Documente Academic
Documente Profesional
Documente Cultură
A ccountability
S tructure
S upport
Accountability…
… for WHAT you are responsible in
recovery
Understanding your thoughts
Thought log
Challenging thoughts
‘Acting as if’ strategies
Meditation/mindfulness techniques
Support …
…WHO will support your efforts
Treatment Counselors
Sponsor
Therapist
Psychiatrist
Self-help
Family/friends
Cognition
How thoughts are:
– Formed
– Maintained
– Discontinued
– Intensity of thoughts
Cognitive Schema
Automatic Thoughts
Mental reactions to situations
– Real
– Imaginary
– Anticipatory
Associated with feelings, mood, and
beliefs
Cognitive Schema
Conditional Beliefs
More general than automatic thoughts
– Boolean logic: “If… than; and/or”
Assumptions
Roles/expectations
Attitudes/values
Cognitive Schema
Core Beliefs
“We are what we believe”
Strongly held beliefs, underlying assumptions
about who we are and how we behave
Develop early in life and are often reinforced as
we age
Can become a ‘filter’ for interpreting life
experiences (“self-fulfilling prophecies”)
Can serve us well or become dysfunctional
Can be identified, confronted, and changed!
Cognitive Schema
Relevant Childhood and Developmental data:
Core Beliefs:
Conditional assumptions (if/then):
Compensatory Strategy:
Situation:
Automatic Thoughts:
Emotions:
Behavior:
Cognitive Restructuring
1. Observe thoughts 1. Construct
alternative
2. Identify thinking thoughts
patterns
2. Complete
3. Identify cognitive cognitive schema
distortions
3. Behavioral
4. Challenge Experiments
cognitive (“act as if”)
distortions
(DPW3 = GTH)
Thought Record
(Steps 1-2) 42 y/o female alcoholic
Rating Mood and Desire/
Situation/Event Automatic Thought Related Feeling Craving (1-10)
Emotional
Overgeneralization reasoning
Jumping to
conclusions
Burns, D. 1999
Challenging Automatic Thoughts
(Steps 4-5) Using I.C.E. to cool off ‘Hot’ thoughts
Pacione, 2003
I.C.E.
(Steps 4-5)
Identify and rate the thought:
“I’ve missed so many of my son’s achievements because of drinking. I
I am a bad mother.” truthfulness rating = 90% (of the time)
Thoughts Judgments
Actions Consequences
Mindfulness =
– being more aware more often
– Less interested in thought content
– Focus on arising and ceasing of thought
(DPW = GTH)
Principles of Mindfulness
1. Non-judging 1. Non-striving
2. Patience 2. Acceptance
3. Fresh Mind 3. Letting Go
4. Trust
Kabat-Zinn, 1990
1. Non-judging
Experiment
– Try having a fresh mind with your
partner, child, client, or someone else
familiar to you
4. Trust
(DPW3 = GTH)