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3c:T8d1,- Outlines Beck's Cognitive Therapy: client identifies negative thoughts about self, world, and future (the cognitive triad). B1 - Outlines 'patient-as-scientist' homework where clients test the reality of their negative assumptions in real-world scenarios. B1 - Outlines Ellis's Rational Emotive Behaviour Therapy (REBT): extends ABC to ABCDE, focusing on disputing (D) irrational beliefs and developing an effective (E) philosophy. B1 - Outlines methods of disputing in REBT: logical disputing (whether the belief makes sense) and empirical disputing (whether there is evidence to support the belief). B1 - Outlines behavioural activation: encouraging depressed individuals to engage in active, rewarding behaviours to break the cycle of avoidance and withdrawal. B1 - Outlines the collaborative nature of CBT: client and therapist working together to identify cognitive distortions and set therapeutic goals. B1 - Evaluates clinical efficacy: CBT is highly effective, with evidence (e.g., March et al., 2007) showing it is as effective as antidepressant medication (81% improvement for both individually). C1 - Evaluates suitability limitations: CBT requires high levels of motivation and cognitive engagement; severely depressed patients may be unable to engage without initial pharmacological treatment. C1 - Evaluates cognitive primacy: CBT's heavy focus on internal cognitions may ignore crucial environmental, structural, or social factors (e.g., poverty, domestic abuse) that realistically cause depression. C1 - Evaluates the therapeutic alliance: research suggests the effectiveness of CBT may rely heavily on the quality of the client-therapist relationship rather than specific cognitive methods. C1 - Evaluates commitment and drop-out rates: CBT is demanding, requiring active homework and attendance, which can lead to higher attrition rates compared to passive drug therapies. C1 - Evaluates long-term outcomes: some follow-up studies suggest that while CBT is effective in the short term, relapse rates can be high once the structure of active therapy ends. C13d:Ta9e,- Identifies Cognitive Behavioural Therapy (CBT) or Rational Emotive Behaviour Therapy (REBT) as the primary psychological therapies B1 - Outlines Beck’s cognitive triad (negative views of the self, world, and future) as the basis of cognitive therapy B1 - Explains that the aim of Beck's CBT is to identify automatic negative thoughts and challenge them B1 - Explains the "patient as scientist" technique where homework is set to test negative beliefs against reality B1 - Explains how Ellis's REBT extends the ABC model to ABCDE, where D is disputing and E is effect B1 - Explains empirical disputing (checking if there is evidence) and logical disputing (checking if the belief logically follows from facts) B1 - Outlines behavioural activation as a method to encourage engagement in active, pleasurable activities to break the cycle of depression B1 - Demonstrates a clear, coherent structure with accurate use of psychological terminology throughout the description C1 - Evaluates using supporting evidence of effectiveness, such as March et al. (2007) M1 - Explains that March et al. found 81% of CBT alone and 81% of drug alone improved, demonstrating high clinical effectiveness A1 - Explains that the combination group showed 86% improvement, suggesting CBT works very well alongside biological treatments A1 - Points out that CBT offers long-term protection by teaching active coping strategies, unlike drug therapy which has higher relapse rates M1 - Discusses the limitation that CBT requires significant cognitive effort, commitment, and motivation M1 - Explains that severely depressed patients may struggle to engage, requiring medication before CBT can be effective A1 - Identifies ethical concerns, such as cognitive minimisation, which ignores environmental causes (e.g. abuse, poverty) M1 - Explains that ignoring real-world circumstances risks focusing solely on internal thoughts when external changes are needed A1 - Explains that placing the burden of recovery entirely on the patient's thoughts can lead to inappropriate blame and feelings of personal failure A1 - Evaluates the cost-effectiveness and economic benefits of CBT compared to long-term reliance on medication M1 - Compares psychological therapies against biological alternatives in terms of side effects and safety