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3c: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 C13d:Ta3a,- States the general aim of CBT, which is to identify, challenge, and restructure irrational or negative thoughts, alongside behavioural modification B1 - Describes Beck's Cognitive Therapy, detailing the identification and active challenging of negative automatic thoughts in the Negative Triad (self, world, future) B1 - Explains the 'patient as scientist' concept in Beck's therapy, where patients test their negative beliefs through homework tasks B1 - Describes Ellis's Rational Emotive Behaviour Therapy (REBT), including the extension of the ABC model to ABCDE (Disputing and Effect) B1 - Explains Ellis's disputing techniques, such as empirical disputation (seeking evidence) and logical disputation (questioning if the belief makes logical sense) B1 - Outlines behavioural activation as a key component of CBT to encourage engagement in active, rewarding tasks and counteract avoidance B1 - Evaluates CBT by citing supporting evidence for its effectiveness, such as March et al. (2007) showing CBT is as effective as antidepressants (81%) and most effective when combined (86%) B1 - Explains a limitation of CBT concerning its suitability, noting that severely depressed individuals may lack the necessary motivation or cognitive capacity to engage B1 - Discusses ethical/conceptual concerns, specifically the risk of over-emphasising cognition which may lead to blaming the patient rather than addressing systemic or environmental stressors (e.g. abuse, financial hardship) B1 - Evaluates the role of non-specific therapeutic factors, citing research (e.g. Luborsky et al.) indicating that the quality of the therapist-client alliance is often the primary driver of success B1 - Evaluates CBT's long-term efficacy, highlighting concerns over high relapse rates once the therapeutic relationship terminates B1 - Compares CBT with alternative treatments, such as pharmacotherapy, in terms of safety, side effects, and cost-effectiveness B1 - Organises ideas in a logical, coherent, and highly structured manner appropriate for a 16-mark essay C1 - Uses precise psychological terminology accurately throughout (e.g., negative triad, REBT, disputation, cognitive restructuring) C1 - Develops well-focused, balanced, and critical lines of argument in the evaluation C1 - Concludes with a reasoned judgment regarding the overall value of CBT as a treatment for depression C13e:T73d,- Outlines Beck’s cognitive triad, which consists of negative views of the self, the world, and the future B1 - Outlines Beck's concept of negative self-schemas and cognitive biases/faulty information processing, such as catastrophising B1 - Outlines Ellis's ABC model, explaining that activating events ($A$) trigger irrational beliefs ($B$) which lead to emotional and behavioural consequences ($C$) B1 - Describes cognitive components of CBT, including identifying and challenging negative automatic thoughts or irrational beliefs via empirical or logical disputing B1 - Describes behavioural components of CBT, such as behavioural activation and setting 'patient-as-scientist' homework tasks B1 - Evaluates cognitive explanations by citing supporting research evidence showing cognitive vulnerability prior to depression onset B1 - Evaluates cognitive explanations by discussing the limitation of causality, where negative thoughts may be a symptom rather than a cause of depression B1 - Evaluates CBT by citing research support for its effectiveness, such as March et al. finding CBT to be as effective as antidepressants B1 - Evaluates CBT by discussing patient motivation as a limitation, as severely depressed individuals may struggle to engage without medication first B1 - Evaluates CBT by explaining that an over-emphasis on cognition might overlook real-life environmental stressors like poverty or abuse B1 - Discusses how CBT empowers patients and provides long-term coping mechanisms, resulting in lower relapse rates compared to pharmacotherapy B1 - Presents a well-structured, coherent discussion using appropriate psychological terminology throughout 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 17 – 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":"$3c","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},{"id":"7a59349b-9cdf-430f-8adb-1c889f61fec5","revisionId":"01777003-7854-47b8-a37c-1ec4b92a9262","questionNumber":null,"questionType":"LA","specification":"","difficulty":5,"difficultyBand":"hard","totalMarks":16,"sourceTitle":null,"calculatorUse":null,"isCalculation":false,"parts":[{"id":"a281607c-0bad-4a81-9821-fa2d06fd73c8","label":null,"content":"Discuss cognitive behaviour therapy (CBT) as a method for treating 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Cognitive approach to depression

Question 10

Cognitive approach to depression Questions

Cognitive approach to depression

Question 10

Cognitive approach to depression Questions