Donald Meichenbaum’s Donald Meichenbaum’s cognitive behaviour modificationcognitive behaviour modification

( CBM )( CBM )

IntroductionIntroduction

assumption : distressing emotion are assumption : distressing emotion are the result of maladaptive thoughtthe result of maladaptive thought

Focus on changing client’s self-Focus on changing client’s self-verbalizationsverbalizations

Acquire practical coping skills by role Acquire practical coping skills by role play problematic situationplay problematic situation

Cognitive restructuring plays a Cognitive restructuring plays a central rolecentral role

3 phase process of behaviour change3 phase process of behaviour change

Phase 1 : self-observationPhase 1 : self-observation - to increase awareness - to increase awareness

Phase 2 : use new internal dialoguePhase 2 : use new internal dialogue -to initiate new behaviour chain-to initiate new behaviour chain

Phase 3 : learn new skillsPhase 3 : learn new skills - teach client effective copings in real life situation- teach client effective copings in real life situation

Coping skills programmes : Coping skills programmes : Stress inoculation training (SIT)Stress inoculation training (SIT)

Deal with stress by learning how to modiDeal with stress by learning how to modify our cognitive “set” i.e. fy our cognitive “set” i.e.

-our belief-our belief -self-statement about our performanc-self-statement about our performanc

ee

Teach client beh. & cognitive coping tecTeach client beh. & cognitive coping techniques to stressful situationhniques to stressful situation