M1 - Concludes with a balanced judgment on the overall clinical value of psychological therapies for depression C13e:T6fa,- Outlines Beck's cognitive triad (negative views of the self, world, and future) and negative self-schemas B1 - Outlines Ellis's ABC model, explaining how activating events lead to irrational beliefs and emotional consequences B1 - Describes cognitive-behavioural therapy (CBT) techniques, including identifying negative automatic thoughts and disputing them B1 - Describes behavioural activation and the 'patient as scientist' approach of setting homework tasks B1 - Applies Beck's triad to Marcus's statements, identifying his thoughts of being incompetent as negative self-views, and failing the test as predicting a hopeless future M1 - Applies Ellis's ABC model to Marcus, identifying the activating event (failing the mock test) leading to the irrational belief ('completely incompetent') M1 - Applies CBT treatment to Marcus, explaining how the therapist would help him identify automatic thoughts about his friends pitying him M1 - Proposes a homework task for Marcus (e.g., keeping a diary of positive interactions) to act as 'patient as scientist' and test his assumptions M1 - Evaluates the explanations using research evidence supporting cognitive vulnerability (e.g., longitudinal studies) A1 - Discusses the limitation of causality: whether cognitive distortions cause depression or are merely symptoms of it A1 - Evaluates the effectiveness of CBT, citing evidence of high success rates comparable to drug therapy (e.g., March et al., 2007) A1 - Discusses limitations of CBT, such as the high level of motivation required which might make it unsuitable for severely depressed individuals C125:["$","$L36",null,{"bundle":{"topicIds":["691fc6aa-52e6-5f17-ba40-a1a742b8ea0d"],"paperIds":[],"stageIds":[],"stageTopicIds":[],"stageAssessmentIds":[],"topicNoteIds":["add2bd68-2fe0-4354-8666-1c41cee8e75b"]},"children":[["$","$L37",null,{"feature":"question-bank"}],"$L38",["$","$L39",null,{"subjectCode":"a_level_psychology__aqa","subjectName":"Psychology","topicSlug":"cognitive-approach-to-depression","topicTitle":"Cognitive approach to depression","sectionTitle":null,"activity":"worksheet","resourceTitle":"Cognitive approach to depression Questions","resourceHref":"/a-level/psychology/aqa/cognitive-approach-to-depression/questions/q1","saveTrail":false}],["$","$L3a",null,{"href":"/a-level/psychology/aqa/cognitive-approach-to-depression/questions/q1","label":"Cognitive approach to depression","subjectCode":"a_level_psychology__aqa","surface":"questions"}],["$","script",null,{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"LearningResource\",\"name\":\"Question 14 – Cognitive approach to depression - 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He frequently tells his therapist, 'I failed my last driving mock test, which proves I am completely incompetent and will never pass the real test. My friends only spend time with me because they feel sorry for me.' Marcus’s therapist is planning a course of cognitive-behavioural therapy (CBT) to address his difficulties.","difficulty":6,"difficultyBand":"hard","totalMarks":12,"sourceTitle":null,"calculatorUse":null,"isCalculation":true,"parts":[{"id":"aaade014-260f-4cf5-9f5f-7978eec6c6ff","label":null,"content":"Outline and evaluate the cognitive approach to explaining and treating depression. Refer to Marcus in your answer.","markscheme":"$3e","marks":12,"order":0,"markingRubric":null,"tableImages":[],"explanation":{"methods":[{"id":"structured_essay","label":"Build a linked essay","steps":[{"type":"text","order":1,"title":"Plan each paragraph","content":"For 12 marks, write linked paragraphs rather than listing facts. A strong pattern is **explain the cognitive idea → apply it to Marcus → evaluate it**.\n\nAim to cover both explanations (Beck and Ellis), then CBT treatment, and include a specific application each time. This makes the theory relevant rather than a generic description."},{"type":"text","order":2,"title":"Explain Beck's theory","content":"Beck argued that depression is associated with **negative self-schemas**: enduring, negative beliefs about oneself which distort how a person interprets events. These schemas produce the **cognitive triad**: negative views of the **self**, the **world**, and the **future**.