Showing posts with label Conclusion. Show all posts
Showing posts with label Conclusion. Show all posts

Sunday, May 11, 2014

Labeling


Labeling is a kind of jumping to conclusions in which we apply a negative term to a complex person or event. It often also entails overgeneralization because we tend to label all the members of a group with the characteristics we may have seen in some. Often its most damaging form is self-labeling. We all do it. If someone who has just met you asks you who you are or what you do, you are likely to respond by labeling yourself: "I'm a student," or "I'm an electrician," or "I'm a history major." Such labels always leave out much more than they include. But if we take them with a grain of salt they probably don't do much harm. What does a lot of harm is an evaluative label we apply based on past experience. A lot of students have told me, "I'm a poor English student," or "English is my worst subject." But as far as I can tell, good students are as likely to label themselves in this way as poor ones. So I conclude that these students have labeled themselves on the basis of weak evidence. When I question such students I usually find that the fact behind a label such as "I'm a poor English student" is something like "I got a D in the grammar portion of 10th grade English" or "I didn't like the books we read in high school literature classes."
A student once told me at the very beginning of the semester that he was a lousy writer. I asked him what he'd written. He said that he'd never written anything longer than a paragraph in high school. I asked him how he could possibly know he was lousy at something he'd never really attempted seriously. He said that he "just knew." He had labeled himself for no very good reason. But once a negative label becomes an automatic thought it can easily act as a self-fulfilling prophecy. Nobody likes to spend time doing what he or she is not good at. So if you've labeled yourself as "dumb" or a "bad student" or "no good at English/math/history/geography/biology" you will expect to do poorly in it, and you probably will.

Labeling others can be as damaging as labeling ourselves. Labeling reinforces stereotypes about groups of people and, in general, encourages us to say and do stupid things. I am amazed at the speed with which many students label a book "boring" and then proceed as if that single vague label were all that could be said about the text in question.

The negative labels we apply to ourselves and others in our automatic thoughts are almost always vague and ambiguous because they are automatic. If you try to write an essay from your automatic thoughts--you may think of them as your "opinions"--you will find that it consists of nothing more than a string of labels. If you are going to write well about your opinions, you will have to bring them beyond the stage of automatic thoughts and give reasons for those opinions that make sense to other people. In order to do that, you'll have to define the labels you're using. If you can define your terms clearly and give evidence for your beliefs, then you have gone beyond automatic labeling and begun to engage in reasoned argument.

One form of labeling is so widespread in this business that it deserves brief mention on its own. It's called grading. Grades may or may not be necessary, but they can unquestionably do a great deal of damage if we take them too seriously. Letter grades are horribly vague and imprecise. If you doubt that, you can easily disprove it: Stop right now and write down a clear, precise, and universally applicable definition of an "A" that will allow us to tell whether a piece of work is worthy of an "A" without knowing who the teacher is or who the student is. Can't do it. That's because letter grades mean vastly different things to different people. At best, letter grades are a very rough code for a very general evaluation of a student's performance. They never answer the most important questions a student needs to ask: What did I do well? Where could I improve? Have I achieved my own goals in this course? How can I build on what I've learned? What can I do now that I couldn't do before? How can I be a more effective learner? A student who receives an "F" and knows the answers to some of these questions is better off than one who gets an "A" and never asks them. The label is an abstraction. It is never as important as the more complex reality it stands for. If we allow the label to become all important, so that we ignore the reality it is supposed to stand for, then we have yielded to this cognitive distortion in a way that seems to me to resemble the thinking of people who are seriously mentally ill. G. K. Chesterton, writing many years before the development of cognitive therapy, said that "madness is a preference for the symbol over that which it represents"(11).




Can cognitive behavioural therapy really change our brains? (BBC)


Cognitive behavioural therapy (CBT) is a type of talking therapy that's used to treat a wide range of mental health problems, from depression and eating disorders to phobias and obsessive-compulsive disorder (OCD). It recommends looking at ourselves in a different way that might prove useful for all of us in everyday life. But what happens to our brains when we have CBT?

What is cognitive behavioural therapy?

