Chapter 6 of group counsellling

Functions of the leader in CBT

• skilled in short term brief interventions

• assumes role of teacher and encourager

• conduct intake interviews

• model appropriate behaviours

• perform ongoing assessment

• develop plans for change

What does CBT use to understand current difficulties and guide change?

Learning principles and a cognitive formulation

How are the goals of CBT defined, and when does assessment happen?

Goals identify specific, observable changes that matter to members, and assessment/evaluation continue throughout treatment.

What is the specific function of cognitive work in CBT?

Cognitive work examines meanings and beliefs

What is the specific function of behavioural work in CBT?

Behavioral work changes patterns of avoidance, withdrawal, or ineffective coping

Through what four-step process does a group leader teach self-management skills?

Explanation, demonstration, practice, and feedback

What specific benefits does group learning add to CBT?

Peer models, alternative perspectives, rehearsal partners, and support for applying skills outside sessions.

What are the three levels of belief in the cognitive model, and how are they viewed?

1. challenging thoughts, feelings and behaviours

2. automatic negative thoughts

3. negative core beliefs/schemas

What is behavioral assessment in CBT

involves using procedures to get information to inform treatment design

what guides the treatment plan

The treatment plan is based on specified goals where members take an active role

What tasks are completed during the initial stage of a CBT group?

• Interview members

• explore expectations

• explain informed consent and privacy limits

• negotiate goals and agreements

• introduce the model

What activities characterize the working stage of a CBT group?

• Apply an individualized treatment plan

• demonstrate and practice techniques

• review homework

• continue assessment and evaluation

What goals define the final stage of a CBT group?

• Consolidate learning plan

• transfer to daily life

• anticipate setbacks

• address reactions to ending

• review outcomes and follow-up needs

What components make up the opening and review structure of a Group CBT session?

• welcome and check in

• guidelines and agenda

• previous session review

• homework session

• linking members experiences to group learning

What steps are involved in homework agreement and session closing in Group CBT?

• agree on practice

• anticipate obstacles

• summarize

• evaluate

• close

what defines beck’s cognitive theory approach in groups

• collaborative formulation

• understanding how interpretations/beliefs guide emotions and behaviour

• identify negative thinking patterns through collaborative empiricism

What are the five key steps of Social Skills Training within a group?

• select meaningfull skill

• model the skill and explain features

• rehearse brief situation, coach an adjustment and get feedback

• distinguish skill gap from anxiety and real life barriers’

• planning a real life attempt

Phases of stress inoculation training

• understand the pattern

• aquire skills

• rehearse and apply

What is the core aim of Acceptance and Commitment Therapy (ACT)

• build psychological flexibility

• noticing internal experience

• taking action guided by values

What four core skill sets are taught in Dialectical Behavior Therapy (DBT) skills groups?

• mindfulness

• distress tolerance

• emotional regulation

• interpersonal effectiveness

What is the primary purpose of Mindfulness-Based Cognitive Therapy (MBCT)?

• recognize recurring thinking patterns

• respond differently particularly during depressive relapse prevention

What are the central theoretical assumptions of current CBT models for OCD?

Individuals with OCD have an exaggerated sense of responsibility for causing/preventing harm, and metacognitions (beliefs about intrusive thoughts) are key.