\n\nApply this precisely: Marcus calling himself “completely incompetent” is a negative view of the self. Treating one failed mock test as proof that he “will never pass” is a negative view of the future. His belief that friends only see him out of pity can show a negative interpretation of his social world.\n\nThis earns the first outline mark and the first application mark.","highlights":[{"text":"'I failed my last driving mock test, which proves I am completely incompetent and will never pass the real test. My friends only spend time with me because they feel sorry for me.'","location":"specification"}]},{"type":"text","order":3,"title":"Apply Ellis's ABC model","content":"Ellis's ABC model explains that an **activating event** is interpreted through an **irrational belief**, which then leads to an emotional **consequence**. This general explanation earns the Ellis outline mark.\n\nFor Marcus:\n- **A** is failing his driving mock test.\n- **B** is the irrational belief: “I am completely incompetent”, together with the prediction that he will never pass.\n- **C** is the emotional consequence: Marcus feels depressed and hopeless.\n\nIdentifying the mock-test failure and his irrational belief earns the Ellis application mark.","highlights":[{"text":"'I failed my last driving mock test, which proves I am completely incompetent and will never pass the real test.","location":"specification"}]},{"type":"text","order":4,"title":"Explain CBT treatment","content":"CBT aims to change unhelpful thinking and behaviour. The therapist helps the person identify **negative automatic thoughts**: immediate, habitual negative interpretations. They then **dispute** these thoughts by looking for evidence and developing a more realistic alternative.\n\nHere, the therapist could ask Marcus to identify his automatic thought that his friends spend time with him only because they pity him. They could examine evidence for and against it, such as friendly messages or invitations, and challenge the conclusion that pity is the only explanation.\n\nThis earns the CBT description and application marks."},{"type":"text","order":5,"title":"Add behavioural activation","content":"CBT also uses **behavioural activation**, encouraging planned activities that can increase positive experiences and reduce withdrawal. In the *patient as scientist* approach, homework tasks let the person test a prediction using evidence.\n\nMarcus could keep a diary for a week of positive interactions with friends, recording who contacts him, what they say and whether they choose to meet him. He can then test his assumption that they only see him from pity against the evidence collected. This is a concrete homework task, not merely the instruction to “think positively”.\n\nThis earns the remaining treatment outline and application marks."},{"type":"text","order":6,"title":"Evaluate cognitive explanations","content":"Longitudinal evidence supports the idea of **cognitive vulnerability**: Alloy *et al.* (1999) measured negative thinking in participants and found that those with more negative cognitive styles were more likely to develop depression later. Because the thinking was measured before the later depression, this supports the cognitive explanation rather than simply describing depressed people. **This evidence earns the evaluation mark for cognitive vulnerability.**\n\nHowever, this does not prove cause and effect. Distorted thinking could be a **symptom** of depression rather than its cause; becoming depressed may itself make someone think negatively. **This causality limitation earns the second evaluation mark for cognitive explanations.**"},{"type":"text","order":7,"title":"Evaluate CBT suitability","content":"CBT requires Marcus to engage with challenging thoughts and complete tasks between sessions. Someone who is severely depressed may have very low motivation and may struggle to do this, so CBT may be less suitable for them. **This limitation earns the evaluation mark for the motivation required by CBT.**"},{"type":"text","order":8,"title":"Evaluate CBT effectiveness","content":"There is evidence that CBT can be effective: March *et al.* (2007) found that CBT had success rates comparable with drug therapy. This supports CBT as a useful treatment for depression, rather than merely a plausible explanation. **This evidence earns the evaluation mark for CBT effectiveness.