Developing a theoretical understanding of therapy techniques: an illustrative analogue study.
OBJECTIVES: In psychological interventions, clients are often asked to review unhelpful beliefs. Surprisingly, there is no theoretical understanding of how beliefs are reviewed in therapy. Moreover, by understanding a therapeutic technique, potential interactions with symptom processes can be consid...
| Publicado en: | British Journal of Clinical Psychology Vol. 44; no. 2; pp. 241 - 255 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106537544&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106537544 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01446657 99B jtl: British Journal of Clinical Psychology issn: 01446657 maglogo: Y pubinfo: dt: Jun2005 vid: 44 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106537544 106537544 2009048919 10.1348/014466505x29981 106537544 ppf: 241 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Developing a theoretical understanding of therapy techniques: an illustrative analogue study. aug: au: Freeman D Garety PA McGuire P Kuipers E affil: Department of Psychology, PO Box 77, Institute of Psychiatry, Denmark Hill, London SE5 8AF, UK; D.Freeman@iop.kcl.ac.uk sug: subj: Anxiety Therapy Cognition Culture Delusions Therapy Depression Therapy Psychological Theory Psychotherapy Methods Adult Attitude Decision Making Descriptive Statistics Female Male Mann-Whitney U Test Multiple Regression P-Value Pearson's Correlation Coefficient Pilot Studies Scales T-Tests Two-Tailed Test Funding Source Human Adult: 19-44 years Female Male ab: OBJECTIVES: In psychological interventions, clients are often asked to review unhelpful beliefs. Surprisingly, there is no theoretical understanding of how beliefs are reviewed in therapy. Moreover, by understanding a therapeutic technique, potential interactions with symptom processes can be considered. An analogue study assessing the feasibility of researching therapy techniques is described, in which links between symptoms, reasoning style, and an experimental version of the cognitive therapy technique of belief evaluation are examined. DESIGN: Individuals without psychiatric illness (N = 30) completed (i) dimensional measures of depression, anxiety, and delusions, (ii) a measure of confirmatory reasoning (Wason's 2-4-6 task) both before and after instruction in disconfirmatory reasoning, and (iii) a belief evaluation task. RESULTS: Compared with individuals with a confirmatory reasoning style, individuals with a disconfirmatory reasoning style in Wason's task were less hasty in their data gathering, considered a greater number of hypotheses during the task, had higher intellectual functioning, and had lower levels of depressive symptoms. Conversely, the individuals with the strongest confirmatory reasoning had higher levels of depression and preoccupation with delusional ideation. Successful adoption of disconfirmatory reasoning was associated with less hasty decision-making and lower levels of preoccupation and distress by delusional ideation. Individuals with a disconfirmatory reasoning style reported more evidence both for and against their beliefs in the belief evaluation task. CONCLUSION: The preliminary evidence, from this small non-clinical group, indicates that evaluating beliefs may partially involve the use of confirmatory and disconfirmatory reasoning processes. Disconfirmatory reasoning, associated with less hasty data gathering and consideration of alternatives, may lead to better belief evaluation. In the context of clinical research indicating that individuals with delusions are hasty in their data gathering and have difficulty considering alternatives, a potential implication of the findings is that individuals with delusions may find belief evaluation in therapy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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