belief revision in cbt

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    Extension of

    Cognitive Therapy

    in the context of

    Belief Revision

    Prasanta Kumar RoyClinical Psychologist

    &CBT Practitioner

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    Whathappens in Cognitive

    Therapy?

    Pts. identify, reality-test, and correctdistorted conceptualization and the

    dysfunctional beliefs (schemas)underlying these cognitions.

    Pt learns to master problem andsituation

    Pt learns to think and act morerealistically and adaptively

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    Whathappensin Cognitive

    Therapy?

    Monitoring and correction of irrational,

    distorted, or maladaptive thoughts that

    mediate ones emotional andbehavioural responses to problematic

    situations or problems

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    Whathappensin Cognitive

    Therapy?

    When an individual holds an important

    belief, he usually has some subjective

    feeling about it. He has learned to trustthis subjective feeling

    Pt may gradually integrate the therapistsidea into his belief system

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    ExtensionofCognitive Therapy

    Impressive growth over last 20 yrs.

    Now addresses a vast range of disorders

    & human problems

    Incorporating new theories

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    Whatis BeliefRevision

    Belief revision is the process of changing

    beliefs to take into account a new piece of

    information

    Revision is the process of inserting the new

    information into the set of old beliefs without

    generating an inconsistency. It night be a composition of a contraction

    and an expansion

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    Whatis BeliefRevision

    A belief state (or database) is represented by

    a set of sentences. The major operations of

    change are those consisting in theintroduction or removal of a belief-

    representing sentence.

    It is different from update

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    Water is here

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    How BeliefRevision Occurs

    Change in Perception

    As a result ofArgument

    Degrees of Justification: Strong logic

    behind high inconsistencies

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    BeliefRevision & Cognitive

    Therapy

    CT uses many of the belief revisionstrategies to change the ve thoughts,

    -ve appraisal and Schema (core belief &assumption)

    Socratic questioning, guided discovery,questioning the evidence, advantage-

    disadvantage etc are commontechniques

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    Philosophical Counselling

    Vs Cognitive Therapy Ultimate truth vs happiness

    Community vs Individual

    Socio-politico-philosophical Understanding.Does it influence cognition?

    Case examples:

    1. A boy with religious obsession

    2. A boy with fearful sexual image

    3. A communist boy who suffered emotionallyafter a relationship break

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    Factsabout CBT

    CBT, the therapist does not ignore theclient's beliefs or try to shift the client

    towards what the therapist feels isrational

    Restructuring his cognition about Godmay not be helpful because then the

    problem is maintained within the clientand the locus of control will getmaintained externally

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    Factsabout CBT

    The idea is to understand which beliefs

    within the client are making it difficult for

    him to deal with the thoughts about godthat he is getting and also where such

    beliefs are originating from.

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    WhetherExtensionwasrequired?

    Outcome studies showed its superiority indepression. But same model could not be

    used effectively in some of the anxietydisorders

    CT was not successful with charaterologicalproblems

    There was increased demand in other mentalillness, including psychotic processes, and inother areas like interpersonal, substance,sexual, health related etc.

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    What kindofextension

    Cognitive Analytic Therapy

    Schema Therapy

    Dialectical Behaviour Therapy

    Self-Regulatory Executive Function

    Model

    Change in Metacognition

    Socio-Cognitive Change

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