Reflection Journal, 2 questions

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For this week's reflection journal entry, reflect on what you have learned in this module about evidence-based practice and strategies for helping clients enable change to meet their goals. How will these strategies impact your work in the human service field? What are some skills that you still need to work on developing? Relate your answer to a specific population: children/adolescents, adults, or elderly adults. APA STYLE.

this is also based on the paper that i send you.

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What Is Evidence-Based Practice? Evidence-based practice in psychology is the integration of the best available research evidence based on the efficacy (how well treatments work in rigorous controlled trials), effectiveness (how well treatments work in real-world settings), clinical judgment and expertise, and client preferences, values, and culture. To learn more about evidence-based practice, visit these websites: • EBBP.org project: EBBP.org creates training resources to help bridge the gap between behavioral health research and practice. Professionals from the major health disciplines are collaborating to learn, teach, and implement evidence-based behavioral practice. • APA Policy Statement on Evidence-Based Practice in Psychology: As part of its quality improvement initiative, the American Psychological Association (APA) has published this policy statement. The Cognitive Behavior Therapy (CBT) Approach and the Solution-Focused Approach are examples of evidence-based practice that have specific techniques and goals that can be measured and tested for effectiveness. Both of these approaches focus not on techniques that "feel right" or "seem correct" but on techniques that are effective. Cognitive Behavior Therapy (CBT) Approach Major Assumptions Strategies and techniques are designed to help clients correct their negative, distorted views about themselves, the world, and the future, as well as the underlying maladaptive beliefs that gave rise to these cognitions. Beck's Cognitive Therapy Model There are several models and contributors to CBT. One of the more known applications of CBT comes from Aaron Beck's Cognitive Therapy of Depression. Aaron Beck is a pioneer of the cognitive approach. He made important contributions in understanding and treating disorders such as depression and anxiety. Life experiences lead people to form assumptions about themselves and the world ("schemata" or "underlying predispositions") that are then used to interpret new experiences and to govern and evaluate behavior. Some of these assumptions are reached on the basis of past negative experience; these assumptions may become rigid, extreme, and resistant to change and are termed dysfunctional or counterproductive. "Automatic thoughts" are short pieces of internal dialogue that are associated with negative emotions that can lead to self-statements such as "I am a failure." These automatic thoughts, termed cognitive distortions, can lead to a vicious cycle of depression that, in turn, results in more cognitive distortions. These could include over-generalizing, disqualifying the positive, catastrophizing, minimization, and personalization. The treatment approach is to teach the client to question negative automatic thoughts and then to challenge the assumptions (schemata) on which they are based. Techniques CBT strategies you can use include the following: • Assign homework. • Teach scaling of emotions or thoughts. • Identify cognitive distortions. • Distinguish between thoughts and facts. • Distinguish between thoughts and feelings. • Challenge global statements. • Distinguish between productive and unproductive thoughts. • Examine the evidence. Let's look at an example of these strategies in action. Read the following scenario and think about how you would use the CBT strategies with this client. Then, click the "Answers" link to see if you are on the right track. Scenario: Steve has social phobia and feels very anxious in social settings. How would you use the CBT strategies with this client? Answers To learn more about CBT, visit The National Association of Cognitive-Behavioral Therapists website. Solution-Focused Approach (SFA) Major Assumptions The solution-focused approach assumes that people are able to construct their own solutions to facilitate change. Attention is given to what clients are doing that is working and to help them build on their potential, strengths, and resources. The following assumptions are part of SFA: • Focus is on the present. • Changes take place in the present, rather than resolving problems of the past. • Longer-term treatment may require examination and resolving of past issues (e.g., survivors of sexual abuse). • Acknowledge the person's discomfort but do not engage in a prolonged discussion of etiology and pathology. • Although individuals have within themselves the resources and abilities to solve their own problems, they are often caught in feelings of powerlessness. • Clients need to be helped to imagine what their future would look like without the problem (that is, if they were "unstuck"). • With mandated clients, the involuntary nature of the relationship must be acknowledged as the starting point for the work. Techniques SFA uses a range of techniques. Techniques focus on the future and how best to solve problems rather than on understanding the cause of the problem. The techniques include the following: • Ask about pre-session changes. Doing so encourages clients to rely on their own resources and strengths. • Ask about between-session changes. Doing so encourages clients to rely on their own resources and strengths. • Ask about exceptions. Doing so directs clients to those times in their lives when their problems did not exist. • Ask the "miracle question." This allows clients to describe life without the problem. Examples are "How will you know when things are better?" and "What will be some of the things you will notice when life is better?" • Ask scaling questions. Doing so requires clients to specify improvements on a scale of 1-10. • Ask coping questions. These questions point out strengths that clients have demonstrated.
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Running head: REFLECTION JOURNAL

Reflection Journal
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REFLECTION JOURNAL
Reflection Journal

From this module, I’ve learned essential aspects of evidence-based practice in psychology.
I’ve understood that it the integration of the available research. Such is based on effectiveness,
efficacy, clinical judgments, expertise, values, cultures and client preferences (Savery, 2015). The
best examples of this approach are the cognitive theory behavior therapy (CBT) and the solutionfocused approach (SFA). The two have specific goals and techniques which can be tested and or
measured for purposes of effectiveness.
Under cognitive behavior therapy (CBT) approach, some several assumptions are made.
The strategies and techniques here are established to assist ...


Anonymous
Excellent! Definitely coming back for more study materials.

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