A patient who inaccurately believes he has stomach cancer is recommended cognitive theory to help address this false believe. Which intervention is most consistent with a cognitive theory approach?
a. Continuing to challenge the patient about the rationality of his belief
b. Assisting him to reinterpret the meaning of the sensations his body is creating
c. Urging him to have a ‘second opinion' consult with another medical specialist
d. Rewarding him with praise and acceptance when he states, "I do not have can-cer."
ANS: B
Cognitive theorists believe that patients with somatic symptoms misinterpret the meaning of body functions and sensations and become overly alarmed by them and so help patients to reinterpret the meaning of body sensations. Continuing to challenge the patient regarding the belief is not therapeutic and should be avoided. Reinterpretation of thoughts is an appropriate cognitive approach. Rewarding appropriate behavior is a behavioral technique. Encouraging a second opinion is not helpful at this point since it is not likely to change his belief.
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