Deck 13: Cognitive Behavioral Approaches to Addiction Treatment

Question 1

Which of the following is true regarding CBT?

A) CBT has been found to be effective for substance use disorders
B) CBT has been found to be effective for behavioral addictions
C) CBT has been found to be effective for substance use disorders and behavioral addictions
D) CBT has limited empirical support to treat addictive disorders

Answer 1

CBT has been found to be effective for substance use disorders and behavioral addictions

Question 2

Which of the following is not one of the principles of all major CBT approaches?

A) Affect can be observed and modified
B) Cognitive activity may be observed and modified
C) Behavior change can be influenced by cognitive change
D) Behavior is influenced by cognitive activity

Answer 2

Affect can be observed and modified

Question 3

Which CBT principle is also known as the mediation hypothesis?

A) Affect can be observed and modified
B) Cognitive activity may be observed and modified
C) Behavior change can be influenced by cognitive change
D) Behavior is influenced by cognitive activity

Answer 3

Behavior is influenced by cognitive activity

Question 4

On Friday, Linda received an email from her boss asking her to meet with him as soon as she arrives at work on Monday. Linda immediately becomes angry and decides to smoke marijuana to calm down. This is an example of:

A) Affect is observed and modified
B) Cognitive activity is observed and modified
C) Behavior change is influenced by cognitive change
D) Behavior is influenced by cognitive activity

Question 5

What is the defining goal of CBT?

A) Clients become intrinsically motivated to change
B) Clients learn how to identify affect and affective reactions that reinforce their addictive behavior
C) Clients learn how to identify beliefs and styles of thinking that reinforce their addictive behavior
D) Clients reduce the amount of harm their addiction

Question 6

___________ is based upon classical conditioning and operant conditioning.

A) Psychodynamic therapy
B) Affective therapy
C) Cognitive therapy
D) Behavior therapy

Question 7

Which of the following concepts describes learning as occurring when a neutral stimulus is paired repeatedly with a salient stimulus?

A) Operant conditioning
B) Classical conditioning
C) Observational learning
D) Cognitive learning

Question 8

"Behavior is influenced by its consequences within the environment" is most consistent with what concept?

A) Operant conditioning
B) Classical conditioning
C) Observational learning
D) Cognitive learning

Question 9

When an individual is positively or negatively reinforced, behavior is more likely to:

A) Remain the same
B) Decrease
C) Increase
D) Become extinct

Question 10

When an individual is positively or negatively punished, behavior is more likely to:

A) Remain the same
B) Decrease
C) Increase
D) Become more aggressive

Question 11

Cognitive therapy was originally studied by:

A) Thorndike
B) Beck
C) Pavlov
D) Skinner

Question 12

_________ is based upon the belief that humans interpret and react to events based on their beliefs about themselves, their world, and their future. This meaning that is ascribed to events is what is important to psychological health.

A) Cognitive-behavior therapy
B) Behavior therapy
C) Cognitive therapy
D) Affective therapy

Question 13

Addictive behaviors are driven by a combination of ___________ and __________.

A) Situational-specific cognitions; ingrained beliefs
B) Environmental; Situational
C) Emotion; cognitions
D) Maladaptive behaviors; ingrained beliefs

Question 14

Cognitions are organized into how many tiers of factors that contribute to addictive behaviors?

A) Fifteen
B) Ten
C) Five
D) Two

Question 15

What are basic beliefs?

A) Beliefs about the clinician
B) Beliefs about oneself, the world, and the future
C) Beliefs about addictive behaviors
D) Beliefs about treatment processes

Question 16

What are addiction-related beliefs?

A) Beliefs about how to treat the client's addiction
B) Beliefs about what caused the client's addiction
C) Beliefs about addictive behaviors
D) Beliefs about oneself, the world, and the future

Question 17

All of the following are three broad categories of beliefs as hypothesized by Beck, except:

A) Worthlessness
B) Adequacy
C) Lovability
D) Relationships

Question 18

Phil is at a party where almost everyone is drinking alcohol and smoking marijuana. Although Phil is trying to cut down on drinking and smoking, he tells himself "I should be having fun like everyone else!" The thought Phil had is an example of what?

A) Automatic thought
B) Facilitative belief
C) Action-oriented thought
D) Addiction-related belief

Question 19

Phil then gives himself permission to drink, thinks to himself "it's Friday night and I had a hard week. I deserve a drink!" The thought Phil had is an example of what?

A) Automatic thought
B) Facilitative belief
C) Action-oriented thought
D) Addiction-related belief

Question 20

After Phil rationalized his behavior, he then thought to himself "time to grab myself a beer and roll a joint!" The thought Phil had is an example of what?

A) Automatic thought
B) Facilitative belief
C) Action-oriented thought
D) Addiction-related belief

Question 21

Collaborative empiricism in the chapter refers to:

A) Clinician and client work together to explore the client's cognitions
B) Clinician and client work together to explore treatment options
C) Clinician and client work together to explore cause of addiction
D) Clinician and client work together to conduct research in the area of addiction

Question 22

____________ is used to identify and modify unhelpful beliefs and styles of thinking.

A) Psychoeducation
B) Emotional skills training
C) Behavioral skills training
D) Cognitive skills training

Question 23

____________ is used to teach a client skills to reduce the likelihood that they will engage in addiction-related activities.

A) Psychoeducation
B) Emotional skills training
C) Behavioral skills training
D) Cognitive skills training

Question 24

CBT is a monolithic approach to counseling.

Question 25

CBT is one of the most utilized approaches to treat addictive disorders.

Question 26

According to CBT theory, affect and behavior have a reciprocal influence on cognition.

Question 27

Biased interpretations of events influence emotional reactions, behavior, and beliefs according to cognitive therapy.

Question 28

A belief in behavioral therapy is that addictive behaviors are driven by situational-specific cognitions and deeply ingrained beliefs.

Question 29

Two types of addiction-related beliefs are relief-oriented and anticipatory beliefs.

Question 30

Automatic thoughts are cognitions that are known and noticed by the individual.

Question 31

CBT is a long-term approach to treating addictive disorders.

Question 32

Therapeutic alliance is not a necessary component of CBT.

Question 33

It is important that clinicians evaluate background and situational factors when conceptualizing a client's case.

Question 34

Describe the theories that behavior therapy is based upon.

Question 35

What are the Tier 1: Distal background processes that contribute to addictive behavior?

Question 36

What are the Tier 2: Proximal situational processes that contribute to addictive behavior?

Question 37

Define cognitive skills training. Provide examples of skills and brief definitions of each.

Question 38

Define behavioral skills training. Provide examples of skills and brief definitions of each.

Question 39

What are strengths and weaknesses of CBT?