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dalam Kaunseling
TAJUK 7
Behavior Theory
B.F. Skinner
Skinner championed radical behaviorism, which
places primary emphasis on the effects of
environment on behavior. Skinner was also a
determinist; he did not believe that humans had
free choice. He acknowledged that feelings and
thoughts exist, but he denied that they CAUSED
our actions. Instead he stresses the cause and
effect links between objective, observable
environmental conditions and behavior.
Environmental factors can be directly observed
and changed. In 197 Skinner wrote a book
Beyond Freedom and Dignity.
4 Areas of Development
Classical Conditioning
Operant Conditioning
Social Learning Theory
Cognitive Behavior Therapy
Cont..
Cont..
Therapeutic Goals
Relaxation Training
Clients are given a set of instructions that ask
them to relax in a quite environment and
taking deep and regular breathing patterns
Clients are suppose to let go
Clients are encouraged to actually feel and
experience the tension building up, to notice
their muscles getting tighter and study the
tension, to hold and fully experience the
tension
A normal relaxation practice lasts for 20 to 25
minutes
It helps relieve stress and anxiety
Systematic Desensitization
Exposure Therapies
Assertion Training
Technical Eclecticism
B=Behavior
A=Affective responses
S=Sensations
I=Images
C=Cognitions
I=Interpersonal relationships
D=Drugs, biological functions, nutrition and
exercise
Role of Therapist
RELATIONAEMOTIVE
BEHAVIOR THERAPY
(REBT)
View of Emotional
Disturbance
We learn irrational belief from significant other
during childhood
Teach clients to feel undepressed even when they
are unaccepted and unloved by significant others.
Blame is at the core of most emotional
disturbances
Irrational idea (e.g., I must be loved by
everyone) internalize self-defeating
We have a tendency to make ourselves
emotionally disturbed by internalizing selfdefeating beliefs
Case discussion 1
Tom, a college sophomore, want to
overcomes his shyness around women. He
doe not date and even des his best to
keep away from women because he is
afraid they will reject him. But he want to
change this pattern.
Using A-B-C-D-E-F to analyze and help
Tom
Case discussion 2
Mary would like to take a course in
creative writing, but she fears that
she has no talent. She is afraid of
failing, afraid of being told that she is
dumb, and afraid of follow through
with taking the course.
Using A-B-C-D-E-F to analyze and help
Mary
Case discussion 3
Each week John comes to his sessions with a new
excuse for why he has not succeeded in following
through with his homework assignments. Either he
forgets, gets too busy, gets scared. Or puts it off
anything but actually doing something to change
what he says he wants to change. Instead of really
doing much of anything, he whines each week about
how rotten he feels and how he so much would like
to change but just doesnt know how.
What are the possible irrational beliefs, which
keep John from taking actions
What homework assignment might you suggest?
Case discussion 4
Brent feels that he must win everyones
approval. He has become a super nice
guy who goes out of his way to please
everyone. Rarely does he assert himself,
for fear that he might displease someone
who then would not like him.
What are the possible irrational beliefs?
How do you help Brent?
If Brent is Asian American, what cultural
components you might take into account?
Irrational Ideas
Irrational ideas lead to self-defeating
behavior
Some examples:
I must have love or approval from all
the significant people in my life.
I must perform important tasks
competently and perfectly.
If I dont get what I want, its terrible,
and I cant stand it.
Therapeutic Goals
A basic goal is to teach clients how to
change their dysfunctional emotions and
behaviors into health ones.
Two main goals of REBT are to assist
clients to achieving unconditional selfacceptance and unconditional other
acceptance.
As clients become more able to accept
themselves, they are more likely to
unconditionally accept others.
Clients Experience in
Therapy
A learner---learn how to apply logical
thoughts, experiential exercises, and
behavioral homework to problem solving
and emotional change.
Focus on here-and-now experiences
Not spend much time to exploring clients
early history and connecting present and
past
Expect to actively work outside the therapy
sessions.
