03 Jun HOW MIGHT THE PRINCIPLES FROM REBT BE APPLIED TO THE CASE STUDY?
Adolescence is a time of social experimentation and identity development. How would cognitive behavior therapist determine what portion of Brittny’s feelings of “not fitting in” are consistent with her developmental stages and what portion are indicative of social skills difficulty?
There are several cognitive behavior techniques that a therapist can use to determine which feelings are consistent with her developmental stages and what portions are an indication of social skills difficulty. Role-playing with Brittny will help identify her emotions, cognitions, and behaviors (Corey, 2013). Another approach is to let Brittny do cognitive homework. This involves Brittny listing her absolutist beliefs and listing how her beliefs affect her feeling of “not fitting in” (Corey, 2013).
How would you use cognitive behavioral therapy techniques in a culturally sensitively manner to address Brittny’s feelings about being the only biracial student in her class?
The first step in using cognitive therapy technique in a culturally sensitive manner in addressing Brittny’s feelings is for the therapist to understand the core cultural values of Brittny. The therapist will then be able to help Brittny explore her values and help her modify beliefs and practices that are deemed disruptive (Corey, 2013). The psychoeducational method is one cognitive approach I would apply to address her feelings. I would provide Brittny with written materials that relate to her feelings and successful approaches in dealing with such feelings. Brittny would be more likely to participate in the treatment program if she has a better understanding of how it works (Corey, 2014). I would also use role play to help Brittny identify negative thoughts that are creating disturbances and how to address those disturbances. Rapid identification of the category into which a patient’s belief falls help guide treatment (Becks, 2011).
How might the principles from REBT be applied to the case study?
Rational emotive behavior therapy is based on the assumption that individuals contribute to their own problems by holding rigid beliefs about certain situations and that emotions, cognitions, and behavior interact significantly in affecting relationships (Corey, 2017). Brittny can be taught that her emotions are mainly based on her beliefs. REBT will be used to teach her the skills to be able to identify and dispute these unfounded beliefs. She would realize that holding to the unfounded belief that her peers would not accept her is affecting her emotions and behavior. Some of the cognitive, emotive, and behavioral techniques that can be used in applying the principles of REBT include disputing irrational beliefs, bibliotherapy, role-playing, and operant conditioning.
Outcome Measures
There are a lot of psychological tools available to measure the effectiveness of therapy. The Schwartz Outcome Scale (SOS-10) is one of the effective tool used to measure outcome in CBT. It is sensitive to psychological change. It is initiated at the first visit to establish a baseline and then measured at each weekly visit for 24 weeks. A change in the score will indicate if therapy is effective. Brittny’s progress can be measured in terms of school attendance, self-perception, peer relationships, academic performance, and relationship with parents.
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