Cognitive Behavioral Theory Essay Example for Free

Cognitive Behavioral Theory Essay Cognitive behavioral therapy (CBT) is a short-term, problem-centered therapy that is used to address psychopathology within the individual (Beck, 1995). This model of therapy is used to address issues of depression, anxiety, eating disorders, relational problems, and drug abuse, and can be utilized when working with individuals, as well as within group and family modalities. The core aspects of this therapy include collaboration and participation by the client, a strong alliance between therapist and client, and an initial focus on current problems and functioning (Beck, 1995). The theory of CBT emphasizes the relationship between the individual’s thoughts feelings and behaviors, which is seen as being the underlying cause of psychopathology in individuals. Therefore, this theory asserts that the identification, evaluation, and modification of one’s negative thoughts will lead to an improvement in one’s mood and behaviors (Beck, 1995). It is important to understand the concepts and theory from which CBT is based in order for it to be efficiently implemented in therapeutic work with individuals, groups, or families. While CBT is used to treat psychological disorders, this theory can be examined by looking at the thoughts, feelings, and behaviors of individual’s with an absence of psychopathology. Beck (1979) and Beck (1995) present the cognitive model in order to explain the theory of CBT. The cognitive model demonstrates that the emotions that an individual experiences and the behaviors that they exhibit are a result of their perception of a situation or event (Beck, 1995). When in any given situation, an individual’s immediate thought response is their automatic thought (Beck, 1995). These thoughts are an immediate evaluation of the situation, which in turn directly influence the feeling that a person has about the situation. Automatic thoughts are experienced by everyone and occur in the individual’s mind prior to reasoning. These thoughts occur swiftly and often times the individual may be unaware that they have occurred, being more observant of the emotion that they are feeling in the moment (Beck, 1995). Once an automatic thought occurs within the individual, it triggers a feeling, which in turn triggers the individual’s response, such as a behavior and/or physiological response. For example, after a young child begins to pick up his blocks to be put away, his mother rubs him on the back and gives him praise for his actions. His automatic thought may be, â€Å"I am good when I put away blocks,† triggering a feeling of confidence, an increased level of physical energy, and the behavior of putting away the remaining blocks. Automatic thoughts can be neutral, positive, or negative. We all have our own automatic thoughts as we move through our day-to-day lives and interact with others. In regards to individuals with psychological disorders, the cognitive model looks at how negative thoughts influence the individual’s feelings and behaviors (Beck, 1995). From a CBT lens, it is the negative automatic thoughts that an individual has that perpetuate symptoms of psychological disorders, the occurrence of negative mood, uncomfortable physiological responses, and maladaptive or inappropriate behaviors (Beck, 1995). While we all have moments of experiencing negative automatic thoughts, for those with psychological disorders, and more pervasive difficulties in living, negative thoughts are often experienced in situations that are neutral, producing negative feelings that lead to maladaptive behaviors or responses that would not typically be expected from the neutral situation (Beck, 1995). Aaron Beck presents theory of the cognitive model of how depression is rooted and perpetuated in individuals as a result of the interaction between negative automatic thoughts, feelings, and behavioral response. In this discussion, depression is conceptualized in terms of the cognitive triad, which describes three components of negative thinking of the depressed individual: the individual’s negative view of self, their negative view of the others and the world, and their negative view of the future (Beck, Rush, Shaw, Emery, 1979). The cognitive triad is maintained via the remaining components of Beck’s cognitive model of depression, the individual’s schemas, or core beliefs, and the utilization of faulty thinking, or cognitive errors (Beck, Rush, Shaw, Emery, 1979). Cognitive theory asserts that our automatic thoughts are rooted in our core belief system or cognitive schemas. Core beliefs begin to be developed early in life and are based on experiences that the individual has throughout their life. Because these beliefs are so grounded in how the individual views their life, others, and the world, and begin to be cultivated so early in development, they become a fundamental aspect of the individual, who considers them to be absolute truths (Beck, 1995). Core beliefs are deeply rooted in an individual, so much so that the individual may be unaware of the belief and how it influences their thoughts about themselves and the world. Each belief can have varying