Cognitive Behavioral Assessment - Essay Example

? A Critical Analysis of a Cognitive Behavioral Assessment XXXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXX Cognitive behavioral therapy is a mode of psychology treatment and assessment that involves referral to the innermost emotions that a particular subject has regarding a particular issue and at a given setting. This mode of therapy requires deep concentration as the behavioral characteristics, even the slightest ones ought to get recorded and consequently analyzed to understand the weight of the matter. It is after a critical analysis of this that one has the ability to understand the reasons that the subject has behind the behavior and try incorporate the most effective way to deal with the matter. A firm greeting, encouraging eye contact and proper introductions can suggest a great deal with very small effort. These may appear small things but they are very important. Forecasting the experiences or symptoms can improve proficiency. In the case of Wendy Wood, who is a client of Tom a therapists, the therapist has well depicted traits. For instance, Tom gives Wendy a firm handshake and he smiles at her broadly, as she sits down. Tom maintains eye contact all through the conversation, and the condition of his office is just logical. It contains some computers and few books, a telephone and just enough accessories for a proficient therapist. He has not exaggerated it with decorations or irrelevant materials. The woman, who has anxiety issues, feels comfortable to express herself before Tom. Credibility is alleged by the patient or client through the therapist's ability to be well informed about what the client or patient is facing, and by their enthusiasm to tell their knowledge and information to the patient or client. Four mechanisms that augment credibility include the proficiency of the supporter, the consistency of the therapist as a source of information that includes traits like being reliable, acting in an unsurprising way and staying dependable throughout the interaction. Third is the therapist's motivation and objectives, which is principally about always having the patient or client’s interests at the front of the correlation and having no other enthusiasms, and lastly, the vitality of the therapists, which can be termed as consideration of details, as well as being positive when handling the patient or client among their issues. The therapist as a source of information is very important in an idiopathic technique to evaluation as the explanation that the therapists uses with the patient or client is perhaps the most vital piece of information which the patient or client will ever get from them. It is the elucidation of why the therapists think they have the trouble, what is keeping it and what they could, together, be capable of doing about it. The communication needs to be steady, not only over time, although also in the context of the patient or client’s life, they want to be able to comprehend it and relay to it as significant to them. The other vital knowledge that the therapist imparts to the patient or client is what the probable ways of change are; describing what the advantages and disadvantages of every of these are, and once more these communications need to be steady both across time as well as in relation to the innovative formulation offered. The therapist links intentions and motivations of the client with the notion of transparency. This entails explaining why one is doing things, explaining to the patient or client the obvious therapeutic logic behind each of the events and in relational affairs with the patient and client. Experts call such mechanism collaborative empiricism Ledley & Marx (2011. P. 85), the therapist is transparent with the consumer regarding what he is doing and why he is doing it and empiricism since therapists are, in consequence, trying out the authenticity of what is and is not factual or real . What exactly that means in reality is connecting with the client or patient in a way that the correlation itself can, if desired, be a matter of analysis and argument, without fear that integrity from the patient or client will anguish the therapist. The therapist should be able to argue with the person every factor in the relationship that is jamming progress, like not hauling out errands that they have decided upon, or fading to take medicine agreed upon in a manner that is not judgmental. The therapist also attempts to support the individual in attaining their desired products rather than faulting them for apparent failures or need of co-operation. The above information also means that the therapist own individual matters and worries want to stay firmly outside of the communication. For instance, in the case of Wendy, Tom inquired about Wendy’s experience, childhood interaction and her presentations. He even asked her how she felt. One can see dynamism in the manner that the therapist notices the restrained nuances of what the patient or client is talking about and makes sure that he explores them fully. This reveals to the patient or client that therapists are actively paying attention to what they are mentioning and desire to initially make intellect of it and secondly assist them with it. This characteristic of the correlation is about discussing relational warmth categorically and with profound worth for the client and as a person and their right to make choices about their personal lives. Representing warmth makes the patient or client feel open to converse in a free and honest way, with no fear of refutation from the therapist. It is partly about the non-verbal interactions, like shaking hands, keenness to make bodily contact indicates acceptance, retaining eye contact whilst the customer is talking. In addition, the therapist should sit with the body facing towards the