CBT ( Donald Meichenbaum's Modification)

Donald Meichenbaum's Cognitive Behavior Modification

1. Donald Meichenbaum’s cognitive behavior modification Presented by: Anmol Ayaz

2. Introduction major alternative to rational emotive behavior therapy is Donald Meichenbaum’s cognitive behavior modification (CBM), which focuses on changing the client’s self-verbalizations . According to Meichenbaum (1977), self-statements affect a person’s behavior in much the same way as statements made by another person. As essential to behavior change, clients must notice how they think, feel, and behave, and what impact they have on others. So, that they can evaluate their behavior in various situations. This approach shares with REBT and Beck’s cognitive therapy the assumption that distressing emotions are typically the result of maladaptive thoughts

3. Meichenbaum’s self-instructional training focuses more on helping clients become aware of their self-talk and the stories they tell about themselves. cognitive restructuring plays a central role in Meichenbaum’s (1977, 1993) self-instructional training our emotions and thinking are two sides of the same coin: the way we feel can affect our way of thinking, just as how we think can influence how we feel. Together, therapist and client practice the self-instructions and the desirable behaviors in role-play situations that simulate problem situations in the client’s daily life . The emphasis is on acquiring practical coping skills for problematic situations such as impulsive and aggressive behavior, anxiety in social situations, fear of taking tests, eating problems, and fear of public speaking.

4. Basic Principles Clients must become aware of how they think, feel, and behave and how this impacts others around them negative scripts impact behavior

5. Role of Therapist Therapist as teacher Working relationship

6. Therapeutic Process Self-instructional training that focuses on helping clients become aware of self-talk. Clients are taught to make positive self-statements and modify self-instruction in order to cope with stress.

7. How Behavior Changes M eichenbaum (1977) proposes that “behavior change occurs through a sequence of mediating processes involving the interaction of inner speech, cognitive structures, and behaviors and their resultant outcomes. C ognitive restructuring 1. Self-observation 2. New internal dialogue 3. New skills

8. Coping skills programs coping skills program is teaching clients stress management techniques. coping skills are designed to be applied to both present problems and future difficulties Stress inoculation training: consists of three phases--- 1. Conceptualization 2. Skills acquisition & rehearsal 3. Application & follow-through

9. conceptual-educational phase the primary focus is on creating a working relationship and therapeutic alliance with clients. This is mainly done by helping them gain a better understanding of the nature of stress and reconceptualizing it in social-interactive terms

10. S kills acquisition and consolidation phase focus is on giving clients a variety of behavioral and cognitive coping skills to apply to stressful situations. This phase involves direct actions, such as gathering information about their fears, learning specifically what situations bring about stress and learning methods of physical and psychological relaxation.

11. application and follow-through phase the focus is on carefully arranging for transfer and maintenance of change from the therapeutic situation to everyday life . Clients practice their new self-statements and apply their new skills to everyday life

12. Significant Contribution Focus on stress inoculation training and self-instruction training successful with variety of specific problems Clarifies therapeutic process by teaching client through a working relationship .