levels of presence within an individual’s day to day life, with some core beliefs remaining predominately dormant and only being activated in certain situations, while others may be frequently present in an individual’s thoughts (Beck, 1995). It is the individual’s cognitive schemas that allows for the categorization and evaluation of different experiences or situations (Beck, Rush, Shaw, and Emery, 1979). The core belief system maintains the way an individual experiences and thinks about a given situation (Beck, Rush, Shaw, Emery, 1979). While everyone conceptualizes a given situation in their own way, each individual typically conceptualizes similar situations in a similar way based on their own core beliefs (Beck, Rush, Shaw, and Emery, 1979). Within a set of similar situations, the individual’s core beliefs trigger automatic thoughts, which in turn trigger the individual’s emotional and behavioral response. Over time, the individual’s responses to similar situations become more consistent, thereby causing the development of a routine response to these types of situations. As this consistently occurs, the schema connected to particular type of event is further developed and the individual’s assertion that the belief holds absolute truth is strengthened (Beck, Rush, Shaw, Emery, 1979). Beck’s theory underlying CBT focuses on the idea that symptoms of depression, as well as those of other psychological disorders, are developed and maintained through to the individual’s negative core beliefs and triggered negative thoughts. In addition to the individual’s negative schemas, Beck’s theory states that the cognitive triad of negative cognitions of self, others, and future is further perpetuated through patterns of faulty thinking (Beck, Rush, Shaw, Emery, 1979). There are a variety of faulty thinking mechanisms that are used by individual’s to support their automatic thoughts and core beliefs, even in light of contradictory evidence (Beck, Rush, Shaw, Emery, 1979). This type of thinking can be characterized as labeling, over generalizing, personalization, emotional reasoning, magnification or minimization, and all-or-nothing or impetrative thinking (Beck, 1995). These cognitive errors are often extreme and unrealistic ways in which the individual assesses and draws conclusions regarding their problems, which is then used to further support their negative belief system and automatic thoughts. CBT theory declares that the individual can learn to identify their automatic thoughts, thereby creating an avenue for changing the emotions, behaviors, and psychological responses to various situations. When utilizing CBT with a client, it is necessary for the therapist to conceptualize the individual’s presenting problems from the perspective of the cognitive model (Beck, 1995). This can be done through the work of gathering information regarding the individual’s current problems, diagnosis, and how the problems have been developed and maintained. As this information is collected, the CBT therapist begins to assess and identify the inaccurate and unhelpful thoughts connected to the problems, and the behaviors that are exhibited as a result of this thinking (Beck, 1995). As this is done, the therapist can then begin to guide the individual to identify, examine, and correct or modify the negative automatic thoughts, underlying core beliefs, and faulty thinking mechanisms that have sustained the presenting problems (Beck, 1995).

A Womans Awakening :: essays research papers

The novel The Awakening by Kate Chopin tells the story of a woman who is married and has an awaking of her true feelings. The situation is very complex and Edna cannot handle the complexity of it. In the end she commits suicide. The novel The Awakening by Edna is described as a woman who is strong and able to persue her dreams. The novel also shows how people should live their lives for themselves instead of other people. Chopin uses characterization and symbolism to develop the meaning of the novel The Awakening. Ethan From is seen as a tragic person. He dreams of escaping his farm and living a life outside of Starkfield. Ethan was forced to leave college to care for his aging and ailing parents. He married Zeena because he feared loneliness and felt he owed her something for her help with his parents. Ethans character is described in the beginning of the novel as a man in his fifties, disabled, silent, and a farmer. Physically Ehtan is tall and bent-looking. His circumstances have made him weak. Ethan is a man of bad luck who is in his current situation due to circumstances and not by choice.   Ã‚  Ã‚  Ã‚  Ã‚   Edith Wharton portrays the land in Starkfield as harsh, the people are hard and unfriendly, and poverty as a mean way of life.She uses the landscape to reflect the personality of the characters. Her choice of winter is a symbol of the barrenness of the characters' lives. They are cold and isolated, like the temperature outside. The situations and conflicts are represented by Frome's stony landscape, the old apple trees, and the graveyard. In conclusion, Kate Chopin uses characterization and symbolism to develop the meaning of the novel The Awakening.