client and not having the seat straightly facing them. Where suitable, illuminating features of self to the person that shows kindness and comparison to them. He can use fitting humor that the customer can relay to and feel warm. The therapist can also use various measures to send a point to the customer that the therapist is a humane and warm person who wishes to maintain and assist them. Wendy Wood’s video perfectly demonstrates this as Tom sits in a relaxed manner with his legs crossed. He does not sit directly facing the client straightly, which can be scaring. He makes some fun and ensures that the client fully participates. Consequently, Wendy feels welcomed and feels free to share her problems with Tom. Tom’s way of moving hands during communication and positioning himself in a relaxed manner are some of the small actions that create the warm conversation environment. Wendy seems to catch up with his questions fast and answers them freely. She narrates her origin of social anxiety, and gives a brief history of relating socially in her childhood. If Tom had not created such a friendly environment, Wendy would shy off revealing her weaknesses to an unfriendly and unwelcoming person. Such small actions are very magnificent when it comes to therapists winning the client or patients attention and sharing of privacy. According to Hoffman (2010.p.81), empathy means to see the interior frame of reference of another person with accurateness and with the poignant components and connotations that relate thereto as if one were the individual, although without yet loosing the as if situation. Consequently, it means to feel the pleasure or the hurt of another person as he feels it and to recognize the origins thereof as he sees them, although without ever loosing the gratitude that it is as if he were pleased or hurt (Ayers, 2007.p. 341). It is the aptitude to know sensitively what another individual is experiencing from inside the structure of reference of that other individual, the ability to sample the thoughts of another or to place oneself in another person's shoes. Empathy is also the purposeful development and use of the natural empathic reaction in therapeutic surroundings to gain a better attention to what the other individual is facing and hence be more helpful in sustaining or serving them (Gabbard, 2009. P. 203). Therapists can develop empathy and then express it by paying close concentration to the oral and non-verbal communications of the customer and relating these to their individual emotional reaction at the time. For instance, when Wendy is asked about her problem and how she thinks it can be solved, she answers she has no idea. She appears as dull as she explains her problem. One can feel her suffering when she is on stage. She cannot even maintain eye contact confidently while addressing the society during her presentations. Tom seems to take note of her emotional pains and comes to her rescue. He even cheers her up and eventually, as they part the woman puts on a broad smile of appreciation and a firm handshake. Truax and Carkuff (1967) developed a useful five-point empathy scale that moves from extremely low at level one where the aid actually detracts from the poignant expression of the patient or client through to high at point five, where the psychotherapist translates the patient or clients expression into precise reflections of their poignant experiences (Bakkler, 2008.p.6). People strive in the work with clients or patients for this level five. Theories Integrative psychotherapy This is a comprehensive model of psychotherapy, which recognizes that there are many standpoints on human psychology and that all of these have a variety of strengths and weaknesses. The models under this are discussed below. Practice model Each special theoretical model has diverse ways of building enthusiasm for instance, cognitive behavioural models could present homework or tricks techniques, whereas psychoanalytic models present deep investigation of the insensible. These performances do not need to be jointly exclusive. Some practices do well with some persons than others: In addition, some work better with some problems than others for instance, CBT functions very efficiently for some forms of anxiety. Relational Psychoanalysis may work very well in more intensely rooted relational challenges. The human psyche: Various models also have their individual ideas regarding what makes up the person mind. While modern psychoanalytic theories of mind lead one, an individual could also be integrative in his approach to this. That implies that one is led by a general aim to allow clients to improve, and integrate them on a variety of features that better allows them to live in a more cognizant, holistic and coherent way. When giving integrative therapy to a client, it is vital to learn from the client, her or his desires, needs, strengths and weaknesses, traits profile, targets and goals. By studying from the customer first, one positions himself better to decide how best to move forward. One prefers to work in a cloistered way, which means that the customer’s needs are something that the two of them aim to tackle together. As this forms the foundation of one’s work, he can be both dynamic and orderly. For instance, in the Wendy Wood movie, Tom asks Wendy what she wanted from the therapy session and what she expected to gain. He also asks her about her thoughts regarding solving her problem. He questions her about her weaknesses when doing the presentations, as well as people’s comments after the presentation. Wendy says that she does not know any solutions to her problems but believes she could get help from the therapy session. She confesses her anxiety during the presentation and a slight shyness when maintaining the eye contact. ; Psychoanalysis Psychoanalysis is a delicate and