fail: The effect of implicit and explicit self-esteem on apology and forgiveness

2006 ◽  
Author(s):  
Judy Eaton ◽  
C. Ward Struthers ◽  
Anat Shomrony ◽  
Alexander Santelli
Keyword(s):  
Self Esteem ◽  
Implicit And Explicit

MANAJEMEN KASUS PADA KLIEN HARGA DIRI RENDAH KRONIS DENGAN PENDEKATAN TEORI CARING

2019 ◽  
Vol 11 (2) ◽  
pp. 125-134
Author(s):  
Kellyana Irawati ◽  
Novy Helena Catharina Daulima ◽  
Ice Yulia Wardhani
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Case Management ◽  
Cognitive Therapy ◽  
Behavioral Therapy ◽  
Signs And Symptoms ◽  
Self Esteem ◽  
Cognitive Behavioral ◽  
Theory Approach ◽  
Positive Side ◽  
Jean Watson

Harga diri rendah kronik adalah suatu evaluasi diri negatif dimana mereka merasa tidak berarti, malu, dan tidak mampu melihat hal positif yang dimilikinya. Dibutuhkan intervensi keperawatan untuk membantu meningkatkan harga diri klien. Tujuan penulisan ini menggambarkan hasil manajemen kasus spesialis pada klien harga diri rendah kronik dengan pendekatan teori transpersonal caring: Jean Watson. Klien yang diambil dalam penulisan ini sebanyak 31 klien harga diri rendah kronis, dengan 16 klien diberikan terapi kognitif dan 15 klien diberikan terapi perilaku kognitif. Hasil: terjadi penurunan tanda dan gejala harga diri rendah kronis dan peningkatan kemampuan klien dengan harga diri rendah kronis. Kesimpulan: pemberian terapi kognitif dan terapi perilaku kognitif dapat membantu meningkatkan harga diri klien.   Kata kunci: harga diri rendah kronis, terapi kognitif, terapi perilaku kognitif CASE MANAGEMENT IN LOW CHRONIC MANDIRI PRICE CLIENTS WITH CARE THEORY APPROACH   ABSTRACT Chronic low self-esteem is a negative self-evaluation in which they feel meaningless, shame, and unable to evaluate the positive side of them self. Nursing interventions are required for enhancing client`s self-esteem. The purpose of this paperis to describe the results of a specialist case management in client with chronic low self-esteem using the approach of transpersonal caring theory of Jean Watson. Clients were takenfor thispaper were 31 clients with chronic low self-esteem, with 16 clients were intervered by cognitive therapy and 15 clients were given cognitive behavioral therapy. Results:  The signs and symptoms of chronic low self-esteem were decrease and the client’sability was increase with chronic low self-esteem. Conclusion: The intervention of cognitive therapy and cognitive behavioral therapy can help increasing the level of self-esteem on clients.   Key words: chronic low self esteem, cognitive therapy, cognitive behavioral therapy  

Implicit collective self-esteem: A comparative analysis of Gelao and Han teenagers

2019 ◽  
Vol 47 (12) ◽  
pp. 1-10
Author(s):  
Hongyun Lyu ◽  
Ningjian Liang ◽  
Zhen Guo ◽  
Rogelio Alejo Rodriguez
Keyword(s):  
Ethnic Group ◽  
Implicit Association Test ◽  
Correlation Coefficients ◽  
Self Esteem ◽  
Association Test ◽  
Implicit Association ◽  
Collective Self ◽  
Implicit And Explicit ◽  
Collective Self Esteem ◽  
The Relationship

In this study we examined the differences in implicit collective self- esteem between Gelao and Han teenagers, using the Implicit Association Test. We also explored the relationship between participants' implicit and explicit collective self-esteem with the Implicit Association Test and the Explicit Collective Self-Esteem Scale. Participants were 169 teenagers residing in Gelao regions in China. The results showed that both Gelao and Han participants had an implicit collective self-esteem effect (i.e., tended to associate their own ethnic group with positive words and the other ethnic group with negative words), and this effect was significantly higher among Gelao than among Han participants. Further, scores on the importance-to-identity subscale of the Explicit Collective Self-Esteem scale were significantly higher in the Gelao versus the Han group. The correlation coefficients between implicit and explicit collective self-esteem for both groups were very low. The significance of the study findings is discussed.

scholarly journals Acceptance-based behavioral therapy for GAD: effects on outcomes from three theoretical models