Nursing Theory and Research Essay

What is nursing (caring) according to Fawcett (1984)? Nursing is defined by American Association (1980) as â€Å"the diagnosis and treatment of human responses to actual or potential health problems† (cited in Fawcett, 1984, pg. 84). Diagnosis, according to the nursing process is when the nurses identify the actual problems and find out how to treat them in order to prevent any potential problems. According to Walker, 1971) nursing is establishing limits or boundaries in terms of the person  providing care; person with health problems receiving care; the environment in which care is given and an end-state, well-being (cited in Fawcett, 1984). This is related to what I mentioned before that the four concepts are interrelated; they cannot work on their own. The connections among the four metaparadigm concepts were clearly identified by Donalson and Cowley (1978) which states that â€Å"nursing studies the wholeness or health of humans, recognizing that humans are in continuous interaction with their environments† (cited in Rolfe, 1996, pg.6). This statement may be considered the major proposition of nursing’s metaparadigm. B: Christensen’s (1990) Partnership Model: Christensen’s (1990) Partnership Model identify the concept of a partnership as a basis for involvement between a nurse and a patient. This concept provides a sound humanistic foundation for nursing practice. From the patient view point, a partnership of equality and respect provides security. From nurses, patients are vulnerable or faced a situation, which requires care from health services. The experience of partnership empowers and enables people when they are patients, and we believe that security proved by the nursing partnership is a basic human right for a patient. For a partnership to exist and work effectively, there must be a willingness from all partners to collaborate as equals, and then to jointly make decisions and endeavour to solve problems. Christensen (1990) described partnership is initiated when the patient is admitted to hospital and ceases when they go home. It is a continuous process, which offered ways of looking at what happened when a nurse offered learned expertise to a person who is going through a health related experience. The learned expertise is known as â€Å"nursing (caring). What is nursing (caring) according to Christensen (1990)? Although many nurses’ scholars described nursing according to their own research, Christensen (1990) defined nursing â€Å"when a nurse offered learned expertise to a person who is going through a health related experience† (pg.  47). Also, New Zealand Nurse’s Association (1990) defined nursing is a â€Å"specialised expression of caring, concerned primary with enhancing the ability of individuals and groups to achieve their health potential within the realities of their life situations (pg. 7). So, nursing is the actions or treatment to help the patient promote health not only part of his body, but nursing is looking at the person holistically. As discuss by Christensen (1990), the major work of nurse-patient partnership is commences at the time of admission to hospital and continues until the patient goes home, as mentioned before. We could see that the work of the nurse is dynamic and sensitive as nursing strategies are selectively used to ease the pathway of each patient through an individual passage. The passage, according to Christensen (1990) is a â€Å"social process, which can be used to describe an experience of a significant change in a person’s circumstances† (pg.26). It is characterised by the giving and receiving of nursing in order for the patient to make optimal progress through a health related experience. So, nursing is attending. According to Christensen (1990) attending takes place during the time of contact between the nurse and patient and also accompanies the patient through hospitalisation. Attending is the essence of partnership because it shows that nursing is caring and concerning about the change in patient’s life. Therefore, Christensen’s model of nursing partnership involved two or more people in a shared venture. It requires the nurse to view nursing as a collaborative between the nurse and the client. It initiated when the patient is admitted to hospital until they go home. It is a continuum process, which offered ways of looking at what happened when a nurse offered learned expertise to a person who is going through a health related experience. According to Peplau define nursing is â€Å"how to put the constitution in such a state as that it will have no disease†(Cited in Nightingale, 1992, pg. 48), which means what can and should nurses do to promote health, prevent illness and recovery from disease. As I mentioned above in Christensen’s model,  nurses work alongside with the patient but using nursing strategies to ease the path of the person by listening to them and taking heed of what they are saying. Moreover, is to comforting them in order to aid recovery from diseases they present. Harmer & Henderson (1995, cited in Rolfe, 1996) point out that the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or peaceful death). In Christensen’s partnership model is very similar to this idea as to assist the patient and supporting during this journey of sickness or seeking help with things that