Application of Cognitive Therapy 65
Early Experiences
Predisposing factors Mary Oldest child with four brothers.
forming psychological * Relied upon by mother to help in the house.
vulnerabillty * Brothers cannot do anything wrong. Mary is
chastised or blamed.
* Made to leave school at 16, although top of
her class.
Formation of Basic Assumptions
and Core Schemata
Predisposing factors to Critical Incident
the problem
Husband leaves her forayounger
Woman.
Situational factors Basic Assumptions and Core
No employment outside the Schemata Activated
home.
Current hassles/problems
Hyperactive son, aged 10.
Daughter aged 14 acting Negative Automatic Thoughts
out because of lack of
attention.
I'mnot worthwhile.
I'm inferior to other people.
Social network
No confidingrelationship. People take advantage of me.
My life is finished.
Critical parents. I will never be loved.
Problems areas.
Depressive Symptoms
Behavioral Motivational
Stops doing her homework. Loss of pleasure.
Cries a lot. Indecision.
Avoids people. Suicidal wishes.
Affective Physiological/Biological
Lowmood. Sleep disturbance.
Hopeless. Loss of appetite.
Sympathetic symptoms.
Figure 5 Examples of a functional analysis of a problem at assesment (Mary, age 42).