The Cognitive Behaviour Therapist最新文献

筛选

英文中文

‘Knees being set on fire’: a qualitative study exploring the impact of intrusive mental imagery on chronic pain patients 膝盖被点燃"：一项定性研究，探讨侵入性心理想象对慢性疼痛患者的影响

The Cognitive Behaviour Therapist Pub Date : 2024-06-03 DOI: 10.1017/S1754470X24000187

Rita De Nicola, S. Blackwell, Edward Hirata, Jo Daniels

{"title":"‘Knees being set on fire’: a qualitative study exploring the impact of intrusive mental imagery on chronic pain patients","authors":"Rita De Nicola, S. Blackwell, Edward Hirata, Jo Daniels","doi":"10.1017/S1754470X24000187","DOIUrl":"https://doi.org/10.1017/S1754470X24000187","url":null,"abstract":"Abstract Chronic pain is common and debilitating, and recommended treatments are only moderately effective for pain relief. Focus has shifted to refining targets for change within psychological therapy to improve pain management. Evidence has shown the role of intrusive images in many psychological disorders. However, only a few studies have advanced our knowledge of the presence and impact of mental imagery in chronic pain. This exploratory study aimed to increase our understanding of how people with chronic pain perceive intrusive visual images to influence their daily life. The study employed a qualitative design, using semi-structured interviews to explore the content, emotional valence, cognitive and behavioural impact of pain-related visual images of ten participants with self-reported diagnosis of chronic pain. Data analysis was conducted by performing an inductive thematic analysis. Three key themes were identified: (1) ‘I start to create images in my head’: pain-related mental images, which revolves around descriptions of participants’ most significant visual image; (2) metaphors for pain, related to the imagery as a means to conceptualise and give meaning to the pain; and (3) “With the pain comes the image”: a companion to pain, which focuses on the role of intrusive images in the experience of pain. Results show that pain-related mental imagery appeared to be an intrusive, uncontrollable, and vivid cognitive accompaniment for many pain sufferers. The findings suggest that mental images may serve as an additional target in cognitive behavioural therapy to enhance individuals’ cognitive, behavioural and emotional change. Key learning aims (1) To understand the role of mental imagery in the daily life of individuals with chronic pain. (2) To examine the impact of intrusive images on the emotions, cognitions, and behaviours of people with chronic pain. (3) To consider clinical implications for CBT interventions targeting pain-related mental images to manage chronic pain.","PeriodicalId":512384,"journal":{"name":"The Cognitive Behaviour Therapist","volume":"162 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141388569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of self-practice/self-reflection (SP/SR) exercises for competency-based training and assessment in CBT 将自我练习/自我反思（SP/SR）练习用于基于能力的 CBT 培训和评估

The Cognitive Behaviour Therapist Pub Date : 2024-01-17 DOI: 10.1017/S1754470X23000375

James J. Collard

{"title":"Use of self-practice/self-reflection (SP/SR) exercises for competency-based training and assessment in CBT","authors":"James J. Collard","doi":"10.1017/S1754470X23000375","DOIUrl":"https://doi.org/10.1017/S1754470X23000375","url":null,"abstract":"Abstract With the increased demand for psychological services, and particularly for cognitive behavioural therapy (CBT), it is vital that teaching programs offer effective training that produce skilled and competent clinicians. This paper reviews the limitations of traditional approaches to training within the field of psychology, in terms of the promotion of a breadth of declarative knowledge at the expense of a deep and nuanced understanding of cognitive behavioural theory and clinical competence. It also reviews issues with existing strategies for competency-based assessment of trainees learning CBT. To date, many of these appear to assess a range of competencies concurrently and to test trainees within complex environments. Such methods may fail to provide an opportunity for the assessment of specific areas of competence and/or confound the assessment itself. It may also result in the public being exposed to trainees who are yet to develop competence. Based on recent research in training methods within psychology at large, and in relation to CBT specifically, a model of competency-based training and assessment is presented to address these issues. This model extends the existing research on the use of the experiential self-practice/self-reflection (SP/SR) framework for training in CBT. It proposes that the use of discrete exercises within a SP/SR training program promotes a more in-depth and nuanced appreciation of cognitive behavioural knowledge and skills and increased clinical competence. Furthermore, such exercises are proposed to provide an avenue for assessing clinical competence in specific skills prior to the commencement of direct client services. Key learning aims (1) To review literature on training for the development of clinical competence. (2) To review literature examining methods of assessing competence. (3) To propose the use of experiential training through a SP/SR framework as a method for providing both competency-based training and assessment.","PeriodicalId":512384,"journal":{"name":"The Cognitive Behaviour Therapist","volume":"58 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0