The bloom of cognitive therapies: The second and third waves

2011 ◽  
Vol 66 (1) ◽  
pp. 11-29 ◽  
Author(s):  
Dóra Perczel Forintos
Keyword(s):  
Cognitive Therapies

A tanulmányban a kognitív terápiák számos új irányzata közül a legfontosabbak kerülnek bemutatásra. A kognitív terápiák második hulláma a komplex problémák, a személyiségzavarok és identitászavarok kezelésére irányul, hosszabb időt és szorosabb terápiás kapcsolatot igényel: ide tartozik a sématerápia, Beck és munkatársainak a személyiségzavarok kezelésére kidolgozott kognitív terápiája, valamint Linehan dialektikus viselkedésterápiája. A kognitív terápiák harmadik hullámához a metakognitív, valamint tudatos jelenlét (mindfulness) szerepét kiemelő irányzatok tartoznak; ez utóbbi a valóság radikális elfogadására buzdítja a személyt a nehézségekkel való adaptívabb megküzdés érdekében.

Cognitive Impact of Cerebellar Damage: Is There a Future for Cognitive Rehabilitation?

2018 ◽  
Vol 17 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Kim van Dun ◽  
Frank V. Overwalle ◽  
Mario Manto ◽  
Peter Marien
Keyword(s):  
Affective Disorders ◽  
Cognitive Rehabilitation ◽  
Therapeutic Interventions ◽  
Posterior Fossa Surgery ◽  
Daily Life Activities ◽  
Wide Range ◽  
Affective Deficits ◽  
Cerebellar Injury ◽  
Cognitive Therapies ◽  
The Impact

Background & Objective: During the past 3 decades, numerous neurophysiological, neuroimaging, experimental and clinical studies have evidenced a crucial role for the cerebellum in cognitive, affective and behavioral functions. As a result of the acknowledged modulatory role of the cerebellum upon remote structures such as the cerebral cortex, cerebellar injury may give rise to a constellation of behavioral, affective and cognitive symptoms (Schmahmann's Syndrome). In sharp contrast to the wide range of therapeutic interventions to treat cognitive and affective disorders following cerebral cortical lesions and despite the consequences of Schmahmann’s syndrome upon daily life activities, the literature is surprisingly only scantly documented with studies investigating the impact of cognitive therapies on cerebellar induced cognitive and affective disorders. This survey aims to present an overview of the therapeutic interventions available in the literature as a possible treatment for Schmahmann’s Syndrome after cerebellar injury, after posterior fossa surgery in children, and in children with neurodevelopmental disorders. Although systematical studies are clearly warranted, available evidence suggests that cerebellar-induced cognitive and affective disorders should be treated in a specific way. Approaches where the patients are explicitly made aware of their deficits and are considered to act as an “external cerebellum” are the most promising. Conclusion: The study of the anatomical connectivity of the cerebellar microcomplexes involved in cognitive/affective deficits is likely to play a major-role in the future.

Cognitive therapies for psychosis: Advances and challenges

2019 ◽  
Vol 203 ◽  
pp. 1-2 ◽  
Author(s):  
Alice Medalia ◽  
Aaron T. Beck ◽  
Paul M. Grant
Keyword(s):  
Cognitive Therapies

RecoverNow: A patient perspective on the delivery of mobile tablet-based stroke rehabilitation in the acute care setting

2018 ◽  
Vol 14 (2) ◽  
pp. 174-179 ◽  
Author(s):  
Karen Mallet ◽  
Rany Shamloul ◽  
Michael Pugliese ◽  
Emma Power ◽  
Dale Corbett ◽  
...  
Keyword(s):  
Acute Care ◽  
Stroke Rehabilitation ◽  
Care Setting ◽  
Hand Function ◽  
Occupational Therapists ◽  
Fine Motor ◽  
Stroke Patients ◽  
Acute Setting ◽  
Cognitive Therapies ◽  
Mobile Tablets

Background/aim We previously reported the feasibility of RecoverNow (a mobile tablet-based post-stroke communication therapy in acute care). RecoverNow has since expanded to include fine motor and cognitive therapies. Our objectives were to gain a better understanding of patient experiences and recovery goals using mobile tablets. Methods Speech-language pathologists or occupational therapists identified patients with stroke and communication, fine motor, or cognitive/perceptual deficits. Patients were provided with iPads individually programmed with applications based on assessment results, and instructed to use it at least 1 h/day. At discharge, patients completed a 19-question quantitative and open-ended engagement survey addressing intervention timing, mobile device/apps, recovery goals, and therapy duration. Results Over a six-month period, we enrolled 33 participants (three did not complete the survey). Median time from stroke to initiation of tablet-based therapy was six days. Patients engaged in therapy on average 59.6 min/day and preferred communication and hand function therapies. Most patients (63.3%) agreed that therapy was commenced at a reasonable time, although half expressed an interest in starting sooner, 66.7% reported that using the device 1 h/day was enough, 64.3% would use it after discharge, and 60.7% would use it for eight weeks. Sixty-seven percent of patients expressed a need for family/friend/caregiver to help them use it. Conclusion Our results suggest that stroke patients are interested in mobile tablet-based therapy in acute care. Patients in the acute setting prefer to focus on communication and hand therapies, are willing to begin within days of their stroke and may require assistance with the tablets.

Interoceptive Exposure Exercises for Evoking Depersonalization and Derealization: A Pilot Study

2008 ◽  
Vol 22 (4) ◽  
pp. 321-330 ◽  
Author(s):  
James Lickel ◽  
Elizabeth Nelson ◽  
Athena Hayes Lickel ◽  
Brett Deacon
Keyword(s):  
Pilot Study ◽  
Undergraduate Students ◽  
Clinical Sample ◽  
High Anxiety ◽  
Interoceptive Exposure ◽  
Strobe Light ◽  
Cognitive Therapies

This study examined the potential of 11 interoceptive exposure exercises to produce depersonalization and derealization among high anxiety-sensitive undergraduate students. Inspired by a February 2007 thread on the Association for Behavioral and Cognitive Therapies listserv, we identified nine exercises and compared their capacity to produce depersonalization and derealization with two previously validated tasks: mirror and dot staring. Results indicated that five exercises, including hyperventilation (1 minute), hyperventilation (5 minutes), hyperventilation plus spiral staring, hyperventilation plus strobe light, and strobe light alone, were superior to either mirror or dot staring at inducing depersonalization or derealization. If replicated in a clinical sample, our findings may be used to assist clinicians seeking to evoke these states via interoceptive exposure.

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