Clinical Applications of Cognitive Therapy

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Springer Science & Business Media, Aug 12, 2004 - Psychology - 437 pages
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As practical and insightful as its predecessor, the second edition of this acclaimed text gives students of cognitive and cognitive-behavioral therapy a solid grounding in principles while modeling an integrative approach to the problems they will encounter most. The same quartet of knowledgeable clinicians who authored the original have updated and restructured their work to take readers through the best of contemporary cognitive practice, from intake interview and case conceptualization to the crucial final meetings. Their goal is to offer empirically valid interventions that truly address the complex problems of today’s clients, and this straightforward volume presents these strategies with maximum utility for trainee and clinician alike.

     •  Clinical vignettes and verbatim transcripts illustrating interventions in action.
     •  Guidelines for assessing clients throughout the course of therapy.
     •  Effective ways to strengthen the therapeutic relationship.
     •  Equal coverage on treatment of Axis I and personality disorders.
     •  New chapters on treatment of children, adolescents, couples, and groups. 
     •  Techniques for getting past roadblocks, dealing with non-compliance, and avoiding relapses.

Uncovering new clinical possibilities, debunking common misconceptions, and encouraging readers to sharpen their skills, the authors show why, decades after its inception, cognitive therapy continues to get results.

The second edition of Clinical Applications of Cognitive Therapy is an invaluable source of knowledge for researchers and advanced students of behavior therapy, clinical and counseling psychology, psychiatry, and psychiatric social work, and for clinicians at all levels of practice.

 

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Contents

Clinical Practice of Cognitive Therapy
1
Cognitive Therapy in the Real World
3
A Strategic Approach to Cognitive Therapy
7
The Initial Assessment
9
Forming an Initial Conceptualization as a Basis for Intervention
11
The Therapeutic Relationship
15
The Process of Cognitive Therapy
17
The Structure of a Cognitive Therapy Session
18
Schizotypal Personality Disorder
215
Antisocial and Borderline Personality Disorders
219
Borderline Personality Disorder
231
Histrionic and Narcissistic Personality Disorders
259
Narcissistic Personality Disorder
278
Avoidant Dependent and ObsessiveCompulsive Personality Disorders
287
Dependent Personality Disorder
299
ObsessiveCompulsive Personality Disorder
312

Assessment Throughout the Course of Therapy
20
Assessment Techniques
21
The Role of Cognitive And Behavioral Interventions in Cognitive Therapy
27
Homework Assignments
28
Termination and Relapse Prevention
31
Clinical Application of Cognitive Therapy
34
The MidStage
37
Behavioral Techniques
58
Conclusions
67
The Final Stage
69
Schemas and Schema Change
80
Relapse Prevention and Termination
90
Conclusions
93
Cognitive Therapy with Axis I Disorders
95
The Treatment of Depression
97
Conceptualization
103
Strategies for Intervention
105
Cognitive and Behavioral Techniques
106
Intervening with Suicidal Clients
110
Conclusions
127
Anxiety Disorders
129
Differential Diagnosis
132
Conceptualization
140
Strategies for Intervention
146
Cognitive and Behavioral Techniques
148
Adapting Therapy for Specific Anxiety Disorders
163
Conclusions
175
Substance Abuse
177
Conceptualization
181
Intervention Strategy
182
Cognitive and Behavioral Technique
183
Conclusion
191
Cognitive Therapy of Personality Disorders
193
Paranoid Schizoid and Schizotypal Personality Disorders
197
Schizoid Personality Disorder
210
Special Applications of Cognitive Therapy
327
Cognitive Therapy in Groups
329
Advantages and Disadvantages of Group Cognitive Therapy
330
Deciding How to Structure Group Therapy
331
Group Process
334
Applications of Group Cognitive Therapy To Specific Problems
340
Conclusions
347
Cognitive Therapy with Couples
349
Assessment
350
Choosing Between Individual Couple Group and Family Therapy
351
Establishing a Collaborative Set
353
Counteracting Negative Set
354
Cognitive Interventions
355
Behavioral Interventions
361
Integrating Cognitive And Systems Theories
362
Other Issues in Cognitive Marital Therapy
363
Cognitive Therapy with Children and Adolescents
365
Conceptualization
366
Strategies for Intervention
369
Cognitive and Behavioral Techniques
374
Conclusions
381
Conclusion
383
The Practice of Cognitive Therapy
385
Conclusions
396
Clinicians Initial Evaluation
397
Treating a Broad Range of Axis I Disorders
405
Bipolar Disorder
406
Somatoform Disorders
407
Sexual and Gender Identity Disorders
408
Sleep Disorders
409
Adjustment Disorders
410
References
411
Index
431
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About the author (2004)