**"}]}],"generatedAt":"2026-07-22T07:11:48.894Z","modelVersion":"gpt-5.6-terra+diagrams-1","explanationVersion":"v3"},"options":[]}],"options":[],"explanation":null,"firstAttemptFullMarks":null,"walkthroughVideo":null}],"subjectCode":"a_level_psychology__aqa","summaries":[{"id":"05073203-a08b-462d-9ac9-e684cf5b11ba","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":true},{"id":"0f31ed32-683c-4511-a1ba-fabddd5f0043","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":true},{"id":"0fe7abf9-a8dc-4d20-a04b-34a7f41adc7c","difficultyBand":"medium","calculatorUse":null,"totalMarks":6,"questionType":"LA","isCalculation":false},{"id":"151ca74d-c8dc-4e35-85d2-09594470eafe","difficultyBand":"easy","calculatorUse":null,"totalMarks":2,"questionType":"LA","isCalculation":false},{"id":"20f69cc3-11a2-4e7f-bfe3-cfde19993fa6","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":false},{"id":"37f8ad3c-c0a1-4e5a-954e-b6cde44b040b","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":false},{"id":"3b0811aa-eed0-4b33-8d6b-7aad3ce590a8","difficultyBand":"hard","calculatorUse":null,"totalMarks":20,"questionType":"LA","isCalculation":false},{"id":"3b385c37-81d9-4c1f-b31a-d98753ed1568","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":true},{"id":"427db83f-11f9-4bf3-bd45-39e7d55341be","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":false},{"id":"427f51d4-0e64-4306-b608-67190f5fbd53","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":true},{"id":"4d836ddf-c5d5-442f-9e27-b76ec58f1f91","difficultyBand":"hard","calculatorUse":null,"totalMarks":24,"questionType":"LA","isCalculation":false},{"id":"5cd9f461-96e8-4f21-9f5d-c3a7e0801ccf","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":false},{"id":"5ef3a00a-39fb-44af-84a4-0788562b7546","difficultyBand":"medium","calculatorUse":null,"totalMarks":6,"questionType":"LA","isCalculation":false},{"id":"65933d20-b8de-46b7-a626-22bb8178d8d5","difficultyBand":"hard","calculatorUse":null,"totalMarks":20,"questionType":"LA","isCalculation":true},{"id":"6f71c2e3-d323-4d77-a540-068af7515538","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":true},{"id":"782e6899-d611-43c8-a1a6-08ee6ddbafd2","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":true},{"id":"7a59349b-9cdf-430f-8adb-1c889f61fec5","difficultyBand":"hard","calculatorUse":null,"totalMarks":16,"questionType":"LA","isCalculation":false},{"id":"7d9350aa-4dc5-4901-86ad-490d4006968d","difficultyBand":"hard","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":false},{"id":"85f34896-4d40-40b7-ae8d-43dc50890a28","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":false},{"id":"87b76fb3-7808-4d73-b737-2513679937dc","difficultyBand":"easy","calculatorUse":null,"totalMarks":2,"questionType":"LA","isCalculation":false},{"id":"8eee6a9c-3d41-440e-b452-beb844198248","difficultyBand":"medium","calculatorUse":null,"totalMarks":2,"questionType":"LA","isCalculation":false},{"id":"a1f427e6-06e1-452a-ab13-278bdccbf580","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":false},{"id":"a81e99ec-e6dc-4676-a68a-72fe7c8ac23c","difficultyBand":"hard","calculatorUse":null,"totalMarks":16,"questionType":"LA","isCalculation":false},{"id":"aa43c0ea-8df9-46e3-a6f6-f079cfddd5c4","difficultyBand":"easy","calculatorUse":null,"totalMarks":2,"questionType":"LA","isCalculation":false},{"id":"c242ef86-51c9-4872-b4bc-777f9ab21dd6","difficultyBand":"hard","calculatorUse":null,"totalMarks":24,"questionType":"LA","isCalculation":true},{"id":"d6e98095-b265-42c1-9ac0-8ba87639da79","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":true},{"id":"e113adf3-1fe6-486d-a4f7-13c6c34374c7","difficultyBand":"medium","calculatorUse":null,"totalMarks":12,"questionType":"LA","isCalculation":true},{"id":"eb57ed8f-e955-404a-a9d8-6702d4c37735","difficultyBand":"hard","calculatorUse":null,"totalMarks":16,"questionType":"LA","isCalculation":false},{"id":"edac1354-2ede-4900-91bf-230f8a45e216","difficultyBand":"medium","calculatorUse":null,"totalMarks":6,"questionType":"LA","isCalculation":false},{"id":"f7a8bcdf-c874-44fc-9b55-aac8fb849f6a","difficultyBand":"medium","calculatorUse":null,"totalMarks":6,"questionType":"LA","isCalculation":false},{"id":"f8df02fe-ea2f-4056-b900-8faef6949e4e","difficultyBand":"medium","calculatorUse":null,"totalMarks":4,"questionType":"LA","isCalculation":false}],"title":"Cognitive 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Cognitive approach to depression

Question 8

Cognitive approach to depression Questions

Cognitive approach to depression

Question 8

Cognitive approach to depression Questions