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As a result, she has stopped attending team social events and avoids asking for help, despite her manager recently praising her attention to detail in a code review.","difficulty":5,"difficultyBand":"medium","totalMarks":4,"sourceTitle":null,"calculatorUse":null,"isCalculation":false,"parts":[{"id":"5cad0fc1-3295-4867-bc0c-9180c6c4570b","label":null,"content":"Describe how cognitive behavioural therapy (CBT) could be used to help Amara.","markscheme":"- Explains how the therapist would help Amara identify her cognitive distortions/irrational thoughts, such as her negative triad beliefs (e.g., viewing herself as inadequate at coding and her future career as ruined) B1\n- Explains how the therapist would challenge/dispute these negative thoughts using empirical evidence, such as contrasting her belief of inadequacy with the positive feedback from her manager's code review B1\n- Explains how Amara would be encouraged to test her negative beliefs (acting as a scientist) via behavioural homework, such as asking a colleague for help and recording their actual reaction B1\n- Explains how behavioural activation would be used to encourage Amara to re-engage in avoided activities, such as gradually attending team social events to overcome withdrawal and low mood B1","marks":4,"order":0,"markingRubric":null,"tableImages":[],"explanation":{"methods":[{"id":"cbt_application","label":"Apply CBT to Amara","steps":[{"type":"text","order":0,"title":"Identify thought patterns","content":"The therapist would first help Amara identify her **cognitive distortions**: unrealistic, unhelpfully negative ways of thinking. Her beliefs that she is inadequate at coding and that her career is permanently ruined fit Beck's negative triad, because they are negative views about herself and her future. This earns one mark because it applies identification of irrational thoughts directly to Amara.","highlights":[{"text":"She believes she is completely inadequate at coding, that her colleagues secretly despise her for being slow, and that her career is permanently ruined.","location":"specification"}]},{"type":"text","order":1,"title":"Challenge the belief","content":"Next, the therapist would **dispute** these thoughts by asking Amara to look for empirical evidence, meaning evidence based on observation or experience. For example, her manager's praise for her attention to detail in a code review is evidence against the thought that she is completely inadequate. This earns one mark for using evidence to challenge a negative belief.","highlights":[{"text":"her manager recently praising her attention to detail in a code review.","location":"specification"}]},{"type":"text","order":2,"title":"Test a prediction","content":"Amara could then act as a scientist by testing a specific prediction through behavioural homework. For instance, she could ask a colleague for help, predict that they will react negatively, and record what actually happens. Comparing the outcome with her prediction gives evidence that can weaken the belief that colleagues despise her. This earns one mark for testing negative beliefs.","highlights":[{"text":"avoids asking for help","location":"specification"}]},{"type":"text","order":3,"title":"Return to activities","content":"Finally, the therapist could use **behavioural activation**: gradually increasing activities that depression has led Amara to avoid. Amara might begin by attending part of one team social event, then attend more regularly. Re-engaging with colleagues can reduce withdrawal and improve her low mood. This earns one mark for applying behavioural activation.","highlights":[{"text":"has stopped attending team social events","location":"specification"}]}]}],"generatedAt":"2026-07-21T04:24:32.791Z","modelVersion":"gpt-5.6-terra","explanationVersion":"v3"},"options":[]}],"options":[],"explanation":null,"firstAttemptFullMarks":null,"walkthroughVideo":null},{"id":"37f8ad3c-c0a1-4e5a-954e-b6cde44b040b","revisionId":"db30b462-2df6-4c38-b663-3aa3a9033245","questionNumber":null,"questionType":"LA","specification":"","difficulty":3,"difficultyBand":"medium","totalMarks":4,"sourceTitle":null,"calculatorUse":null,"isCalculation":false,"parts":[{"id":"aff8be4b-4934-440b-b63b-e5aee2515b59","label":null,"content":"Explain one strength and one limitation of the cognitive approach to explaining depression.","markscheme":"- Identifies a clear strength of the cognitive approach to explaining depression, such as its practical application to therapies like Cognitive Behavioural Therapy (CBT) B1\n- Explains this strength by showing how the success of CBT in alleviating symptoms by challenging irrational beliefs provides supporting evidence for the cognitive theory itself B1\n- Identifies a clear limitation of the cognitive approach, such as the problem of establishing causality B1\n- Explains this limitation by clarifying that negative cognitions may be a consequence or symptom of depression (possibly driven by biological factors) rather than its root cause B1","marks":4,"order":0,"markingRubric":null,"tableImages":[],"explanation":{"methods":[{"id":"evaluation","label":"Applied evaluation","steps":[{"type":"text","order":1,"title":"State the strength","content":"Give one distinct strength and one distinct limitation. A strength of the cognitive approach is its practical application: it has led to Cognitive Behavioural Therapy (CBT), which aims to identify and challenge irrational negative beliefs. Identifying CBT as a practical application earns the first strength mark.","highlights":[{"text":"Explain one strength and one limitation of the cognitive approach to explaining depression.","location":"specification"}]},{"type":"text","order":2,"title":"Explain why it supports","content":"Then link the therapy back to the explanation: if CBT reduces depressive symptoms by challenging irrational beliefs, this supports the idea that cognitions are important in depression.