CBT & Social Work Values
The author mentions 3 basic assumptions that underscore most CBT approaches. Can you name at least 1?
(1) Cognitive processes and content are accessible and can be known;
(2) Our thoughts and beliefs mediate the way we process information and consequently affect our emotional and behavioral responses; and
(3) Maladaptive cognitions can be intentionally targeted and changed in a more rational and realistic direction, thus relieving symptoms and increasing functionality.
What was listed by the authors as the primary aim of the article? Was it to,
A. Finally get work published in a reputable journal
B. Introduce a trans-affirming adaption of a cognitive-behavioral therapy
C. Use the published article as leverage to demand to be tenured with a considerable raise
The correct answer is B. The aim of the article was to Introduce a trans-affirming adaptation of a cognitive-behavioral therapy, because as the authors highlight, there is a serious lack of evidence-based interventions for the transgender community.
The author challenges which common assumption about CBT?
CBT is superior to other bona fide psychotherapies
The author presents one way in which cognitive behavioural therapists can embrace anti-oppressive practice work outside of the clinical setting. What is the author’s suggestion? Is it,
A. Give up clinical work entirely to focus on larger systemic issues for people
B. Get involved in macro-level social change efforts
C. Do nothing. Clinical social workers have no place in social justice work
The correct answer is B. The author highlights that in addition to just making larger connections with their clients about systemic drivers and the influence they have on their client’s experiences, clinical social workers can pursue macro-level social change outside of the clinical practice setting.
The author states that the purpose of the article is to evaluate how CBT fits with the social work values outlined in NASW Code of Ethics. Can you name one of the values?
(1) Importance of human relationships
(2) Respecting the dignity and worth of individuals
(3) Exhibiting competence in practice
(4) Focusing on social justice
In the article, the authors suggest that for those identifying as "Two-Spirit" to read about the historical lineage of the Two-Spirit persons being revered and honored in traditional native cultures. Outside of mainland North America, how many gender-diverse indigenous societies are there currently? Is it,
A. Zero
B. None
C. Over two dozen
The correct answer is C. Best estimate is there are more than 25 cultures that currently recognize more than two genders.
What is one concern the author raises about randomized controlled trials (RCTs) in psychotherapy research?
They may exclude people with complex or co-occurring conditions
The author presents several noble pursuits within the social work profession that were once regarded as effective interventions but later were proven to cause harm. What was one of the interventions mentioned? Was it,
A. Pharmacological interventions
B. Scared Straight programs
C. Cognitive Behavioral Therapy
The correct answer is B. The Scared Straight programs which is a deterrence based intervention for at-risk youth, were once regarded as an effective intervention.
The author writes that a criticism of CBT approaches is that practitioners tend to focus more on the practical and technical interventions of CBT and not on this type of relationship with a client?
Therapeutic Relationship
In the article, as part of a trans-affirmative practice, what is rejected as it is a pathologizing approach to clinical practice? Is it,
A. The male-female gender binary
B. Gender neutral language
C. The Minority Stress Model
The correct answer is A. The male-female gender binary is rejected in trans-affirmative practice as it is viewed as a marginalizing construction of gender, privileging some while oppressing others.
Why does the author raise concerns about racial and ethnic representation in psychotherapy research?
Findings may be generalized to populations that were not adequately represented
True or False: The author argues that recognizing severe mental illnesses, such as schizophrenia, as a biological brain disorder is stigmatizing to clients.
False. Framing mental illness as a brain disorder that has a biological basis, is actually destigmatizing, as it can reduce self-blame and social stigmas for the individual and their families.
The author mentions REBT, a CBT model that states that "...therapists fully accept their clients no matter how poor their behavior and the practice and teach tolerance and unconditional positive regard." What does REBT stand for?
Rational-Emotive Behavior Therapy
The author references data from the Nataional Transgender Discrimination Survey (NTDS) to illustrate the impact transphobic discrimination can have on mental health, in particular when it comes to suicide risk. True or false: The results from NTDS do not indicate there are higher rates of suicide attempts among transgender individuals vs the general public.
False. Data from the National Transgender Discrimination Survey indicates suicide attempts are significantly higher among transgender individuals. More than 40% of transgender individuals reported suicide attempts. This is in stark contrast to the general public’s rate of less than 2%.
What larger problem does Angie's case illustrate in Rasmussen's critique?
Real-world clients can have complex, overlapping needs that may not fit neatly into controlled research conditions
What does the author list as the first principle of empirically supported trauma treatment? Is it,
A. Mental health symptoms are a societal maladjustment
B. Helping clients understand the socioenvironmental forces on their presenting problems
C. Getting the client to safety
Correct. The first principle of empirically supported trauma treatment is getting the client to safety.
What CBT concept entails the most central, fundamental, and absolute views that an individual has about their self, the world, and about other people?
Core beliefs or Schemas