2010 ◽  
Vol 28 (2) ◽  
pp. 127-136 ◽  
Author(s):  
Michael Treanor ◽  
Shannon M. Erisman ◽  
Kristalyn Salters-Pedneault ◽  
Lizabeth Roemer ◽  
Susan M. Orsillo
Keyword(s):  
Behavioral Therapy ◽  
Theoretical Models

scholarly journals Group cognitive-behavioural therapy for schizophrenia

2006 ◽  
Vol 189 (6) ◽  
pp. 527-532 ◽  
Author(s):  
Christine Barrowclough ◽  
Gillian Haddock ◽  
Fiona Lobban ◽  
Steve Jones ◽  
Ron Siddle ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Treatment Method ◽  
Self Esteem ◽  
Behavioural Therapy ◽  
Positive Symptom ◽  
Secondary Outcome ◽  
Symptom Improvement ◽  
Treatment As Usual ◽  
Group Cognitive Behavioural Therapy ◽  
Cognitive Behavioural

BackgroundThe efficacy of cognitive–behavioural therapy for schizophrenia is established, but there is less evidence for a group format.AimsTo evaluate the effectiveness of group cognitive – behavioural therapy for schizophrenia.MethodIn all, 113 people with persistent positive symptoms of schizophrenia were assigned to receive group cognitive – behavioural therapy or treatment as usual. The primary outcome was positive symptom improvement on the Positive and Negative Syndrome Scales. Secondary outcome measures included symptoms, functioning, relapses, hopelessness and self-esteem.ResultsThere were no significant differences between the cognitive-behavioural therapy and treatment as usual on measures of symptoms or functioning or relapse, but group cognitive – behavioural therapy treatment resulted in reductions in feelings of hopelessness and in low self-esteem.ConclusionsAlthough group cognitive – behavioural therapy may not be the optimum treatment method for reducing hallucinations and delusions, it may have important benefits, including feeling less negative about oneself and less hopeless for the future.

scholarly journals Predictive value of implicit and explicit self-esteem for the recurrence of depression and anxiety disorders: A 3-year follow-up study.

2020 ◽  
Vol 129 (8) ◽  
pp. 788-798
Author(s):  
Lonneke A. van Tuijl ◽  
Elise C. Bennik ◽  
Brenda W. J. H. Penninx ◽  
Philip Spinhoven ◽  
Peter J. de Jong
Keyword(s):  
Anxiety Disorders ◽  
Predictive Value ◽  
Self Esteem ◽  
Depression And Anxiety ◽  
Follow Up Study ◽  
Implicit And Explicit

Memory reconsolidation, emotional arousal, and the process of change in psychotherapy: New insights from brain science

2014 ◽  
Vol 38 ◽  
Author(s):  
Richard D. Lane ◽  
Lee Ryan ◽  
Lynn Nadel ◽  
Leslie Greenberg
Keyword(s):  
Behavioral Therapy ◽  
Empirical Studies ◽  
Emotional Arousal ◽  
Therapeutic Change ◽  
Memory Reconsolidation ◽  
Emotional Experiences ◽  
Psychotherapeutic Change ◽  
Implicit And Explicit Memory ◽  
Core Idea ◽  
Implicit And Explicit

AbstractSince Freud, clinicians have understood that disturbing memories contribute to psychopathology and that new emotional experiences contribute to therapeutic change. Yet, controversy remains about what is truly essential to bring about psychotherapeutic change. Mounting evidence from empirical studies suggests that emotional arousal is a key ingredient in therapeutic change in many modalities. In addition, memory seems to play an important role but there is a lack of consensus on the role of understanding what happened in the past in bringing about therapeutic change. The core idea of this paper is that therapeutic change in a variety of modalities, including behavioral therapy, cognitive-behavioral therapy, emotion-focused therapy, and psychodynamic psychotherapy, results from the updating of prior emotional memories through a process of reconsolidation that incorporates new emotional experiences. We present an integrated memory model with three interactive components – autobiographical (event) memories, semantic structures, and emotional responses – supported by emerging evidence from cognitive neuroscience on implicit and explicit emotion, implicit and explicit memory, emotion-memory interactions, memory reconsolidation, and the relationship between autobiographical and semantic memory. We propose that the essential ingredients of therapeutic change include: (1) reactivating old memories; (2) engaging in new emotional experiences that are incorporated into these reactivated memories via the process of reconsolidation; and (3) reinforcing the integrated memory structure by practicing a new way of behaving and experiencing the world in a variety of contexts. The implications of this new, neurobiologically grounded synthesis for research, clinical practice, and teaching are discussed.

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