Cognitive behavioral therapy, or CBT, is a psychotherapy technique that attempts to teach patients to correct emotional and behavioral responses to troubling situations. The treatment focuses on identifying the situations that lead to negative emotions and behaviors and then examining the thought process and beliefs of the patient that leads them to make the wrong behavioral choices. Once patients are aware that they are making the wrong choice and understand why, they can be retrained to make the right choices with the result being the elimination of the negative behavior. This is always the goal of CBT: to eliminate the negative behavior.
The treatment is effective when it is done as a systematic process and it takes time. Patients need to encounter problem situations numerous times in order to have the opportunity to retrain their thinking and thereby change their behaviors. Cognitive behavioral therapy has been successful in the treatment of eating disorders, anxiety, insomnia, obsessive compulsive disorder, and post traumatic stress disorder.
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Physical therapy is now a booming business that has come a very long way in a very short period of time; in fact it’s one of the fastest growing industries in the world. New physical therapists are entering the field every single day to treat the ever growing pool of people requiring treatment for all different kinds of injuries and ailments.
Injuries are a fact of life, not just for professional athletes but for regular people too. An elderly person who slips in the shower and breaks a hip, or the dock worker that injures his back lifting heavy box after heavy box or the middle aged woman that gets banged up in a hit and run collision all require the services of a properly trained physical therapist.
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In this case study, my supervisee and I discussed how the fact that both of us were middle aged (albeit a 15-year age difference), middle class, white women brought up issues of trust and difficulties in establishing rapport between the supervisee and the poor and ethnically different clients at her placements. We also had the opportunity to notice differences in the expectations of the therapist in Asian and Hispanic cultures, and that the expectation of a more hierarchical role was at odds with the supervisee’s preferred postmodern stance.
The supervisee was visibly upset with the father of one of her clients who was not supportive of his daughter’s lesbianism. The supervisee disclosed that she had had bisexual experiences in the past, and that her anger was counter transference and that she needed to explore her own unfinished business in this area.
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