Dr. Arthur Freeman is the Dean of Counseling, Education, Psychology and Social work at the University of St. Francis in Fort Wayne, Indiana. Prior to his move to Indiana, he was Professor and Chair of the Department of Psychology and Director of the doctoral program in Clinical Psychology at the Philadelphia College of Osteopathic Medicine. He has remained in the position of Professor since his move. He completed his undergraduate and early graduate work at New York University and his doctoral
work at Teachers College-Columbia University. He studied at the Alfred Adler Institute in New York under Drs. Kurt and Alexandra Adler, the Institute for Rational Living under Dr. Albert Ellis, and completed a Postdoctoral Fellowship at the Center for
Cognitive Therapy at the University of Pennsylvania under Dr. Aaron T. Beck.

In addition to 50+ book chapters, reviews and journal articles, he has published twenty three professional books on the topic of CBT including: Cognitive Therapy of Personality Disorders (with Aaron T. Beck), Clinical Applications of Cognitive Therapy, The Comprehensive Casebook of Cognitive Therapy (with Frank Dattilio). Dr. Arthur Freeman has published two popular books, Woulda, Coulda, Shoulda: Overcoming Mistakes and Missed Opportunities (with Rose DeWolf) and The Ten Dumbest Mistakes Smart People Make, and How to Overcome Them (with Rose DeWolf). His work has been translated into Bulgarian, Chinese, Dutch, German, Italian, Japanese, Portuguese, Spanish, and Swedish. Dr. Freeman serves on the editorial boards of several U.S. and international journals.

He is board certified in Clinical Psychology, Family Therapy and Behavioral Psychology by the American Board of Professional Psychology. Art Freeman is a Fellow of the American Psychological Association (divisions of Clinical Psychology, Psychotherapy, and Family Psychology), of the American Psychological Society, of the Academy of Clinical Psychology, and of the Pennsylvania Psychological Association. Dr. Freeman is a past president of the Association for Advancement of Behavior Therapy and is the Vice President (2000-2002) of the North American Society of Adlerian Psychology.

In 2000, the Pennsylvania Psychological Association named him recipient of its award for "Outstanding Contribution to the Science and Practice of Psychology."  Dr. Arthur Freeman has been a Visiting Professor of Psychiatry and Psychology at the Universities of Umea and Gothenburg (Sweden); at the University of Catania (Italy), at the Shanghai Second Medical University (China). He has lectured in twenty five countries over the past 20 years.

James Pretzer, Ph.D., is the Director of the Cleveland Center for Cognitive Therapy, a consulting editor at Behavior Online, and is Assistant Clinical Professor of Psychology at Case Western Reserve University.  He completed his post-doctoral training with Aaron T. Beck, MD.  He has authored a number of papers and book chapters on Cognitive Therapy, with his work translated in Swedish, German, and Japanese.

Dr. Barbara Flemming is the director of the Anxiety Treatment Center in Cleveland, Ohio, Assistant Clinical Professor of Psychology at Case Western Reserve University, and President of Behavioral Health Associates, Inc.  She received her Ph.D. in Clinical Psychology from Michigan State University and completed post-doctoral training with Aaron T. Beck, MD.  She has authored a number of papers and book chapters on the treatment of anxiety disorders and other topics, with her work translated in Swedish, Japanese, and German.

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