Cognitive Therapy for Challenging Problems What to Do When the Basics Don't Work

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  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2005-08-24
  • Publisher: The Guilford Press

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This groundbreaking book from Judith S. Beck addresses what to do when a patient is not making progress. Provided is practical, step-by-step guidance on conceptualizing and solving frequently encountered problems, whether in developing and maintaining the therapeutic alliance or in accomplishing specific therapeutic tasks. While the framework presented is applicable to a range of challenging clinical situations, particular attention is given to modifying the longstanding distorted beliefs and dysfunctional behavioral strategies of people with personality disorders. Helpful appendices include a reproducible assessment tool, the Personality Belief Questionnaire.

See also Dr. Beck's Cognitive Behavior Therapy, Second Edition: Basics and Beyond, the leading text for students and practicing therapists who want to learn the fundamentals of CBT.

Author Biography

Judith S. Beck, PhD, is the Director of the nonprofit Beck Institute for Cognitive Therapy and Research in Philadelphia and Clinical Associate Professor of Psychology in Psychiatry at the University of Pennsylvania. Dr. Beck directs the three major functions of the Beck Institute: education, clinical care, and research. She currently divides her time between administration, supervision and teaching, clinical work, program development, research, and writing. She is a consultant for several National Institute of Mental Health research studies and often presents workshops nationally and internationally on a wide variety of cognitive therapy topics. Dr. Beck is the author of the widely adopted textbook, <I>Cognitive Therapy: Basics and Beyond<I*>, which has been translated into 12 languages; coauthor of <I>Cognitive Therapy of Personality Disorders, Second Edition<I*>; and coeditor of the <I>Oxford Textbook of Psychotherapy<I*>. She has also written numerous articles and chapters on various applications of cognitive therapy. Dr. Beck is the President of the Academy of Cognitive Therapy.

Table of Contents

1. Identifying Problems in Treatment
2. Conceptualizing Patients Who Present Challenges
3. When a Personality Disorder Challenges Treatment
4. Developing and Using the Therapeutic Alliance
5. Therapeutic Relationship Problems: Case Examples
6. When Therapists Have Dysfunctional Reactions to Patients
7. Challenges in Setting Goals
8. Challenges in Structuring the Session
9. Challenges in Solving Problems and in Homework
10. Challenges in Identifying Cognitions 209(24)
11. Challenges in Modifying Thoughts and Images 233(18)
12. Challenges in Modifying Assumptions 251(17)
13. Challenges in Modifying Core Beliefs 268(35)
APPENDIX A. Resources, Training, and Supervision in Cognitive Therapy 303(3)
APPENDIX B. Personality Belief Questionnaire 306(6)
References 312(4)
Index 316


"In this volume, Judith S. Beck builds on her Cognitive Therapy: Basics and Beyond to help clinicians learn to recognize and solve problems ranging from common clinical missteps to complex treatment challenges." "Written in an accessible style, the book provides a clear framework and step-by-step suggestions for identifying and overcoming therapeutic obstacles. Beck emphasizes the need to base intervention on a systematic yet flexible conceptualization of the individual patient. She shows how revisiting the case conceptualization can illuminate why progress may be getting derailed at any given point, as well as how to get back on track. Strategies are presented for remediating difficulties in the fundamental elements of cognitive therapy: the therapeutic relationship, goal setting, structuring sessions, solving problems, cognitive and behavioral change, and homework. While the recommendations presented are applicable to a variety of difficult situations, particular attention is given to addressing the longstanding distorted beliefs and self-defeating coping strategies associated with personality disorders." "This book will enhance the knowledge and skills of practitioners at all levels, as well as students in clinical and counseling psychology, psychiatry, social work, family therapy, and psychiatric nursing."--BOOK JACKET.

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