Cognitive methods
Using humor
Humorous songs
Role playing
Shame-attacking exercises
Take a risk to do something that they are afraid to
do because of what others might thinkuntil they
realize that their feelings of shame are self-created.
Research Efforts
Most studies focus only on cognitive
methods and do not consider emotive
and behavioral methods.
Applications of REBT
REBT has been widely applied to
several areas: anxiety, depression,
psychotic disorders, problems of sex,
love, and marriage, crisis, couple and
family therapy
COGNITIVE THERAPY
Aaron Beck
Childhood fears were handled with reasoning
Likely motivated his work with cognitive therapy
focusing on anxiety and depression
Graduated from Brown University and Yale Medical
School
Studied psychiatry and was trained as a
psychoanalyst
eventually his research led him to formulate
cognitive therapy, the focus of his career at the
University of Pennsylvania where the Beck Institute
for Cognitive Therapy and Research is housed
2011 Brooks/Cole, A Division of
Cengage Learning
Aaron Beck
Beck contended that various mental
disorders have particular cognitive
patterns and that the most effective
and lasting therapy involves
intervention into those patterns.
Beliefs
People are not passive victims of their
inborn tendencies
People are actively creating and moving
toward goals that are vital to them
Distress occurs when people experience a
threat to their interests
The more crucial a person considers the
goal to be, the greater the response.
2011 Brooks/Cole, A Division of
Cengage Learning
Cognitive distortions
Distortions convert incoming information to keep
cognitive schema intact.
They use the assimilation process to maintain
homeostasis.
The information contrary to core belief is
cancelled out by the distortion process, and the
person cannot identify any disconfirming
evidence from his environment.
Three assumptions
1. Cognitive activity impacts behavior.
2. Cognitive activity can be monitored
and changed.
3. A desired change in behavior can be
accomplished through changing
cognitions.
Cognitive distortions
associated with distress and
maladaptive behaviors
Catastrophizing: expecting disastrous
event
Mental filtering: seeing an entire situation
based on one detail with all else ignored
Blame or assigning internal responsibility
entirely to external events
2011 Brooks/Cole, A Division of
Cengage Learning
Cognitive distortions
associated with distress and
maladaptive behaviors
All-or-nothing thinking: the person thinks
in terms of two opposite categories
Discounting the positive: person says
positives do not count
Overgeneralization: a sweeping negative
conclusion that goes beyond facts
2011 Brooks/Cole, A Division of
Cengage Learning
Counselor
Both a guide to help the client understand
how beliefs and attitudes interact with
emotions and behavior, and a catalyst
promoting corrective experiences, leading
to cognitive change, and building skills.
Case formation
Dynamic process
Requires the counselor to generate and
test their hypotheses
Five parts:
1. problem list,
2. diagnosis,
3. working hypothesis,
4. strengths and assets, and
5. treatment plan.