they are unable to do for themselves. That is the goal of nursing is to use their knowledge to find the most efficient and effective ways of carrying out nursing procedures to help their partner in nursing care, as the patient. Moreover, according to attend, being their for the patient and spending time with him in order to understand their needs. Also, ministering which Christensen defines as a selective application of nursing knowledge and skills to meet the identified needs of the patient. Within that knowledge, nurses have a systematic body of knowledge that underpins practice, which means, they know what to do, how to do it and why they are doing it. For example, an eighteen months old baby was brought from theatre whom he had a Gastrostomy. I took observations on him for half hourly for two hours and hourly after that. Why do I have to do that, because to identify any signs and symptoms of haemorrhage which is potential for shock. That is the basic knowledge that I have taught so far that this baby has a tendency of bleeding. It was very important for me for these observations. According to Christensen (1990) that the work of the nurse is dynamic and sensitive as nursing responds to the immediacy of the patient’s situation. During this time the nurse and the patient negotiate their partnership by looking at the work of the nurse and the work of the patient in order to cushion the impact on the patient of the disturbances associated with hospitalisation. Moreover, according to Christensen (1990) the passage is â€Å"a social process  which can be used to describe an experience of a significant change in a person’s circumstances† (p.26). It is characterised by giving and receiving of nursing in order for the patient to make an optimal progress for a better health. In reality it may or may not lead to a beneficial passage. But, the work of the nurse begins as soon as the patient admitted to hospital. It is known as the beginning phase, which is to assist the client to attain the means, opportunities and the ability to act within the present circumstances, though the nurse-client partnership exists for all nursing goals and the expected outcomes may not always turn out as desired. The beginning is marked by the patient experiencing a health-related problem. The phase begins with awareness that something is wrong which requires an admission to hospital it may be days or weeks or whenever the patient takes responsible for his own self-management. This period precedes entry into the partnership, at the same time the patient prepares for the upcoming experience, whereas the nurse serves to make patient complete, whole being of a person or independent. And I believed this includes identifying the problems of the whole being of the person, that is, culturally, psychosocially and mentally. This relationship includes respect and acceptance of where the person is and the nurse’s openness to another person’s reality. Caring relationships occur with individuals and family and their significant others. According to Levine (1973) described nursing as â€Å"a human interaction. It is a discipline rooted in the organic dependency of the individual human being on his relationships with other human beings† (Cited in Fawcett, 1984, pg 122). She further describe nursing as â€Å"a subculture, possessing ideas and values which are unique to nurses, even though they mirror the social template which created them† (ibid, pg, 123). This is true with nursing is caring for another human being which have their own culture, ideas and values which recognise themselves from whom they come from. When we compare with Christensen’s model (1990), interpreting is the â€Å"attempt made by the nurse to attach meaning to the status of the patient and the situation† (pg. 42). Including observing, monitoring, analysing,  translating, conceptualising, synthesising and decision-making. When assessing the patient and collecting data, nurses should recognise the social issues and cultural needs of the patient in order to provide treatment that are suitable for them. Moreover, as Christensen stated that the intentional presence of the nurse is essential for coming to know and understand what it means to be human and humans in relationship or partnership. This knowledge provides the basis for the mutual selection of interventions that can promote health and self-determination. That is the essence of partnership is engaging the person in the process of their journey from the time they face the problem and come in to hospital until they go home. Partnership includes intimacy, trust, and authenticity. Furthermore, commitment, responsibility and accountability, which are the nature of nursing which Christensen identifies. Not only that, caring takes place within the context of a therapeutic relationship and is considered a moral vital of nursing. According to Henderson’s definition of nursing â€Å"I say that the nurse does for others what they would do for themselves if they had the strength, the will and knowledge. But I go on to say that the nurse makes the patient independent of him or her as soon as possible†. â€Å"Nurse serves to make patient â€Å"complete, whole† or independent† (Cited in USA Nursing Knowledge Consensus Conference, 1998) Conclusion: Although I found very difficult to understand Fawcett’s description