KONSELING INDIVIDU DENGAN PENDEKATAN COGNITIVE BEHAVIORAL THERAPY (CBT) TERHADAP KEPERCAYAAN DIRI PASIEN SKIZOFRENIA DI LKS PD SAHABAT JIWA NATAR

Vera, Anisa Putri (2026) KONSELING INDIVIDU DENGAN PENDEKATAN COGNITIVE BEHAVIORAL THERAPY (CBT) TERHADAP KEPERCAYAAN DIRI PASIEN SKIZOFRENIA DI LKS PD SAHABAT JIWA NATAR. Diploma thesis, UIN RADEN INTAN LAMPUNG.

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Abstract

ABSTRAK Pelaksanaan konseling individu dengan pendekatan Cognitive Behavioral Therapy (CBT) dalam meningkatkan kepercayaan diri pasien skizofrenia di LKS PD Sahabat Jiwa Natar. Rendahnya kepercayaan diri klien dipengaruhi oleh pikiran otomatis negatif, keyakinan inti yang tidak adaptif, stigma sosial, dan pengalaman kegagalan di masa lalu. Tujuan penelitian ini adalah untuk mengkaji pembentukan kepercayaan diri pasien skizofrenia melalui layanan konseling individu dengan pendekatan CBT berdasarkan delapan tahapan Judith S. Beck. Penelitian menggunakan metode field research dengan pendekatan kualitatif deskriptif di LKS PD Sahabat Jiwa Natar, Lampung Selatan. Subjek penelitian terdiri dari 1 konselor dan 4 klien skizofrenia dengan kepercayaan diri rendah. Data dikumpulkan melalui wawancara, observasi, dan dokumentasi, kemudian dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa konseling individu dengan pendekatan CBT di LKS PD Sahabat Jiwa Natar dilaksanakan secara sistematis, bertahap, dan berkelanjutan melalui delapan tahapan yang saling berkaitan, yaitu assessment, goal setting, psychoeducation, identifying automatic thoughts, evaluating and responding to automatic thoughts, identifying and modifying core beliefs, behavioral activation and behavioral experiments, serta relapse prevention. Konseling tidak langsung diarahkan pada modifikasi kognitif secara teknis, tetapi diawali dengan pembentukan hubungan terapeutik dan stabilisasi kondisi psikologis klien. Kepercayaan diri klien meningkat secara bertahap seiring dengan proses perubahan pola pikir negatif dan pengalaman keberhasilan perilaku yang diperoleh melalui eksperimen perilaku yang dirancang secara bertahap oleh konselor. Penelitian ini menyimpulkan bahwa konseling individu dengan pendekatan CBT berperan signifikan dalam meningkatkan kepercayaan diri pasien skizofrenia melalui proses pendampingan holistik yang mengintegrasikan perubahan kognitif dan perilaku secara bertahap dan berkelanjutan. buat lebih singkat dengn makna yang sama Kata kunci: Konseling Individu, Cognitive Behavioral Therapy (CBT), Kepercayaan Diri, Skizofrenia. ABSTRACT The implementation of individual counseling using a Cognitive Behavioral Therapy (CBT) approach in improving the self-confidence of schizophrenia patients at LKS PD Sahabat Jiwa Natar. Clients' low self-confidence is influenced by negative automatic thoughts, maladaptive core beliefs, social stigma, and past experiences of failure. The purpose of this study is to examine the development of self-confidence in schizophrenia patients through individual counseling services with a CBT approach based on Judith S. Beck's eight stages. The study used a field research method with a descriptive qualitative approach at the Social Welfare Institution (LKS) PD Sahabat Jiwa Natar, South Lampung. The subjects consisted of one counselor and four schizophrenic clients with low self-esteem. Data were collected through interviews, observation, and documentation, then analyzed through data reduction, data presentation, and conclusion drawing. The results of the study indicate that individual counseling with the CBT approach at LKS PD Sahabat Jiwa Natar was carried out systematically, gradually, and continuously through eight interrelated stages, namely assessment, goal setting, psychoeducation, identifying automatic thoughts, evaluating and responding to automatic thoughts, identifying and modifying core beliefs, behavioral activation and behavioral experiments, and relapse prevention. Counseling was not immediately directed at technical cognitive modification, but began with the formation of a therapeutic relationship and the stabilization of the clients' psychological condition. The clients' self-confidence improved gradually along with the process of changing negative thought patterns and the experience of behavioral success obtained through behavioral experiments designed in stages by the counselor. This study concludes that individual counseling with the CBT approach plays a significant role in improving the self-confidence of schizophrenia patients through a holistic mentoring process that integrates cognitive and behavioral change gradually and sustainably. Keywords: Individual Counseling, Cognitive Behavioral Therapy (CBT), Self-Confidence, Schizophrenia.

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