multifaceted set of theories that are together fascinating and contentious. The Psychoanalytic therapy deals with the customer's personal record, which controls the way they are up to date. It is also more like current theories that include attachment theory, relational psychoanalysis, as well as object relations. Experts frequently use Psychoanalytic therapy for comprehending ones cognition. As psychoanalytic task can be extremely effective for hollow patterns, long-term change, as well as learning more about oneself, it can be an assistance to know, too, that various simple things can be completed to alleviate anxiety, build confidence, and work with some problems around depression. In the Wendy Woods’ CBT movie, Wendy was suffering from social anxiety and confidence issues. Tom applied the psychoanalytic therapy to assist her in alleviating her anxiety. He asks her regarding how she feels when she is delivering the presentation, and asks her if she is able to maintain the eye contact. The Cognitive behavioural therapy (CBT) is mainly interested in functioning with ones thoughts, as well as how ones sometime irrational feelings will affect their behaviour, and then some outcomes in life. CBT is frequently most helpful for persons who are looking for resolutions to particular symptom or problems like social anxiety disorder, fear of public speaking, or anxiety attacks. Therapists most frequently use CBT for solving problems of anxieties, phobias, fears, compulsive or obsessive disorders. The relational movement under psychodynamic has influenced many persons (Barnum, 2010.p.59). Individuation comprehends that human understanding is more than just going through the day; it regards people becoming genuinely who they are. Several therapists would bear out to a difficult correlation between the worlds of psychotherapy and coaching (Kellis, 2007.p.35). That is possible because, while these are connected fields, their techniques are very dissimilar. For instance, coaches tend to have a much more straight approach, their restrictions are very different, and chances are that the two fields have much that they could study from each other. While people frequently see, coaching as being too sensible, people frequently see therapy as being too unreasonable, and sometimes even pointlessly abstract. People try to incorporate the best of all worlds and since this is not always probable, it does present interesting option ways of working. Some people are chiefly psychotherapists, and this is where the enormous degree of their training and knowledge lies. They have time after time been paying attention in tutoring and have used its imminent. At times, although not always, it is suitable to use some education insights in ones work as a therapist. Mainly recently people have been using this incorporation to manage coaches themselves with their own psychotherapeutic imminent. Auxiliary, they have developed institutions for coaches who are concerned in what psychotherapy can be able to give their own practice. Institutions also offer a discussion service, which seeks to take a principally active coaching technique while utilizing the finest of what psychotherapy has to give. A firm greeting, encouraging eye contact and proper introductions can suggest a great deal with very small effort. Forecasting the experiences or symptoms can improve proficiency. Credibility is alleged by the patient or client through the therapist's ability to be well informed about what the client or patient is facing, and by their enthusiasm to tell their knowledge and information to the patient or client. The therapist as a source of information is very important in an idiopathic technique to evaluation as the explanation that the therapists uses with the patient or client is perhaps the most vital piece of information which the patient or client will ever get from them. Therapists can develop empathy and then express it by paying close concentration to the oral and non-verbal communications of the customer and relating these to their individual emotional reaction at the time. The communication needs to be steady, not only over time, and in the context of the patient or client’s life, the want to be able to comprehend it and relay to it is significant to them. The other vital knowledge that the therapist imparts to the patient or client is what the probable ways of change are. This describes what the advantages and disadvantages of every way of change. Furthermore, these communications regarding changes need to be steady both across time as well as in relation to the innovative formulation offered. References Ayers, S. 2007. Cambridge handbook of psychology, health and medicine. Cambridge [etc.], Cambridge University Press. Bakker, G. 2008. Practical CBT: using functional analysis, problem-maintaining-circles, and standardised homework in everyday therapy. Bowen Hills, Qld, Australian Academic Press. Barnum, B. S. 2010. Spirituality in nursing: the challenges of complexity. New York, Springer. Gabbard, G. O. 2009. Textbook of psychotherapeutic treatments. Washington, DC, American Psychiatric Pub. Hofmann, S. G., & Reinecke, M. A. 2010. Cognitive-behavioral therapy with adults: a guide to empirically-informed assessment and intervention. Cambridge, Cambridge University Press. Kellis, T. 2007. Equality: the quest for the happy marriage. Delray Beach, Fla, Gilgamesh Pub. Ledley, D. R., Marx, B. P., & Heimberg, R. G. 2010. Making cognitive-behavioral therapy work: clinical process for new practitioners. New York, Guilford Press. Tony and Wendy Video Links http://www.youtube.com/watch?feature=player_embedded&v=8qWBvWaMBdY#! http://www.youtube.com/watch?feature=player_embedded&v=6h5jqbUEkS8  http://www.youtube.com/watch?feature=player_embedded&v=Abq2wjWfqqU  http://www.youtube.com/watch?feature=player_embedded&v=_Gif4A9gXWU Read More