\n\nThe crucial exam skill is the link: successful treatment based on cognitive ideas is evidence supporting those ideas. This explanation earns the second strength mark."},{"type":"text","order":3,"title":"State the limitation","content":"Now introduce a different point: a limitation is that the cognitive approach cannot establish cause and effect. Finding negative cognitions in people with depression does not prove that those thoughts caused the depression.\n\nThis clear causality limitation earns the first limitation mark.","highlights":[{"text":"one limitation","location":"specification"}]},{"type":"text","order":4,"title":"Explain the causal problem","content":"Negative cognitions could be a **symptom** or consequence of being depressed, rather than the original cause. For example, biological factors could first contribute to depression and then lead the person to think negatively.\n\nTherefore, the cognitive approach may describe an effect of depression rather than fully explain its cause. This explanation earns the final mark."}]}],"generatedAt":"2026-07-21T04:13:28.428Z","modelVersion":"gpt-5.6-terra","explanationVersion":"v3"},"options":[]}],"options":[],"explanation":null,"firstAttemptFullMarks":null,"walkthroughVideo":null},{"id":"427db83f-11f9-4bf3-bd45-39e7d55341be","revisionId":"4444aec6-ff9a-4a00-a6e7-0f51764c7d2d","questionNumber":null,"questionType":"LA","specification":"Marcus feels highly anxious whenever he has to contribute to university seminars. He believes that if he hesitates or stumbles over his words even once, his peers will think he is completely incompetent and he will fail his entire degree. Consequently, he avoids speaking in group discussions, even though his tutors have given him excellent feedback on his written assignments.","difficulty":4,"difficultyBand":"medium","totalMarks":4,"sourceTitle":null,"calculatorUse":null,"isCalculation":false,"parts":[{"id":"76eea4ee-13ce-443e-91ea-f752715489eb","label":null,"content":"Describe how cognitive behavioural therapy (CBT) could be used to help Marcus.","markscheme":"- Identifies Marcus's cognitive distortions and irrational thoughts, such as his catastrophising or all-or-nothing belief that stumbling once leads to total failure or being seen as completely incompetent B1\n- Challenges or disputes these beliefs by examining empirical evidence, such as contrasting his fears of incompetence with the excellent feedback already received from his tutors B1\n- Uses hypothesis testing or behavioural experiments (as 'homework') where Marcus tests his negative assumptions, such as speaking briefly in a seminar to observe peers' actual reactions B1\n- Employs behavioural activation to gradually increase seminar participation, helping him to overcome his avoidance behaviour and reinforce rational beliefs B1","marks":4,"order":0,"markingRubric":null,"tableImages":[],"explanation":{"methods":[{"id":"cbt_application","label":"Apply CBT to Marcus","steps":[{"type":"text","order":0,"title":"Spot the thought pattern","content":"First, identify the **cognitive distortions**: unrealistic, unhelpful ways of thinking. Marcus is catastrophising because he predicts that one small hesitation will cause the worst possible outcome. He also shows all-or-nothing thinking: he assumes he must speak perfectly or be seen as completely incompetent. This applied identification earns a mark.","highlights":[{"text":"if he hesitates or stumbles over his words even once, his peers will think he is completely incompetent and he will fail his entire degree","location":"specification"}]},{"type":"text","order":1,"title":"Challenge the prediction","content":"The therapist would **dispute** this belief by asking Marcus to examine evidence for and against it. His excellent written-assignment feedback is evidence that he is capable, so it contradicts the prediction that one hesitant contribution proves he is incompetent or will fail his degree. Explaining this challenge earns a second mark.","highlights":[{"text":"his tutors have given him excellent feedback on his written assignments","location":"specification"}]},{"type":"text","order":2,"title":"Set a behavioural experiment","content":"For homework, Marcus could test his assumption by making one brief contribution in a seminar and recording what his peers actually do or say. This is a **behavioural experiment**: a planned real-life test of a negative prediction. If peers do not react as though he is incompetent, the result provides evidence for a more rational belief.","highlights":[{"text":"he avoids speaking in group discussions","location":"specification"}]},{"type":"text","order":3,"title":"Build participation gradually","content":"Finally, use **behavioural activation**, meaning planned, gradual increases in helpful activity. Marcus might first ask a prepared question, then offer a short comment, and later contribute more often. Increasing seminar participation reduces his avoidance and repeatedly reinforces the rational belief that he can take part without the predicted disaster.","highlights":[{"text":"he avoids speaking in group discussions","location":"specification"}]}]}],"generatedAt":"2026-07-21T05:08:49.604Z","modelVersion":"gpt-5.6-terra","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 approach to depression","topicId":"691fc6aa-52e6-5f17-ba40-a1a742b8ea0d","topicSidebar":"$L3c","topicSlug":"cognitive-approach-to-depression","topicTitle":"Cognitive approach to depression"}]}],"$L3d","$L3e"]}]

Cognitive approach to depression

Question 3

Cognitive approach to depression Questions

Cognitive approach to depression

Question 3

Cognitive approach to depression Questions