Cognitive Therapy with Inpatients: Developing a Cognitive Milieu

Front Cover
Jesse H. Wright
Guilford Press, Jan 1, 1993 - Psychology - 445 pages
Cognitive Therapy with Inpatients, the first volume to describe the development of a "cognitive milieu," is a practical manual that describes effective cognitive strategies and procedures for short-term psychiatric hospitalization. The book begins with an overview of the basic concepts of cognitive therapy and hospital psychiatry. Detailed instructions are given for developing and maintaining different types of inpatient cognitive therapy units. Using a "step-by-step" approach, the authors demonstrate how the cognitive milieu can be adapted to fit the needs of a wide variety of treatment settings. Extensive illustrations, including actual dialogue of treatment interactions, are used to describe interventions. Pragmatic advice is given for application in individual, group, and family formats. The volume also offers indepth coverage of the theoretical and practical issues involved in combining cognitive therapy with pharmacotherapy. Asserting that the fusion of these models enhances both forms of treatment--and stressing the importance of interdisciplinary teamwork in effective hospital care--the book describes methods of building effective treatment teams and devotes particular attention to the functions of psychiatric nurses. Techniques are identified for maximizing the chances of good outcome while minimizing the risk of relapse. In addition, special applications for treatment of adolescent inpatients, alcohol and substance abuse, eating disorders, geropsychiatry, and chronic patients are discussed.
 

Contents

Hospital Psychiatry in Transition
35
Structure and Process
61
Individual Cognitive Therapy with Inpatients
91
Group Cognitive Therapy with Inpatients
121
Inpatient Family Therapy
154
Cognitive Therapy with Medical Patients
219
The Role of the Nurse in the Cognitive Milieu
247
Adolescent Inpatient Treatment
273
Cognitive Therapy with Depressed
295
Cognitive Therapy of Alcoholism
315
Cognitive Therapy for Eating Disorders
337
The Chronic Patient
357
Staff and Patient Education
393
Transition and Aftercare
414
Appendix Inpatient Cognitive Therapy Programs
437
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About the author (1993)

Jesse H. Wright, Norton Psychiatric Clinic , Louisville Ky.?

Aaron T. Beck, MD, is University Professor Emeritus of Psychiatry, School of Medicine, University of Pennsylvania, and the founder of cognitive therapy. He has published more than 20 books and over 540 articles in professional and scientific journals. Dr. Beck is the recipient of numerous awards, including the Albert Lasker Clinical Medical Research Award, the American Psychological Association Lifetime Achievement Award, the American Psychiatric Association Distinguished Service Award, the Robert J. and Claire Pasarow Foundation Award for Research in Neuropsychiatry, and the Institute of Medicine's Sarnat International Prize in Mental Health and Gustav O. Lienhard Award. He is President of the Beck Institute for Cognitive Behavior Therapy and Honorary President of the Academy of Cognitive Therapy.

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