Donald Meichenbaum Cognitive Behavior Modification

Donald Meichenbaum Cognitive Behavior Modification

1. DONALD MEICHENBAUM’S COGNITIVE BEHAVIOR MODIFICATION Submitted to: Prof. Agnes Montalbo Rizal Technological University Submitted b y : John Christopher G. Retanan DONALD MEICHENBAUM’S COGNITIVE BEHAVIOR MODIFICATION

2. It is an alternative to Rational Emotive Behavior Therapy. It focuses on changing the client’s self-verbalizations. According to Meichenbaum , self-statements affect a person’s behavior in much the same way as statements made by another person.

3. organizing aspect of thinking, which seems to monitor and direct the choice of thoughts it implies an “executive processor” which “holds the blueprints of thinking ” COGNITIVE STRUCTURE

4.   HOW BEHAVIOR CHANGES He 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”

5. Three-Phase Process of Change

6. PHASE 1 Self-Observation The beginning step in the change process consists of clients learning how to observe their own behavior.

7. PHASE 2 Starting a new internal dialogue As a result of the early client-therapist contacts, clients learn to notice their maladaptive behaviors and they begin to see opportunities for adaptive behavioral alternatives.

8. PHASE 3 Learning new skills The third phase of the modification process consists of teaching clients more effective coping skills, which are practiced in real-life situations.

9. COPING SKILLS PROGRAMS The rationale for coping skills programs is that we can acquire more effective strategies in dealing with stressful situations by learning how to modify our cognitive ”set” or our core values. The procedures are as follows:

10. Exposing clients to anxiety-provoking situations by means of role playing and imagery . .............................................................................. Requiring clients to evaluate their anxiety level . ............................................................................. Teaching clients to become aware of the anxiety-provoking cognitions they experience on stressful situations. .............................................................................. Helping clients examine these thoughts by reevaluating their self-statements. Having clients note the level of anxiety following this reevaluation.

11. Stress Inoculation Training (SIT) Consists of a combination of information giving, Socratic discussion, cognitive restructuring, problem solving, relaxation training, behavioral rehearsals, self-monitoring, self-instruction, self-reinforcement and modifying environmental situations.

12. Three –Stage Model for Stress Inoculation Training Conceptual-Educational Phase ******************************************************************************** Skills acquisition, Consolidation and Rehearsal Phase ********************************************************************************** Application and Follow-through Phase

13. Conceptual-Educational Phase The primary focus is on creating a working relationship with clients. This is mainly done by helping them gain a better understanding of the nature of the stress and reconceptualizing it in social-interactive terms.

14. Skills Acquisition, Consolidation and Rehearsal Phase The focus is on giving clients a variety of behavioral and cognitive coping techniques to apply to stressful situations.

15. Application and Follow-Up Phase The focus is on carefully arranging for transfer and maintenance of change from the therapeutic situation to everyday life.

16. CONSTRUCTIVIST APPROACH TO COGNITIVE BEHAVIOR THERAPY Meichenbaum has developed this approach by incorporating the Constructivist Narrative Perspective (CNP) – focuses on the stories people tell about themselves and others regarding significant events in their lives.

17. COGNITIVE BEHAVIOR THERAPY FROM A MULTICULTURAL PERSPECTIVE

18. Strengths From a Diversity Perspective Ellis believes that an essential part of people’s lives is group living and that their happiness depends largely on the quality of their functioning within their community. REBT stresses the relationship of individuals to the family, community and other systems.

19. Shortcomings From a Diversity Perspective One of the shortcomings of applying CBT to diverse cultures pertains to the hesitation of some clients to question their basic cultural values.