of the metaparadigm but at the end I found this very interesting to know that metaparadigm is like a framework that help me in my practice. Nursing has a unique responsibility to promote, protect and restore the client’s holistic health. REFERENCES: Christensen, J. (1990) The Ethics of Care: Towards Partnership in Nursing, Lincoln University Press with Daphne Brasell Associates Ltd, London. Fawcett, J, (1984) The Metaparadigm of Nursing: Present Status and Future Refinements. Images: The journal of Nursing Scholarship, Vol. XVI, No. 3, pg. 84 – 7. Fawcett, J, (1984) Analysis and evaluation of conceptual models of nursing, F. A Davis Company, Philadelphia. USA Nursing Knowledge Consensus Conference, 1998, Consensus Statement on Emerging Nursing Knowledge, A value-Based Position Paper Linking Nursing knowledge and Practice Outcomes, Boston, Massachusetts

Demonstrative Adjectives in Spanish

Demonstrative adjectives are those adjectives whose function is to point at something. In English, the singular demonstrative adjectives are this and that, while their  plurals are these and those, respectively. (Some grammarians refer to them as demonstrative determiners.) Key Takeaways: Spanish Demonstrative Adjectives The demonstrative adjectives or determiners of Spanish — este, ese, and aquel along with their plural and feminine forms — are used in much the same was as this, that, these, and those are used as adjectives or determiners in English.Both ese and aquel are rough equivalents of that. Aquel is used in referring to entities that are further away in time, distance, or emotional sentiment than entities that use ese.When demonstratives are used with items in a series, they typically are used for each item, unlike in English. Unlike English, Spanish has three sets of demonstrative adjectives, which vary by number and gender, so there are 12 in all: singular masculineeste (this)ese (that)aquel (that)plural masculineestos (these)esos (those)aquellos (those)singular feminineesta (this)esa (that)aquella (that)plural feminineestas (these)esas (those)aquellas (those) Note that the masculine singular forms dont end in -o. Where To Place Demonstrative Adjectives The demonstrative adjectives typically are placed before the nouns they modify. They must match the noun in both number and gender. A few examples: Me gusta este perro. (I like this dog.)Prefiero estas computadoras. (I prefer these computers.)Voy a comprar ese coche. (Im going to buy that car.)Me gustan aquellas casas. (I like those houses.) Ese or Aquel? Although ese and aquel and their related forms can be translated as that or those, there are distinctions in meaning. Ese and its related forms are more common, and youre generally safe to use them when in English youd use that or those. However, aquel and its related forms refer to something thats farther away in terms of distance, emotion, or time. Although ese and its forms can be used for an object near the speaker or listener, aquel cannot. The distinction, if not made clear by context, can be translated in various ways, as these examples indicate: Me gustan esos perros. (I like those dogs.)Me gustan aquellos perros. (I like those dogs over there.)No quiero esa casa. Quiero aquella casa. (I dont want that house. I want that house farther back.) ¿Recuerdas esos dà ­as? (Do you remember those days?) ¿Recuerdas aquellos dà ­as? (Do you remember those days long ago?) Items in a Series When two or more items are in a series, the demonstrative adjective must be used with each item. While in English we would say those dogs and cats, in Spanish we would say esos perros y esos gatos. Use of just one demonstrative adjective in this case, as in esos perros y gatos, would imply that were talking about animals that are a cross between a cat and a dog. Sample Sentences Using Demonstrative Adjectives Perseverancia: Pocos entienden el valor de esa palabra. (Perseverance: Few understand the value of that word.) Esta idea puede cambiar tu futuro. (This idea can change your future.) Siempre que veo la televisià ³n y veo a esos pobres nià ±os hambrientos en todo el mundo, no puedo evitar llorar. (Whenever I watch television and see those poor hungry children everywhere, I cant keep from crying.) Yo sabà ­a que era este mes pero no ese dà ­a. (I knew that it was this month but not that day.) Vuelvo a vivir aquellas experiencias que tuve hace muchos aà ±os. (Im going to relive those experiences I had many years ago.) Estas manos pueden construir una casa. (These hands can build a house.) Aquellos ojos azules irradiaban una luz que era casi tangible. (Those blue eyes radiated a light that was almost tangible.) Gracias por esa leccià ³n de vida. (Thank you for that lesson in life.) Esta persona no es mi amigo. (This person is not my friend.) Hay riesgos si abandonamos esas costumbres nuevas y olvida aquellas enseà ±anzas milenarias. (There are risks if we abandon those new customs and forget those traditional teachings.) Se llama radiogalaxia a aquella galaxia que irradia energà ­a con gran potencia en forma radioondas. (That galaxy that radiates powerful energy in the form of radio waves is called a radio galaxy.)   Aquel aà ±o descubrà ­ que mi à ºnico rival no era mà ¡s que mis propias debilidades. (That day I discovered that my only enemy wasnt anything more than my own weaknesses.)