2011 Brooks/Cole, A Division of
Cengage Learning
Fundamental concepts
Collaborative empiricism - the cooperative
working relationship of jointly determining goals and
seeking feedback
Socratic dialogue - a type of questioning designed
to promote new learning
Guided discovery - when the counselor coaches
the child in a voyage of self-discovery in which the
child does his or her own thinking and draws his or
her own conclusions
2011 Brooks/Cole, A Division of
Cengage Learning
Session outline
2
3
4
Stress inoculation
CBT technique that includes
Self talk
Practice tests
Visualization
Relaxation training
Deep breathing exercises
Stress inoculation
Michenbaums 4 categories of self-talk
Preparation: what do you have to do
Confrontation: you can handle it
Coping: keep stress manageable
Reinforcing: I did it
Donald Meichenbaums
Cognitive Behavior Modification
Focus:
(CBM)
Premise:
As a prerequisite to behavior change, clients
must notice how they think, feel, and behave,
and what impact they have on others
Basic assumption:
Distressing emotions are typically the result of
maladaptive thoughts
Meichenbaums CBM
Self-instructional therapy focus:
Trains clients to modify the instructions they
give to themselves so that they can cope
Emphasis is on acquiring practical coping skills
Cognitive structure:
The organizing aspect of thinking, which seems
to monitor and direct the choice of thoughts
The executive processor, which holds the
blueprints of thinking that determine when to
continue, interrupt, or change thinking
From a multicultural
perspective
Contributions
Diverse populationsappreciate the
emphasis on cognition and actions
Challenge rigid thinking (e.g., should)
instead of questioning the values
Stress the relationship of individuals to
the family, community, and systems
From a multicultural
perspective
Limitations
Exploring core beliefs is important in CBTneeds to sensitive to cultural background
and context
Value working hardfeel ashamed for not living up
to the expectations; divorcebring shame to her
family
TRANSACTIONAL ANALYSIS
Transactional analysis
We do not grow absolutely, chronologically. We
grow sometimes in one dimension, and not in
another, unevenly. We grow partially. We are
relative. We are mature in one realm, childish
in another. The past, present, and future
mingle and pull us backward, forward, or fix
us in the present. We are made up of layers,
cells, constellations.
Anas Nin
2011 Brooks/Cole, A Division of Cengage
Learning
Chapter Objectives
After reading this chapter, you should be able to:
Outline the development of transactional analysis
and Eric Berne
Explain the theory of transactional analysis
Discuss the counseling relationship and goals in
transactional analysis
Describe assessment, process, and techniques
Demonstrate some therapeutic techniques
Clarify the effectiveness of transactional analysis
Eric Berne(stein)
Born May 10, 1910 in Montreal, Canada
Graduated from McGill University 1935 with medical
degree
Became U.S. citizen and served in armed forces
1964 published Games People Play
He attributed the books success to the recognition
factor
TA Development
Core of transactional analysis (TA) in 1954
Berne was involved in the psychoanalysis when
the patient suddenly said, Im not a lawyer, Im
just a little boy,
Sparked the idea that each of us contains a child
ego state accompanied by parent and adult ego
states.
After listening to his patients relating games for
some 30 years, Berne decided to gather some of
these into a catalog.
Led to Games People Play (1964)
2011 Brooks/Cole, A Division of Cengage
Learning
TA Development
Three years after its publication, Games People
Play (1964) had been on the nonfiction best seller
list for 111 weekslonger than any other book
that decade.
Berne attributed the books success to the
recognition factor
o some of us recognize ourselves in it,
o whereas some of us recognize other people in
the descriptions of winners and losers.
Analyze a persons
personality
Transactional Analysis
Script Analysis
Game Analysis
Ulterior transactions
leading to payoff
2011 Brooks/Cole, A Division of Cengage
Learning
Structural Analysis
Each person has three ego states
Parent
(nurturing or critical)
Adult
(rational thinking)
Reality based
Child
(natural or adaptive )
Free, spontaneous
passive
The Picture
Nurturing Parent
Let me help you
Extends hand
Critical Parent
NP
CP
You shouldnt
Pointing finger
Adult
The facts are
Attentive
Free Child
I want
Excited
FC
AC
Adaptive Child
I did my job
Expectant
Transactional Analysis
A transaction is a unit of human communication
Complementary
Crossed
Covert
Transaction Types
P
Script Analysis
Your life script usually learned from your
parents child
o
Game Analysis
There are three basic roles
o
o
o
Persecutor
Rescuer
Victim
Life Positions
YOU
I
OK
NOT OK
OK
NOT OK
Normal child,
dependent
As a child couldnt
depend on parents
Courtroom
Kick me and
NIGYYSOB
Gossiping
Wooden leg
Avoids responsibility
Red cross
Unconditional
Positive
Negative
Rackets
Counseling method
The counselor as teacher
o
Teach
o
o
o
o
o
o