Beck Institute for Cognitive Behavior Therapy
Cognitive Restructuring in CBT
In this video from a recent Beck Institute Workshop, Dr. Aaron Beck uses a patient example to illustrate the process of restructuring a client’s negative cognitions stemming from the client’s dysfunctional automatic thoughts.
For CBT Resources, visit http://www.beckinstitute.org
so for example one of my patients came in and um he said Doctor I'm so depressed I think I want to kill myself and I said why is that and he says I'm just a total failure and I said what way are you a total failure and he said well a failure is a husband as a parent as a business person as a homekeeper as a home supporter and so on uh so I could have at that level just talked about a sense of helplessness and failure but I wanted to get more information so instead of addressing helplessness which seems to be across the board there or the sense of failure or the sense of frustration I started taking each of these components in order keeping in mind that the overall meaning of what he said did have to do with failure right it's pretty clear that his belief I am a failure who just grabbed hold of him and now was playing out in every aspect of his life so I asked well first of all you said your failure as a husband so what what's happened recently that gave you that thought he says well my wife went off for work today she didn't say goodbye and I said well so what does that mean to you and she says he says well it means she doesn't love me I said why is that said because she always says goodbye but now she must be ticked off and she doesn't love me and somehow I don't know what but there something about me that turns her off uh so I said okay so then I kept going on so I said now what what makes you think that you're a failure as a father and he says well cu the kids all were fighting this morning so I said okay and I said what makes you think that you're a failure as a businessman and a provider they said CU my I just looked at the uh budget report and we're going to go in debt for the next 3 months and then finally uh I said what about your failure as a homekeeper and he said well the the roof is caving in in the house so here we could have just dealt with the common denominated the meaning is he's a failure and each of these things and could have talked about about the failure but then I broke it up into each compartment and this is what we would have done as a psychoanalyst psychoanalyst we would have looked for an unconscious meaning or might be for the conscious meaning but we break this up into the different pieces so I then asked him what about your wife running off I said do you remember anything that happened prior to her running off and said well she was very rushed at breakfast and I said yo do you remember any conversation that you had and he said well I guess she told me she had a very important meaning meeting coming up and I said oh and what else did she say and she said oh she said she was late for the meeting and I said oh well is it possible that the reason she rushed off without saying goodby by was that she was in a hurry and he says you know that does make sense so then I asked him what about you your teenagers fighting all the time and he said yeah it's terrible I just can't seem to control them and I said well what about the other kids in the neighborhood are they all very quiet and they all get along and he said yeah you know I guess teenagers do fight and then I asked him what about the uh the business he says well you know we're going to run a deficit next year or next semester and I said but I know you're in the clothing business I understand you run through cycles and you you run through the cycle where you're making more money than you're spending and then you run through another cycle where you're spending more money you're you're manufacturing the dresses and then you make up for it the next the next trimester when you start selling the J he said yeah I guess you're right so then I said now what about the roof caving in and he says well the roof was leaking and uh and I said yes and he says well it's caving in so I said well what do people do when the roof is leaking and he says well I don't know I said well what do you do in the past when you had problems with the roof said oh I called the roofer so I said well isn't that a job for the roofer and he said yeah you might be right
#Cognitive #Restructuring #CBT
source
seems clear the man responding g to Dr Beck was able to use Logic and Reason. the more serious result is when logic and reason is impaired or even mostly absent.
David, living with a person who rejects Logic and Reason
This is so wonderful to watch because Dr Becks approach comes from true love, no platitudes and nothing more than fully listening. In just breaking down old beliefs together with a patient can be a transformative process.
The interest in the patients experience and being fully present with the person is what most people never experienced growing up when their brains were still developing. Again this is such a loving way to treat patients suffering from cognitive distortions due to old beliefs. Dr Beck lives on in all who use his techniques every day.
So it’s just an ignorant third party assuming you’re stupid and haven’t thought about it.
FREE PALESTINE
FROM THE SATANIC ISRA-HELL
I'M SUICIDAL
AND I CANNOT WAIT TO DIE
I LOATHE GOD
FOR HE HAS FORSAKEN ME
999-trillion oceans of grief –
999-trillion oceans of rage –
999-trillion endless PTSD flashbacks –
I CAN NO LONGER BEAR THIS TORTURE
I'm dying on the inside
he raped my soul.
he gave me SEVERE PTSD.
