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NursingReflective essayPsychotherapy

Practicum Week 10 Journal CBT REBT Assignment Guide

Commit to an answer on whether your theory changed — then explain it with something that actually happened, and keep CBT and REBT distinct.

Updated

Editorial process

Last reviewed · August 9, 2026

01

A yes-or-no question, answered

The first question is a yes-or-no that most students answer as neither. *Has your therapeutic theory changed as a result of your practicum experiences* — and the honest answer is often "partly", but a journal that never commits leaves the rest of the entry with nothing to explain. Take a position in the first sentence and then account for it with something that actually happened in the placement: a client who did not respond to a technique you expected to work, a moment when the theory predicted one thing and the room delivered another, a supervision conversation that reframed something. Change and confirmation are both legitimate answers; "I have grown as a clinician" is not one. The question is about *theory*, not about confidence or competence, so the account has to name what you now believe differently about how change happens in therapy.

You named two theories in Week 1 — cognitive behavioural and rational emotive behavioural — and the fact that they are two rather than one is the most useful material in this journal. They are related traditions with a real difference: both work on cognition, but REBT targets evaluative beliefs and demandingness directly and disputes them philosophically, while CBT more commonly tests automatic thoughts against evidence and behavioural experiment. Saying which of the two you found yourself actually using, and with which presentations, is a far stronger reflection than treating them as interchangeable. If your practice drifted toward one of them, say which and why, because a drift you can explain is evidence of clinical judgement developing rather than of a theory being abandoned. Where you used something from neither tradition, say so, because a practitioner who noticed themselves reaching outside the model has learned something the reflection is meant to surface.

The second question asks how you *integrated* the therapeutic approaches in clinical practice and how that helped you achieve your Week 1 goals and objectives. Integration is a specific claim and it needs a specific example: a session where you used a technique from the approach, what you were trying to achieve with it, and what happened. Two worked examples will carry this section better than a general account of your practice. Then connect each to a goal — the brief's parenthetical permission to construct the goals means they should be plausible and measurable rather than aspirational, since a goal like "improve my therapeutic skills" cannot be shown to have been achieved. Write goals you could evidence: conducting a given number of structured sessions, using a specific technique with three clients, or being able to formulate a case in the model without supervision.

The social change question is Walden's own framing and it should be answered at the level the programme means it — beyond the individual client. Working effectively with one person is practice; social change is what changes when that practice is multiplied, advocated for, or extended to people who currently do not reach it. Concrete routes include improving access for an underserved population, reducing stigma through how services are delivered, contributing to workforce capacity, influencing policy or referral pathways, or addressing a disparity you observed in the placement itself. Anchor it in something you actually saw, because a social change paragraph written from the mission statement rather than from the placement is the most obviously generic part of any practicum journal. Naming the population and the barrier makes the paragraph concrete, since social change asserted without a specific group and a specific obstacle is indistinguishable from a statement of good intent.

The final requirement is short and easily skipped: *support your approach with evidence-based literature*. This is a reflective journal that still requires citations, and the natural place for them is the theory discussion — the comparative evidence on CBT and REBT, what each has been shown to work for, and where the evidence is thinner than the enthusiasm. A journal that reflects for two pages and cites nothing has missed a stated requirement, and one that cites only the course text has met it minimally. Choose sources that engage the specific claim you are making about your own practice, since a citation supporting the general effectiveness of CBT does not support a claim about why it worked with a particular presentation. Keep the citations inside the reflection rather than gathering them in a separate paragraph, because a journal with a literature section reads as two documents.

On format, the brief points at two attachments and emphasises them in capitals: a Practicum Journal Template and a sample containing a time log and journal entries. Use the template — a journal submitted as free prose when a structured template was supplied is the easiest possible loss of marks, and the time log is typically a separate requirement that students discover late. Follow the sample's level of detail rather than inventing your own. Check whether the time log has to be signed or verified by your preceptor before submission, since that is the one element you cannot complete at the last minute on your own. Read the sample entries before writing rather than after, since they show the expected register — practitioner notes rather than academic essay — and that is hard to correct once a draft exists.

