PSYC 403 Lecture Notes - Lecture 10: Test Validity, Statistical Hypothesis Testing
13 May 2018
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Department
Course
Professor
CBT Assessment and Formulation Continued
• CBT formulation
o Road map to therapy
o Series of hypotheses about client that are refined based on incoming data
o Will present information to client to see if it rings true
▪ Often presented using diagrams
▪ Modify formulation based on client feedback
o How did they develop the disorder?
o What were significant life events, experiences?
o What are patiet’s asi eliefs aout hiself, the orld, ad others?
o What are patiets’ attitudes, rules, ad assuptios?
o What strategies has patients used to cope with beliefs?
o What automatic thoughts, images, and behaviors maintain the disorder
o How did beliefs interact with life events to make patient vulnerable to disorder
o What is happeig i patiet’s life right o ad hat are patiet’s pereptios
Specific Techniques
• Identifying automatic thoughts
o Come in verbal form, visual form, or both
o Often embedded within a broader statement or phrased as a question-> have to
work to identify thought
o Basic question: what was going through my mind just then?
o Ask when:
▪ Notice a change in emotion
▪ Notice a change in mind/ body
▪ Feel the urge to engage in a dysfunctional way
• Types of automatic thoughts:
o Thought is distorted: occurring despite objective evidence to the contrary
▪ I am going to fail this exam, despite being an A student
o Thought is accurate, but conclusion is distorted
▪ I did’t eet the deadlie, thus I a a horrile studet
o Thought is accurate, but not helpful
▪ It’s goig to take e hours to fiish this assiget, I ill e up all night
▪ Thigs that are true ut he ou thik aout it a lot that’s ot good
• Evaluating automatic thoughts
o Reviewing evidence for and against the thought
▪ What eidee supports the thought? What eidee does’t support
the thought? What’s a ore balanced away of looking at this?
o Worst case, best case, most realistic case
▪ What’s the orst that ould happe? If that happeed, ho ould I
cope?
o Advantages and disadvantages of having the thought
▪ Thought may be true but not helpful
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