scholarly journals Efektivitas Konseling dengan Pendekatan Cognitive-Behavior Therapy untuk Meningkatkan Self-Esteem

2019 ◽  
Vol 4 (2) ◽  
pp. 148-181
Author(s):  
Rezki Suci Qamaria

Self-esteem is one of the essential components that make up an individual's personality. The level of self-esteem possessed by an individual influences the development of self-concept, self-confidence, self-motivation, and personal resilience. Self-esteem develops since the individual realizes its function in the social environment. The case study in this study discusses the condition of one of the students currently studying at the Faculty of Medical of University X of Yogyakarta. The initial assessments used are the intelligence test, personality test, and self-esteem scale. It is concluded that the subject experienced low self-esteem which had an impact on self-confidence, motivation, and resilience ability in attending lectures. This condition also affects the academic achievement of the subject, which is unsatisfactory. This study purpose is to determine the effectiveness of counseling with cognitive-behavioral therapy approach on subjects who have low self-esteem. The techniques used in cognitive-behavioral counseling therapy are ABCDE techniques, Socratic questions, vertical arrows, and relaxation techniques. This study uses a single-case experimental design method. The result is that the subject found some negative beliefs that made him helpless with the situation, especially in academic activities. Then the subject was able to find another positive alternative belief so that the subject had a positive judgment on him. After the counselling process in several sessions, the subject has high self-esteem. The subject has a positive assessment of himself and does not see his weaknesses as a scourge that makes him helpless in carrying out daily activities, especially academic activities

2019 ◽  
Vol 11 (2) ◽  
pp. 125-134
Author(s):  
Kellyana Irawati ◽  
Novy Helena Catharina Daulima ◽  
Ice Yulia Wardhani

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  


Author(s):  
Dmitry Fedorovich Khritinin ◽  
M. A. Sumarokova ◽  
E. P. Schukina

Currently, insomnia is not only a medical, but also a social as well as an economic problem. Sleep disorders increase the risk of somatic, neurological and mental illnesses. The shift schedule has a significant impact on the employee’s health, increasing the risk of developing such disorders as metabolic syndrome, arterial hypertension and other. As a result of sleep disturbances, lipid peroxidation processes may intensify, which can lead to the disorders described above. Therefore, the prevention and treatment of sleep disorders is an important aspect of chronic diseases diagnostics. In our opinion, it is crucial to study possible sleep disorders for their timely correction. The article discusses the features of drug and non-drug treatment of sleep disorders, as well as approaches to the primary and secondary prevention of insomnia. It is recommended to begin the treatment of sleep disorders with cognitive-behavioral therapy. Cognitive-behavioral therapy for insomnia typically includes psycho-education, training in relaxation techniques, stimulation limitation method, sleep limitation therapy, and cognitive therapy. When developing recreational activities for employees with a shift work schedule, attention should be paid to work and rest regimes, prevention of fatigue and obesity, and the sleep disorders treatment. Training in sleep hygiene and improving its compliance in the target groups is regarded as a method of non-pharmacological treatment of sleep disorders and a means of primary and secondary prevention of insomnia. In our opinion, further research on the features of the prevention and treatment of insomnia in various population groups is needed. Effective primary and secondary prevention of sleep disorders will reduce the risks of developing neurological, somatic and mental diseases and significantly improve the quality of life.


2019 ◽  
Vol 13 (6) ◽  
pp. 544-547 ◽  
Author(s):  
Jeffrey Rossman

Sleep difficulties are an extremely prevalent health problem, with about 33% to 50% of adults reporting regular difficulty falling asleep or staying asleep. About 7% to 18% of adults meet the criteria for an insomnia disorder.1,2 Sleep disruptions contribute to a variety of medical problems, including cognitive impairment, reduced immune function, metabolic imbalance, and exacerbation of psychiatric conditions.3 The most effective nonpharmacological treatment for chronic insomnia is cognitive-behavioral therapy for insomnia (CBT-i). CBT-i produces results that are equivalent to sleep medication, with no side effects, fewer episodes of relapse, and a tendency for sleep to continue to improve long past the end of treatment. The long-term improvements seem to result from the patient learning how to support and promote the body’s natural sleep mechanism. The five key components of CBT-i are sleep consolidation, stimulus control, cognitive restructuring, sleep hygiene, and relaxation techniques. Although CBT-i is a safe and highly effective treatment for insomnia, unfortunately, it is underutilized, primarily because of two reasons: (1) There is currently a shortage of trained CBT-i practitioners. (2) Patient are much more likely to learn about sleep medication as a treatment for their insomnia (via drug advertisements and prescribing physicians) than CBT-i. Physicians and health care providers can play an important role in educating their patients about CBT-i and recommending it as a first-line treatment for chronic insomnia.


2016 ◽  
Vol 33 (S1) ◽  
pp. S513-S513
Author(s):  
H. El Kefi ◽  
W. Abdelghaffar ◽  
A. Baatout ◽  
C. Bechikh Brahim ◽  
W. Krir ◽  
...  

IntroductionPosttraumatic stress disorder (PTSD) has a high prevalence and severe impact in military populations. Cognitive behavioral therapy (CBT) is indicated in this condition but it is a structured therapy that requires patients’ motivation and doctors’ availability.Objectives and aimsAssess feasibility and effectiveness of CBT in a military group with PTSD.MethodsA group of six militaries that witnessed the same traumatic event (an armed attack) and were diagnosed with PTSD were involved in a structured individual session CBT with one therapist. An assessment using the PTSD checklist for DSM (PCL) was performed initially and in halfway therapy. The therapy included an education about PTSD, a cognitive restructuring, a behavioral approach via home tasks and relaxation techniques.ResultsThe initial PCL scores varied from 25 to 55. All patients were initially on sick leave. Five patients had adjunctive antidepressant medications and one patient was only on therapy. Three patients showed no motivation and were excluded after 3 sessions. Two patients have had 7 weekly sessions and were able to return to work in the same place. One patient with severe PTSD had 2 sessions monthly, he had slight clinical improvement and could not come back to military work. The three patients who are still in therapy have improved PCL scores.ConclusionsCBT can be effective in PTSD. The outcome depends on initial severity of PTSD and assiduity.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 29 (3) ◽  
pp. 159-179
Author(s):  
V.K. Zaretsky ◽  
A.A. Ageeva

The article considers the subject of effectiveness of parental assistance to children in challenging situations from the practical and theoretical perspectives. The conditions and criteria of psychological assistance effectiveness represent a link between these perspectives. Proceeding from the fact that development is the child’s main life context, the subject of assistance effectiveness is viewed through the lens of its relation to development. The authors word and provide the rationale for an assumption that effective assistance implies facilitation of development. Due to a conceptual closeness of cultural-historical psychology (as a developmental theory) and cognitive-behavioral psychotherapy (CBT) as a practice of promoting cognitive development, the criteria for the effectiveness of assistance contributing to the child’s development are singled out and compared. A taxonomy of modes in which parents provide assistance to their children in challenging situations in terms of their effectiveness is viewed from the perspective of the reflection-activity approach (RAA) and CBT. The article presents the results of an empirical study of the parental assistance modes in the context of helping their children overcome learning difficulties in a sample of 100 parents of primary school students. The study relied on unique methodology. The results showed that, according to the effectiveness criteria developed, the overwhelming majority of the parents (94.5%) presented with assistance modes that did not contribute to the children’s development, i.e. these modes were ineffective. The issue of specific culture of rendering assistance with learning difficulties is discussed and it is inferred that there is a need to engage parents in practical psychological work to restructure their assistance modes by means of RAA and CBT.


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