Trial-Based Cognitive Therapy (TBCT) is a three-level, three-phase, case formulation approach, recently developed by Professor Irismar Reis de Oliveira at Federal University of Bahia, Brazil. TBCT's foundation is in CT; however, it has a unique approach to conceptualization and techniques that make it a distinct intervention in modifying patients' core beliefs, especially those about the self.
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New Dr. Oliveira's free CBT book
You can download the new free CBT book edited by Dr. Oliveira. Enjoy it!
Know more about TBCTSee the comments about the first training workshops held in USA. Talk with a classmate about this training. Get informed with people that have already been trained. Hundreds of people have completed the workshops in Brazil and in the United States. See here what they have to say. After the workshop held in New York in March 17, 2012, at the American Institute for Cognitive Therapy, you can attend the workshops to be held in Paris (May 14-16, 2012), at the Clinique des Maladies Mentales et de l'Encéphale, and in Carlsbad, California, at the Neuroscience Education Institute (June 28-30, 2012).
Request training in your city
If you wish to receive training in TBCT in your city, please click here to fill in the request form with your information. When there are 20 people in your city or state who are interested, we will get in touch to confirm a feasible date. Encourage your classmates to fill in the questionnaire. The sooner we reach the quota, the faster we'll set a date. Your city may be next!
Training in Trial-Based Cognitive Therapy
Prof. Irismar Reis de OliveiraAgenda
Day 1
Morning
8:00-8:15
Introductions and creation of googlegroups.com discussion list
8:15-8:30
Introduction to the cognitive model and to TBCT: cognitive conceptualization in 3 levels according to TBCT
8:30-10:15
Cognitive conceptualization diagram – 1st level (explaining the cognitive model to the patient)
Role-play Demonstration with student and in-class exercise
Video demonstration and in-class exercise
10:15-10:30
Coffee break
10:30-12:00
Techniques in cognitive restructuring at the 1st level
Cognitive distortions (explanation of cognitive distortions to the patient)
Cognitive Distortions Questionnaire (CD-Quest)
Intra-personal Thought Record (Intra-TR)
Video demonstration of Intra-TRMidday
12:00-2:00
Lunch
12:15-1:45
Optional Activity: Film illustrating a juryAfternoon
2:00-3:15
Techniques in cognitive restructuring at the 1st level (cont.)
In-class Intra-TR practical exercise
Interpersonal Thought Record (Inter-TR)
Inter-TR practical exercise (role-play demonstration with students)
15-3:30
Coffee break
3:30-3:45
Cognitive conceptualization diagram – 2nd level
3:45-6:00
Techniques in cognitive restructuring at the 2nd level
Behavioral experiments facilitated by color-coded symptoms hierarchy
Consensual role-play (CRP)
Video demonstration of CRP
Role-play demonstration with students
In-class exercise
Day 2
Morning
8:00-8:15
Cognitive conceptualization diagram – 3rd level: How Kafka inserts himself in psychotherapy
8:15-10:15
Techniques in cognitive restructuring at the 3rd level:
Trial I
First video demonstration of Trial I
10:15-10:30
Coffee break
10:30-12:00
Techniques in cognitive restructuring at the 3rd level (cont.):
In-class exercise
Role-play demonstration with students
In-class exerciseMidday
12:00-2:00
Lunch
12:15-1:45
Optional activity: "Lunch with Kafka," presenting the play Franz Kafka in Trial-Based Cognitive TherapyAfternoon
2:00-3:15
Techniques in cognitive restructuring at the 3rd level: (cont.):
In-class exercise in Trial I
Second video demonstration of Trial I
3:15-3:30
Coffee break
3:30-6:00
Techniques in cognitive restructuring at the 3rd level: (cont.):
In-class exercise in Trial I
Role-play demonstration with students
In-class exercise in Trial I
Day 3
Morning
8:00-8:15
Review of cognitive conceptualization diagram with emphasis on the 3rd level
8:15-10:15
Techniques in cognitive restructuring at the 3rd level (cont.)
In-class exercise in Trial I, in the form of an Appeal
Video demonstration of Trial I with acutely disturbed patient
10:15-10:30
Coffee break
10:30-12:00
Techniques in cognitive restructuring at the 3rd level (cont.):
Trial II
Video demonstration of Trial II
Role-play demonstration with students
In-class exerciseMidday
12:00-2:00
LunchAfternoon
2:00-3:15
Techniques in cognitive restructuring at the 3rd level (cont.):
In-class exercise in Trial II
Second video demonstration of Trial II (patient with panic disorder and agoraphobia)
3:15-3:30
Coffee break
3:30-4:00
Techniques in cognitive restructuring at the 3rd level (cont.):
Responsibility Grid
Role-play demonstration with students
In-class exercise
4:00-4:15
Research data of the Trial
4:15-4:30
Invitation to participate in online evaluation of the Trial technique and software demonstration
4:30-5:00
Conclusion and training evaluation
Synopsis of TBCT Techniques
1st level
- Cognitive Distortions Questionnaire (CD-Quest)
- Intra-personal Thought Record (Intra-TR)
- Interpersonal Thought Record (Inter-TR)
2nd level
- Behavioral experiments facilitated by color-coded symptoms
- Consensual role-play
3rd level
- Thought Records Based on Trial I (Trial I)
- Thought Records Based on Trial II (Trial II)
- Responsibility Grid (RG)
Training ObjectivesAt the end of this intensive training, whose main characteristic is to be predominantly practical, the student should be able to:
- explain, socratically, the cognitive model to his/her patients, utilizing the TBCT conceptualization diagram, so that the patients may demonstrate that they have understood correctly the reciprocal and circular relation between situation, thought, emotion and behavior/physical reaction;
- use Intra-TR in such a way that the patient will consider him/herself apt to implement it as homework as of its first utilization in session, generally the second one;
- understand and be able to implement the Inter-TR;
- use CRP in such a way that the patient, whatever decision was made, will feel relief in his/her relative ambivalence regarding the topic to be decided;
- use Trial I in order to reduce the mean percentage of the negative core belief and emotion in patients at least by 60%;
- use Trial II in order to have his/her patients perceive the metacognitive character of their thoughts and beliefs (sailboat metaphor);
- use the RG in working with patients facing events that produce feelings of guilt.
References
1. De-Oliveira IR (2007) Sentence-reversion-based thought record (SRBTR): A new strategy to deal with yes, but... dysfunctional thoughts in cognitive therapy. European Review of Applied Psychology 57:17-22.
2. De-Oliveira IR (2008) Trial-Based Thought Record (TBTR): Preliminary data on a strategy to deal with core beliefs by combining sentence reversion and the use of an analogy to a trial. Revista Brasileira de Psiquiatria 30:12-18.
3. De-Oliveira IR (2011) Kafka´s trial dilemma: Proposal of a practical solution to Joseph K.´s unknown accusation. Medical Hypotheses, 77:56.
4. De-Oliveira IR et al. (2011) Efficacy of the trial-based thought record, a new cognitive therapy strategy designed to change core beliefs, in social phobia. Journal of Clinical Pharmacy and Therapeutics, doi:10.1111/j.1365-2710.2011.01299.x
