Watch the video on the Psychology Learners YouTube channel! Link is in the document.
"We do not see things as they are, we see them as we are." Our brains are wired with shortcuts—heuristics—that help us make quick decisions. But what happens when those shortcuts become "bugs" in our mental software?
In this video, we explore the Davos Assessment of Cognitive Biases Scale (DACOBS), a groundbreaking 42-item tool designed to map the cognitive distortions that underlie mental health conditions, particularly psychosis and schizophrenia spectrum disorders.
📝 What is the DACOBS? Developed by Mark van der Gaag and colleagues, the DACOBS represents the "cognitive turn" in psychosis research. Instead of focusing merely on the content of a delusion (what the person believes), the DACOBS measures the process (how the person processes information).
💡 Why is this important? For clinicians practicing CBT for Psychosis (CBTp), the DACOBS is essential for formulation. It moves the conversation away from "madness" and toward "thinking styles." It helps patients understand that their distressing beliefs are often the result of specific, identifiable processing errors—errors that can be corrected.
⚠️ The Insight Paradox: We also discuss a critical limitation of the tool: The Insight Paradox. Since the DACOBS is a self-report measure, it requires the patient to be aware of their own biases. But if a patient has severe Belief Inflexibility, do they have the flexibility to admit it? We explore how to navigate this in clinical practice.
🧠 In This Video, You Will Learn:
Origins: The history of the Davos conference and the development of the scale.
Structure: Breakdown of the 42 items and 7 subscales.
Psychometrics: Reliability data (.85-.92 alpha) and validity in distinguishing psychosis from healthy controls.
Scoring: How to interpret the Likert scale results to build a patient profile.
Pros & Cons: The efficiency of the tool vs. the risks of self-report bias.
📚 Reference: Van der Gaag, M., et al. (2013). The Davos Assessment of Cognitive Biases Scale (DACOBS). Schizophrenia Research, 144(1-3), 63-71.
📢 Join the Conversation: Do you think self-report is an effective way to measure cognitive bias? Or should we rely on behavioral tasks? Share your thoughts in the comments!
#Psychology #CBT #Psychosis #CognitiveBias #DACOBS #MentalHealth #Schizophrenia #ClinicalPsychology #Neuropsychology #AssessmentTools #CognitiveTherapy