Third lecture of the CBI course. The document contains a detailed summary, discussing the topics of Behavioural and
experiental treatment principles in depression. The experiental treatment principles entail; behavioral activation (chapter 9), the principles of positive psychology (chapter 13) and...
College 3 – Experiential and Behavioral interventions in
Depression
Today’s structure
Part 1: Behavioural treatment principles
o Behavioural activation
Part 2: Experiential treatment principles
o Positive psychology
o Mindfulness-based cognitive therapy (MBCT)
o Acceptance and commitment therapy (ACT)
Behavioural activation
The structured scheduling of specific activities for the client to complete in his or her
daily life, that functions to increase contact with positive reinforcement, consisting of
diverse, stable, and personally meaningful reinforcers.
When someone’s depressed, there’s of course the aspect of mood (mood swings, negative
feelings, melancholia). But another important aspect of depression pertains to behaviour; no
more engaging in activities previously viewed as pleasant, not going out anymore, not
engaging in productive behaviour etc. This forms the target of change, in Behavioural
activation.
Short history of the evolution of behavioral activation
Peter Lewinsohn (1970s)
Pleasant event scale: ± 300 items about different events, how often they were done and
how much pleasure was derived from them.
o Also made a unpleasant event scale, but this is less important since the
theoretical basis lays in the lack of pleasant events, not as much the abundance
of unpleasant events.
First base of theory: Early models highlighted the role of lack of response-contingent
reinforcement for nondepressed behavior. So, people are not getting enough positive
reinforcement for being non-depressed. It’s not really ‘learned’, it just happens.
Later refined model: Decrease in frequency/range of reinforcing stimuli or increase in
frequency of punishment lead to depression.
Aaron T. Beck (1979)
Wrote a book on cognitive therapy of depression, of which behavioural activation
became a part.
o Behavioural activation was included in CBT, but with a secondary status
theoretically. Namely because it got included, as means to change cognitions.
o So behavioural activity was reframed to facilitate cognitive rather than
behavioral change.
o Behavioural activation was used early on in treatment, especially for more
severely depressed patients.
Neil S. Jacobson (1996)
Jacobson performed a component analysis of CBT. The idea is that CBT consists of a
lot of different strategies and techniques, which can be distinguished in three different
categories;
o Techniques to change automatic thoughts.
o Techniques to change core beliefs.
o Techniques to change behavior (behavior activation).
Jacobson was interested in what would happen if you would separate the behavioral
strategies along with some general facilitative strategies (such as monitoring), from
the total package of CBT.
The results of the component analysis study found behavioural activation to be a
stand-alone therapy on its own. In other words, to change depression it’s not necessary
to focus on changing cognitions.
2
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper juliadullaart. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €2,99. Je zit daarna nergens aan vast.