CBT is based on the idea that problems aren't caused by situations themselves, but by how we interpret them in our thoughts. These can then affect our feelings and actions.
Situation affects thoughts, which then affect feelings and actions The way we think about a situation can affect how we feel and how we act

For example, if someone you know walks by without saying hello, what's your reaction?

You might think that they ignored you because they don't like you, which might make you feel rejected. So you might be tempted to avoid them the next time you meet. This could breed more bad feeling between you both and more "rejections", until eventually you believe that you must be unlikeable. If this happened with enough people, you could start to withdraw socially.

But how well did you interpret the situation in the first place?
 

Common errors in thinking style

  • Emotional reasoning - e.g. I feel guilty so I must be guilty
  • Jumping to conclusions - e.g. if I go into work when I'm feeling low, I'll only feel worse
  • All-or-nothing thinking - e.g. if I've not done it perfectly, then it's absolutely useless
  • Mental filtering - e.g. noticing my failures more than my successes
  • Over generalising - e.g. nothing ever goes well in my life
  • Labelling - e.g. I'm a loser
CBT aims to break negative vicious cycles by identifying unhelpful ways of reacting that creep into our thinking. 

"Emotional reasoning is a very common error in people's thinking," explains Dr Jennifer Wild, Consultant Clinical Psychologist from Kings College London. "That's when you think something must be true because of how you feel."

CBT tries to replace these negative thinking styles with more useful or realistic ones.
This can be a challenge for people with mental health disorders, as their thinking styles can be well-established.

How do we break negative thinking styles?

Some psychological theories suggest that we learn these negative thinking patterns through a process called negative reinforcement. 

Spider  
Graded exposure can help people confront their phobias

For example, if you have a fear of spiders, by avoiding them you learn that your anxiety levels can be reduced. So you're rewarded in the short term with less anxiety but this reinforces the fear.

To unlearn these patterns, people with phobias and anxiety disorders often use a CBT technique called graded exposure. By gradually confronting what frightens them and observing that nothing bad actually happens, it's possible to slowly retrain their brains to not fear it.

How does cognitive behavioural therapy work on the brain?

Primitive survival instincts like fear are processed in a part of the brain called the limbic system. This includes the amygdala, a region that processes emotion, and the hippocampus, a region involved in reliving traumatic memories.

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It seems that CBT really can change your brain and rewire it.”
Dr Paul Blenkiron, Consultant Psychiatrist 
 
Brain scan studies have shown that overactivity in these two regions returns to normal after a course of CBT in people with phobias. 

What's more, studies have found that CBT can also change the prefrontal cortex, the part of the brain responsible for higher-level thinking.

So it seems that CBT might be able to make real, physical changes to both our "emotional brain" (instincts) and our "logical brain" (thoughts). 

Intriguingly, similar patterns of brain changes have been seen with CBT and with drug treatments, suggesting that psychotherapies and medications might work on the brain in parallel ways.

How effective is cognitive behavioural therapy? 

Of all the talking therapies, CBT has the most clinical evidence to show that it works. 

Studies have shown that it is at least as effective as medication for many types of depression and anxiety disorders. 

But unlike many drugs, there are few side effects with CBT. After a relatively short course, people have often described long-lasting benefits. 

"In the trials we've run with post-traumatic stress disorder [PTSD] and social anxiety disorder, we've seen that even when people stop the therapy, they continue improving because they have new tools in place and they've made behavioural and thinking style changes," Dr Wild explains.

Find out more

Two people talking
  • Watch David, 25, and Wayne, 24, use CBT to help with their mental health in Inside My Mind on BBC Three, 7 August 2013 at 8pm, and afterwards on iPlayer
  • Find out more about mental health in the It's a Mad World season on BBC Three
CBT may not be for everyone, however. 

Since the focus is on tackling the here and now, people with more complicated roots to their mental problems which could stem from their childhood, for example, may need another type of longer-term therapy to explore this. 

CBT also relies on commitment from the individual, including "homework" between therapy sessions. It can also involve confronting fears and anxieties, and this isn't always easy to do. 

Ultimately, as with many types of treatment, some people will benefit from CBT more than others and psychologists and neuroscientists are beginning to unravel the reasons behind this. 


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