SEVERE SEVERE SEVERE!!!
and now he's gone.
I blocked him.
I want to die.
how and when will I ever heal from the PTSD flashbacks?
nothing more horrific and debilitating and paralyzing
than the PTSD flashbacks.
the man I revered as my best friend,
betrayed and abandoned me,
and discarded me like garbage,
and replaced me with another.
this happened at the start of last year (2023),
we're now in 2024,
and I'm nowhere near healed.
I want to die.
I can no longer tolerate the pain.
the emotional pain is hell.
I hate my life.
I am tortured
and tormented
with every breath I take.
RAGE
RAGE
RAGE
I want to die
I want to die
I want to die
I can no longer bear the darkness
it consumes me;
suffocates me
I am drowning
oceans of tears
the man I revered as my best friend,
he raped me,
replaced me,
discarded me like last week's garbage…
ultimate betrayal!!
this grief and loneliness…
they rape me;
torture me;
on a soul level
my only prayer is for death
I'm in hell and I can't find escape
God has forsaken me
my whole life I've been tortured, bullied, abused, raped
all I do is suffer
my life is hell
SO NOW, IN HOPES TO HEAL,
AND TO CHANGE MY LIFE AROUND,
I LIVE BY THIS MODUS OPERANDI:
When there’s a disagreement,
when I need to say YES
or when I need to say NO,
when I need to state my needs,
and ask for them to be met…
When I need to create boundaries…
There's a possibility and a probability,
that someone will inevitably,
most likely,
be disappointed in me…
So I engage in every encounter,
interaction, and relationship…
In a way that ensures,
that the person disappointed in me…
NEVER
ends up being me!
I aim to never repress,
never suppress.
I aim to never lose a part of myself.
Radical honesty only:
100% of the time.
Always,
all ways.
I don't think many people realize how valuable it is for someone to break down all of your problems like this. It is extremely helpful to many people. You're so into your own life, you don't realize the solutions or the real reasons for things all the time. This only happened in 5 minutes, so imagine what it would be like to have a real season or repeating sessions.
Thanks for sir your so very great sir I am very thankful.
Excellent❤
چقد این پیر سگ دوس داشتنی بوده… RIP🖤
But clinging to a negative set of beliefs is a way to be for people. It moors them. It makes them feel. To reduce their ideas to mere imagination is an assault on their defensive state of being.
You cannot heal on the level the disease was created. You cannot combat the mind with the mind.
A beautiful, high vibe meditation inspired by cognitive behavioral therapy 🙂
https://youtu.be/lXCFNOwysX0
if i change the way i think, would that affect my destiny ? or is my destiny pre determined ?
We all have forms of distorted thinking. Sometimes we are so damn blind to it. I love Beck.
I will miss this man… He has changed my life. I wish I could study at Beck Institute . If I had money I would study.Bye from Brazil !
The trivial example of kohi describes the use of relativizations to induce a different mental process of pattern recognition in a person.
I like to play a game with CBT At the time I use it I also put a scripture with it. The best instruction I`ve seen teaching CBT was with People that put a Very High Value into watching dysfunctional automatic thoughts go away then Healing for their client.
hi 3102
This is therapy like a band-aid is surgery.
What therapies like CBT get wrong, demonstrated by a simple recipe for happiness.
Essential to all psychotherapies is the principle that core affect (feeling bad or good) is dependent upon restructuring what one thinks about, or the ‘normative’ aspects of experience. However, for the field of affective neuroscience, core affect is instead dependent upon ‘how’ one thinks, or the ‘abstract’ aspects of experience. If this is true, then the personal control of positive affect can effectively bypass psycho-therapeutic interventions and make ‘happiness’ simply a matter of rearranging abstract aspects of one’s perceptual world. The virtue of this approach is its simplicity, predictive power, and testability, so it has a low shelf life if wrong. An exemplar of this is a ‘recipe for happiness’ proposed below.
In affective neuroscience, it is well known that behaviors that involve continuous high and positive act/outcome discrepancy (gaming, gambling, creative work) correspond to elevated dopaminergic activity and a feeling of arousal, but not pleasure. However, for many individuals engaging in similar activity, a feeling of pleasure is also reported, but only when their covert musculature is inactive (i.e., a state or rest). Because relaxation activates opioid systems, and tension inhibits them, it is postulated that dopaminergic activity stimulates opioid activity, but only during resting states.