Element

The version that loses marks

The version that scores

Question one

Neither answers nor commits

A position stated, then accounted for

Evidence of change

'I have grown'

A specific practicum moment that shifted a belief

The two theories

Treated as interchangeable

CBT and REBT distinguished on what they target

Drift

Unacknowledged

Named, with a reason

Integration

A general account of your practice

Two worked session examples

Week 1 goals

'Improve my skills'

Measurable goals that can be shown achieved

Social change

Better outcomes for clients

Access, stigma, capacity, policy or disparity

Grounding

Written from the mission statement

Anchored in something observed on placement

Literature

None, or the course text only

Sources engaging the specific claim

Format

Free prose

The supplied template, with the time log

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Answer a reflective question with a committed position and its evidence.
  • 02
    Distinguish CBT from REBT on what each actually targets.
  • 03
    Demonstrate integration through worked examples rather than description.
  • 04
    Frame social change beyond the individual client.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal. : Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1 which is (Cognitive Behavioral Theory & Rational Emotive Behavioral Theory) : Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1 ( For this assignment, just make up any goals) : Explain how you might impact social change through your work with clients who have mental health issues. : Support your approach with evidence-based literature. NOTE: PLEASE SEE AND PAY ATTENTION TO THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING AND INCLUDE REFERENCES Learning Resources Required Readings Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Chapter 17, “Psychotherapy With Children” (pp. 597–624) American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991 Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959 McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081 Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930
Course-wide instructions that accompany this question

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

02

What the journal must contain

  1. 01
    A practicum journal entry using the supplied template.
  2. 02
    An account of whether your therapeutic theory changed, and why.
  3. 03
    An explanation of how you integrated the approaches in clinical practice.
  4. 04
    A connection to the goals and objectives set in Week 1.
  5. 05
    An account of potential impact on social change.
  6. 06
    Supporting evidence-based literature.
  7. 07
    The accompanying time log.
03

From the theory to social change

01

Has the theory changed

Commit to an answer and account for it with a placement experience.

02

CBT and REBT in practice

Distinguish the two and say which you used, with which presentations.

03

Integration and the Week 1 goals

Give worked examples and connect them to measurable objectives.

04

Social change

Identify a route beyond the individual client, grounded in observation.

04

Comparative evidence, not one theory's case

Recommended databases

  • PubMed Central
  • PsycINFO
  • Psychotherapy outcome journals
  • Walden Library

Search sequence

  1. 1.
    Find comparative evidence on CBT and REBT rather than on either alone, since the journal's central material is the relationship between the two theories you named.
  2. 2.
    Search for outcome evidence in the presentations you actually encountered on placement, because that is what supports a claim about why an approach worked or did not.
  3. 3.
    Look for literature on access and disparities in mental health services, which is what gives the social change section something concrete to argue.
  4. 4.
    Check what each approach has weaker evidence for, since a reflection that acknowledges a limit is more credible than one that reports uniform success.
05

CBT, REBT and their mechanisms

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    50 years of rational-emotive and cognitive-behavioral therapy: A systematic review and meta-analysis

    Journal of Clinical Psychology · 2018

    The comparative evidence base across both named theories, which is exactly what a claim about choosing between them in practice needs behind it.

  2. 02

    A systematic review of the nature and efficacy of Rational Emotive Behaviour Therapy interventions

    PLOS ONE · 2024

    Recent evidence on what REBT is effective for and where the literature is thinner, which supports an honest account of where the approach worked on placement.

  3. 03

    Psychological mechanism of acceptance and commitment therapy and rational emotive behavior therapy

    Frontiers in Public Health · 2023

    Examines the mechanism rather than the outcome, which is the level at which a claim about your theory changing has to be argued.

  4. 04

    Rational Emotive Behavior Therapy (REBT), Irrational and Rational Beliefs, and the Mental Health of Athletes

    Frontiers in Psychology · 2016

    A worked application of REBT's specific target — evaluative beliefs — in a defined population, useful for distinguishing it from a general cognitive approach.

06

Before the Week 10 journal is submitted

Common mistakes

  • Never committing to whether the theory changed.
  • Reporting personal growth instead of theoretical change.
  • Treating CBT and REBT as the same approach.
  • Failing to say which approach you actually used in practice.
  • Describing your practice generally instead of giving worked examples.
  • Constructing Week 1 goals that cannot be shown to have been achieved.
  • Answering the social change question at the level of individual clients.
  • Writing the social change paragraph from the programme's mission statement.
  • Submitting a reflective journal with no citations.
  • Citing only the course text.
  • Writing free prose when a template was supplied.
  • Discovering the time log requirement after the journal is finished.

Submission checklist

  • The first question is answered with a stated position.
  • A specific practicum experience accounts for that answer.
  • CBT and REBT are distinguished on what they target.
  • Any drift toward one approach is named and explained.
  • Two worked examples demonstrate integration.
  • Week 1 goals are measurable and their achievement is evidenced.
  • Social change is addressed beyond individual outcomes.
  • The social change claim is anchored in something observed.
  • Citations engage the specific claims made.
  • The supplied template is used.
  • The time log is complete and verified if required.

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by

Aaron Bishop

MA, Education

assignment interpretation and research-methods coaching across disciplines

Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by

Dr. Nathan Cole

PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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