Studia Medyczne

Abstract

1/2016 vol. 32
Case report

Cognitive behavioural therapy (CBT) – case studies

  1. Laboratory of Medical Psychology and Education, Institute of Public Health, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland
  2. Gastroenterology Department, Central Clinical Hospital of Ministry of Internal Affairs and Administration, Warsaw, Poland
Medical Studies/Studia Medyczne 2016; 32 (1): 49–55
Online publish date: 2016/04/05
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Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
The objective of the present study is to further elucitate the specifics cognitive behavioural therapy (CBT) based on the treatment of 2 patients. The theoretical background of the therapy is based on the idea that the learning processes determine behaviour (behavioural therapy), acquisition and consolidation of beliefs and view of the world (cognitive therapy). The CBT is short-term (usually 12–20 weekly sessions). It assumes close links between the patient’s thoughts (about self, the world and the future) and his/her emotions, behaviour and physiology. The patient’s work in between sessions consists in observation of their own thoughts, behaviours, and emotions, and introduction of changes within the scope of their thoughts and behaviours. The goal of cognitive behavioural therapy is autonomy and independence of a patient, attainment of the patient’s objectives, and remedying the most important problems of the patient. The therapist should be active, warm and empathic. Cognitive behavioural therapy is structured and active. Between sessions, the patient receives homework assignments to complete. During therapy, information is collected by experiments and verification of hypotheses. It should be emphasized that for changes to occur in the process of psychotherapy it is necessary to establish a strong therapeutic alliance.
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