Friday, December 6, 2019

Literature Review for Socratic Questioning Method- myassignmenthelp

Question: Discuss about theLiterature Review for Socratic Questioning Method. Answer: Introduction The case scenario is of a 39 year old male named Steve. The subject has recently lost his job as civil engineer for unsatisfactory performance followed by a breakdown of his 10 year old relationship. This was the first negative feedback that he experienced in his career that left him de-motivate. He is now experiencing low amount of sleep and lost his interest in searching jobs or socialize. His parents failed inspiring him. The Socratic questioning intervention method of cognitive behavioral therapy can prove to be useful in this particular case scenario. A detailed study of the method form the earlier scholarly work is presented in this part of the assignment. Literature Review According to Ehlers et al. (2005) Socratic Method comprises an important part in the cognitive behavioural therapy and proved to be a competent approach in CBT (Roth and Pilling, 2007). Beck (2003) suggests that the questioning method promotes the acquisition of abstract conceptual skills, which guides the patient to create distance from and an ability to evaluate, distressing appraisals. Role and function of Socratic Method The patients with high level of distress are treated with the help of CBT as it aims to help the patients develop skills that allow to re-appraisal and modification of distressing cognition. The role of the method under study that is Socratic Method is to give confidence to the patients for considering evaluating their thinking. It studies the information of the situation background of the patient and helps them to consider their upsetting cognition. The method only guides the patients, where they have to reach their own conclusions considering the validity of the upsetting thought (DeRubeis et al., 2009). It helps the patient to focus on the facts relevant for their appraisal instead of making conclusion on the basis of their affect, thus attenuating the impact of emotional reasoning. The theory of self determination states the efficiency of the decision to alter the behaviour is greater in case of personally taken from the case of imposition (Kennerley, 2007). The patients in this case response greater in developing higher level of intrinsic motivation to engage in change. the Socratic Questioning method uses the patients information in patients awareness in which, the patients may recognize and resolve the logical inconsistencies and discrepancies in reasoning. Socratic Questioning Method has potential significance value within the treatment in the belief change model of CBT as the central principle states the changes in cognitive process that will mediate symptom improvement. The idea formed in the above section presents the Socratic Questioning method as a verbal-based procedure and most closely associated with the cognitive work in CBT. The method of implementation of Socratic questioning involves the process of planning, rational and evaluation of behavioural techniques. Veale (2008) suggests for optimal delivery of behavioural activation to incorporate the Socratic Questioning Method where it is expected from the patient to be active and try generating solution. Challenges of using Socratic Method Like any other methods in cognitive behavioural therapy, Socratic questioning also comes with variant challenges. It is suggested not to use the pure Socratic questioning method in the CBT for avoiding the hurdles that might come. The Socratic Questioning Method is always used alongside of the non-Socratic dialogues. Despite of the high level of usage of Socratic Questioning method in cognitive behavioural therapy and the importance of it, there is little to no proper description found on how and when a Socratic approach should be implemented. Similarly, a lack of clearance exists in the uniformity of the approach over the CBT intervention (Kazantzis et al., 2014). On the other hand, James et al. (2010) has identified the problem of identifying the applicability of the approach on the patients. The problem arises in the selection of questioning process due to the differences in attention, motivation, executive functioning and memory that will be appropriate for particular psychiatric disorder. Kazantzis et al. (2014) worked on the qualitative differences within the nature of the appraisals required across specific disorders. They found that the efficiency of the Socratic approach reduces with the cultural gap between the therapist and the patient. Besides, as mentioned earlier, there is no proper guideline prescribed about the usage of Socratic questioning. Moreover, a detailed analysis demonstrates the challenge of evaluation of the role of the Socratic Questioning Method is the lack of an adequate tool. The cognitive behavioural therapy lack in providing a proper measurement tool for the Socratic Questioning Method and uses a universal Cognitive Therapy Rating Scale for all the methods incorporated. It limits the effectiveness of the proposed method (Blackburn et al., 2001). Literature Gap The review of the empirical research fails to identify the beneficial effects of Socratic Questioning method in the Cognitive Behavioural Therapy. This absence suggests the need of conducting research on the benefit of the approach. Five assumptions could be made regarding the benefits of suing the approach in CBT. They are assumption reducing distress associated with unhelpful cognitions, assumption allowing patients to internalize the approach and develop skills in critical thinking for evaluating unhelpful cognitions, assumption resulting in memorable and convincing insights and conclusions, assumption increasing engagement and autonomy in therapy and assumption improving the outcome of CBT and Reducing the likelihood of relapse. Conclusion The importance of Socratic Questioning method has been conceptualized as an important element of CBT interventions. The review of the literatures existing in the market suggests the theoretical rationale for its use within the CBT. However, several challenges lies within the use of the approach in CBT as there is no proper guideline proposed for its implementation. Moreover, the investigations conducted by the scholars fail to identify the value of the approach within the therapy. The challenges that are spotted in the use of Socratic Questioning Method might be a reason for neglecting the consideration of finding the benefits of the approach. Five distinct assumptions have been made regarding the benefits of using the approach in CBT that have scope for research. References Beck, J. S. (2011).Cognitive therapy for challenging problems: What to do when the basics don't work. Guilford Press. Blackburn, I. M., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., Reichelt, F. K. (2001). The revised cognitive therapy scale (CTS-R): psychometric properties.Behavioural and cognitive psychotherapy,29(4), 431-446. Dobson, K. S. (Ed.). (2009).Handbook of cognitive-behavioral therapies. Guilford Press. Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., Fennell, M. (2005). Cognitive therapy for post-traumatic stress disorder: development and evaluation.Behaviour research and therapy,43(4), 413-431. James, I. A., Morse, R., Howarth, A. (2010). The science and art of asking questions in cognitive therapy.Behavioural and cognitive psychotherapy,38(1), 83-93. Kazantzis, N., Fairburn, C. G., Padesky, C. A., Reinecke, M., teesson, M. (2014). Unresolved issues regarding the research and practice of cognitive behavior therapy: The case of guided discovery using Socratic questioning. Behaviour Change, 31(01), 1-17 Kennerley, H. (2007). Socratic method. Oxford, England: Oxford Cognitive Therapy Centre Essential Guides. Roth, A. D., Pilling, S. (2007). The competences required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. Kennerley, H. (2007). Socratic method. Oxford, England: OxfordCognitive Therapy Centre Essential Guides Eale, D. (2008). Behavioural activation for depression. Advances inPsychiatric Treatment, 14(1), 293 Veale, D. (2008). Behavioural activation for depression. Advances in psychiatric Treatment, 14(1), 29-36

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