Management and finding common ground
Kathleen M Berg, Dermot J Hurley, James A McSherry, Nancy E Strange, ‘Rose’ in Eating Disorders, 2018
Throughout the course of therapy, the patient is taught to identify dysfunctional thoughts and reasoning errors which influence her perceptions, emotions and behaviors and which serve to further entrench her in the eating disorder. Examples of dysfunctional thoughts or cognitive distortions were presented in Chapter 2. In the initial phases of treatment, attention is more often focussed on irrational ideas about food and weight. Over time, increased attention is paid to the track two issues of low self-esteem, emotional awareness/expression and relationships. Cognitive restructuring is a treatment strategy which teaches the patient to examine and modify dysfunctional thinking. Garner et al. (1997) have identified several steps in the development of cognitive restructuring skills:
Integrative Attachment Informed Cognitive Behavioral Play Therapy (IAI-CBPT) for Children With Medical Trauma
Lawrence C. Rubin in Handbook of Medical Play Therapy and Child Life, 2017
Beck (1972, 1976) proposed that thinking impacts feelings. Cognitive restructuring consists of identifying thoughts that are unhelpful and changing them to thoughts that may be more adaptive/helpful. Cognitive techniques are taught in IAI-CBPT, especially with children at Tier I. Cognitive coping begins with awareness of thoughts and how they impact mood and behavior. The therapist discusses how thoughts, feelings, and behaviors relate to one another using the cognitive triangle. Using the Magnetic Cognitive Triangle (Cavett, 2010b), the older child or adolescent can use magnets of feelings, thoughts, and behaviors to process their experiences and the changing process including alternative thoughts. Thought stopping and distraction are often used in medical settings to help children cope with pain and other distress.
Psychological Intervention
Sahar Swidan, Matthew Bennett in Advanced Therapeutics in Pain Medicine, 2020
One’s thoughts and beliefs about one’s pain significantly affect one’s pain experience. Ongoing catastrophization contributes to avoidance of activity and associated disability,57 which perpetuates the chronic pain cycle. Cognitive restructuring, a core component of CBT,58 is a technique that aims at challenging and changing one’s unhealthy or maladaptive thoughts by identifying new alternatives to one’s experiences.44 Cognitive restructuring includes identifying the automatic thought or faulty thought, identifying the unpleasant or negative emotions, challenging the thought, and changing the thought.59,60 The first step to changing maladaptive thought patterns is to bring awareness to the automatic thoughts we experience. Oftentimes, these thoughts happen outside of one’s awareness and bringing them to the surface can aid in one’s ability to modify them. Of importance is the ability to link how negative thoughts contribute to affective distress or negative emotional states including depression, anxiety, and anger.45 As self-awareness grows and individuals are able to recognize how their thoughts influence their mood, and subsequently their pain, they are better able to challenge the validity of their distorted thoughts and incorporate more adaptive thoughts.43
The Process of Integrating an Evidence-Based Intervention into a Public Health Department to Improve Nutrition and Physical Activity Behaviors in Parents and Children
Published in Journal of Community Health Nursing, 2019
Diane C. Berry, Emily G. Currin, Madeline N. Neal
Social cognitive theory (Bandura, 1977, 1982, 1986, 1997, 2004) demonstrates that learning and practicing new behaviors enhances self-efficacy and increases the probability that the new behavior will be maintained. Therefore, teaching both children and adults new nutrition and physical activity behaviors and coping skills including social problem solving, cognitive restructuring, and conflict resolution may help improve nutrition and physical activity behaviors for both (Bandura, 1977, 1982, 1986, 1997, 2004; Davidson, Boland, & Grey, 1997). Social problem-solving in the following intervention is focused on children and adults partnering together to resolve problems related to nutrition and physical activity behaviors (Davidson et al., 1997). Cognitive restructuring is used to help children and adults adopt a process of learning to identify maladaptive thoughts, such as all-or-nothing thinking, and learn to discover a healthy alternative (Davidson et al., 1997). Conflict resolution allows children and adults to hold discussions so they can collaboratively agree on nutrition and physical activity choices and come away from the interaction feeling positive about the outcome (Davidson et al., 1997).
Using digital interventions to reduce digitalization-related stress: does it work?
Published in International Journal of Occupational Safety and Ergonomics, 2023
Katharina F. Pfaffinger, Julia A. M. Reif, Erika Spieß, Jan Philipp Czakert, Rita Berger
Cognitive restructuring, as a cognitive-behavioural intervention, aims to educate people about the role of their own thoughts and emotions in the stress management process [62]. Cognitive restructuring is based on the assumption that emotions or stress have a cognitive element that can be influenced and changed through cognitive processes. In cognitive restructuring interventions, participants learn about their personal style of thinking (e.g., negative thoughts), how this thinking style affects their behaviour and how they can replace negative or irrational thoughts with positive or rational ones. Cognitive-behavioural intervention approaches go back to Beck [63] and Ellis [64], who suggested therapeutic strategies to change maladaptive cognitions which in turn leads to changes in emotional distress and problematic behaviours [65]. In changing dysfunctional behaviours, cognitive-behavioural interventions target problem-focused coping styles. Often, functional behaviours are trained, and clients are engaged in practising, which makes cognitive-behavioural interventions rather active interventions. Problem-focused coping can be an effective way for dealing with stressful situations especially if stressors are principally controllable by the person affected [1].
Healthcare provider knowledge, beliefs, and attitudes regarding opioids for chronic non-cancer pain in North America prior to the emergence of COVID-19: A systematic review of qualitative research
Published in Canadian Journal of Pain, 2023
Louise V. Bell, Sarah F. Fitzgerald, David Flusk, Patricia A. Poulin, Joshua A. Rash
Providers reported concerns over patient adverse effects, physical tolerance, and addiction. Moreover, experiencing or witnessing negative patient-related salient events (e.g., patients who have overdosed) and provider-related salient events (e.g., threat to provider) contributed to hesitancy surrounding prescribing opioids to manage pain. Salient negative events can result in cognitive biases that impact the delivery of medical care,61,62 such as availability63 and representativeness biases.64 Cognitive behavioral techniques could be beneficial for highlighting cognitive biases. For example, cognitive restructuring could be used to acknowledge distorted thoughts and promote reasoned practice.65 Incorporating cognitive bias awareness into the curriculum at medical centers has yielded promising results, demonstrating that residents were able to recognize biases and create strategies to avoid biased reasoning.66–68 Given associations between chronic opioid use and an increased risk for opioid use disorder, overdose, and death,69–72 it is difficult to interpret whether concerns over adverse effects represent an accurate appreciation for potential opioid-related harms or relative risk aversion.
Related Knowledge Centers
- Cognitive Behavioral Therapy
- Cognitive Distortion
- Magical Thinking
- Psychotherapy
- Splitting
- Emotional Reasoning
- Mental Disorder
- Socratic Questioning
- Guided Imagery
- Rational Emotive Behavior Therapy