This hypothesis can be easily tested and is described in greater detail below. If correct, it will demonstrate for the first time that elevated and sustained arousal and pleasure, or ‘eudaemonia’ or ‘happiness’ can be induced easily through simple modifications of abstract perceptual properties of behavior that anyone can easily do throughout the day.
THE CONTINGENCY MANAGEMENT OF POSITIVE AFFECT
AFFECT AND MOTIVATION
Opioid and dopamine systems represent bundles of neurons or ‘nuclei’ in the mid brain that are respectively responsible for the affective states of pleasure and attentive arousal, and sub-serve the neural processes that govern motivation.
OPIOID AND DOPAMINE SYSTEMS ARE ACTIVATED BY DIFFERENT STIMULI EITHER VIRTUAL (COGNITIVE) OR REAL
Eating and drinking, having sex, and relaxing or resting all activate opioid systems, whereas the anticipation or experience of positive act-outcome discrepancy (or positive surprises or meaning) activate dopamine systems.
OPIOID AND DOPAMINE SYSTEMS CAN CO-ACTIVATE EACH OTHER
Taking our pleasures increases our attentive arousal, and increasing our attentive arousal accentuates our pleasure. If these systems are concurrently activated both are accentuated or affectively ‘bootstrapped’, as both pleasure and attentive arousal will be higher due to their synergistic effects.
OPIOID AND DOPAMINE SYSTEMS CAN BE CO-ACTIVATED THROUGH THE ARRANGEMENT OF SPECIFIC ACT-OUTCOME EXPECTANCIES OR RESPONSE CONTINGENCIES
As characterized by the well documented ‘flow response’ (pp.82-86), consistently applied contingencies that elicit pleasurable resting states and consistent attentive arousal result in self-reports of heightened pleasure and energy. This emotional experience can be easily replicated by simultaneously applied contingencies that elicit rest (mindfulness protocols) and meaning (imminent productive behavior and its uniform positive implications). To achieve complete rest and accentuate positive affect, these contingencies must be applied for periods of at least a half hour or more. Just as one sets meditative sessions to last for a set time period and frequency to be effective, so mindfulness and meaning sessions must be similarly arranged, with cumulative sessions if possible charted to provide proper feedback of efficacy. Finally, the intensity of positive affect will scale to the importance or salience of moment to moment meaningful behavior, with the more meaningful the task the higher the pleasurable affect.
IMPLICATIONS
Affect is as much an aspect of how information is arranged as what information is, or the abstract rather than normative properties of behavior. It follows that as a positively affective state, happiness is not just a product of what we think, but how we think, and derives not only from our pleasures but also from our incentives. Positive incentives can accentuate those very pleasures that we wish to maximize, and conversely, associated pleasure will increase the ‘appetitive value’ or ‘liking’ of incentives (or in other words, increase the value of productive work), and all sustained by simple choices within our grasp, as is ultimately happiness itself.
I offer a more detailed explanation in pp. 47-52, and pp 82-86 of my open source book on the neuroscience of resting states, ‘The Book of Rest’, linked below.
https://www.scribd.com/doc/284056765/The-Book-of-Rest-The-Odd-Psychology-of-Doing-Nothing
This above book is based on the research of the distinguished neuroscientist Kent Berridge of the University of Michigan, a preeminent researcher and authority on dopamine, addiction, and motivation, who was kind to vet the work for accuracy and endorse the finished manuscript.
Berridge’s Site
https://sites.lsa.umich.edu/berridge-lab/
also:
Meditation and Rest
from the International Journal of Stress Management, by this author
https://www.scribd.com/doc/121345732/Relaxation-and-Muscular-Tension-A-bio-behavioristic-explanation
헐~ 인지치료 아무생각없이 치고 들어왔는데… 유튜브 계정으로 강의 하시다니 대단하심
Excellent!
I am so excited by Beck's comments, because interestingly Refocussing Therapy (an actual New Zealand created & researched therapy) includes a spiritual, God perspective, called God Spaces, which enables a refocus to bring about remarkable changes.