Zusammenfassung der Ressource
Depression- Psychopathology Revision
- Characteristics
- Behavioural
- Activity levels
- Lethargy
- Psychomotor agitation
- Difficulty relaxing
- Sleep and diet disruption
- Aggression and self-harm
- Emotional
- Lowered mood
- Empty/worthless
- Anger
- Lowered self-esteem
- Self-loathing
- Cognitive
- Poor concentration
- Paying attention to the negative
- Absolutist thinking
- All good or all bad, no in between
- Explanation
- Cognitive
- Beck, 1967
- Faulty information processing
- Only focusing on negative aspects
- Winning £1,000,000 in
lottery, but previous
winner won £10,000,000
- Blowing small problems out of proportion
- Negative self schemas
- A 'schema' is a package of
information developed
through experience
- They act as a mental
framework for our
interpretation of information
- A negative self-schema is
when we interpret all
information about ourselves
in a negative way
- The negative triad
- World
- World is horrible place
- Hopelessness
- Future
- Future is bleak
- Self
- I am a failure
- Low self esteem
- Evaluation
- Good supporting evidence
- These faulty cognitions are seen
before depression, suggesting
they may be the cause, not the
effect
- Practical application
- CBT
- Doesn't explain all aspects
- Can't explain anger or hallucinations
- Ellis, 1962
- ABC model
- A- Activating event
- Negative events (e.g.
bereavement) cause
irrational thoughts
- B- Beliefs
- Musturbation
- Always being successful
- Utopianism
- Life must always be fair
- C- Consequences
- Emotional and behavioural
consequences
- If you aren't always
successful, this may
trigger depression
- Depression is result
of irrational thoughts
- Evaluation
- Partial explanation
- Only works for
reactive depression
- Practical application
- CBT
- Treatment
- Cognitive
- CBT
- Beck
- Identify negative triad
- Challenge negative triad
- Reality testing
- Patient as scientist
- Recording when something
made them feel good
- Ellis
- REBT
- The ABCDE model
- D- Dispute
- E- Effect
- Identify and dispute
irrational thoughts
- Vigorous argument
- Empirical
- Is there any evidence?
- Logical
- Does negative thought
logically follow from facts?
- Evaluation
- It is effective
- CBT just as effective as
medication, and
increased improvement
rates when combined
with drugs
- May not work on
severe cases
- Have to be motivated
enough to engage
- Can't be sole treatment
- Some patients don't want to
focus on present and future, but
their past instead
- Frustrating
- Overemphasis on cognition
- Disregards patient's
situation e.g. poverty