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Frank M. Dattilio, PhD, ABPP, holds faculty positions with the Department of Psychiatry at Harvard Medical School and the University of Pennsylvania School of Medicine. He is also in the private practice of clinical and forensic psychology and marital and family therapy in Allentown, Pennsylvania. With more than 250 professional publications in the areas of couple and family problems, anxiety and behavioral disorders, and forensic and clinical psychology, Dr. Dattilio has presented extensively on CBT throughout the world. His works have been translated into more than 27 languages and are used in over 80 countries. He serves on the editorial boards of a number of professional journals, including the Journal of Marital and Family Therapy and Contemporary Family Therapy. Dr. Dattilio is a recipient of several awards for outstanding achievement in the fields of psychology and psychotherapy.
Introduction | p. 1 |
Overview of Contemporary Cognitive-Behavioral Therapy with Couples and Families | p. 1 |
Learning Theory Principles | p. 2 |
Cognitive Therapy Principles | p. 5 |
The Integrative Potential of Cognitive-Behavioral Therapy | p. 6 |
The Mechanics of Change with Couples and Families | p. 10 |
Cognitive Processes | p. 10 |
Attachment and Affect | p. 25 |
The Role of Behavioral Change | p. 48 |
The Schema Component in Cognitive-Behavioral Therapy | p. 54 |
The Concept of Schema | p. 54 |
Automatic Thoughts and Schemas | p. 57 |
Underlying Schemas and Cognitive Distortions | p. 60 |
Identifying Schemas from the Family of Origin and Their Impact on Couple and Family Relationships | p. 61 |
Cognitions and Transgenerational Schemas | p. 67 |
The Role of Neurobiological Processes | p. 77 |
The Role of the Amygdala | p. 81 |
Cognition versus Emotion | p. 85 |
Methods of Clinical Assessment | p. 88 |
Initial Joint Interviews | p. 89 |
Consultation with Previous Therapists and Other Mental Health Providers | p. 91 |
Inventories and Questionnaires | p. 93 |
Additional Psychological Testing and Appraisals | p. 96 |
Genograms | p. 97 |
Ongoing Assessment and Case Conceptualization throughout the Course of Therapy | p. 98 |
Specific Difficulties with the Assessment Process | p. 99 |
Behavioral Observations and Change | p. 101 |
Structured Family Interaction | p. 102 |
Assessment of Cognitions | p. 103 |
Individual Interviews | p. 105 |
Identification of Macro-Level Patterns and Core Relationship Issues | p. 106 |
Assessing Motivation to Change | p. 107 |
Feedback on the Assessment | p. 108 |
Identifying Automatic Thoughts and Core Beliefs | p. 108 |
Differentiating Core Beliefs from Schemas | p. 111 |
Negative Framing and How to Identify It | p. 112 |
Identifying and Labeling Cognitive Distortions | p. 113 |
Translating Thoughts, Emotions, and Behaviors in the Process of Conceptualization | p. 114 |
Attribution and Standards and Their Role in Assessment | p. 114 |
Targeting Maladaptive Behavioral Patterns | p. 115 |
Testing and Reinterpreting Automatic Thoughts | p. 115 |
Formulating a Plan of Treatment | p. 116 |
Cognitive-Behavioral Techniques | p. 118 |
Educating and Socializing Couples and Family Members about the Cognitive-Behavioral Model | p. 118 |
Identifying Automatic Thoughts and Associated Emotions and Behavior | p. 119 |
Addressing Schemas and Schema Restructuring | p. 120 |
Instituting Enactment through Reframing and Rehearsal | p. 122 |
Behavioral Techniques | p. 123 |
Addressing the Potential for Relapse | p. 156 |
Handling Roadblocks and Resistance to Change | p. 158 |
Partners' Negativity and Hopelessness about Change | p. 158 |
Differences in Agendas | p. 159 |
Anxiety about Changing Existing Patterns in the Relationship | p. 160 |
Relinquishing Perceived Power and Control | p. 161 |
Issues of Taking Responsibility for Change | p. 161 |
Roadblocks | p. 163 |
Special Topics | p. 173 |
Divorce | p. 173 |
Cultural Sensitivity | p. 178 |
Depression, Personality Disorder, and Other Mental Illnesses | p. 186 |
Extramarital Affairs | p. 187 |
Substance Abuse | p. 189 |
Domestic Abuse | p. 191 |
Contraindications and Limitations of the Cognitive-Behavioral Approach | p. 196 |
Couples and Families in Crisis | p. 198 |
Same-Sex Couples and Their Children | p. 199 |
Atypical Couple and Family Consultations | p. 200 |
Cotherapy with Couples and Families | p. 203 |
Multilevel Treatment | p. 203 |
Enhancements to Cognitive-Behavioral Therapy | p. 208 |
Acceptance-Based Techniques | p. 208 |
Mindfulness | p. 209 |
Case Examples | p. 212 |
The Retirement Trap | p. 212 |
Family of Gluttons | p. 225 |
Epilogue | p. 246 |
Questionnaires and Inventories for Couples and Families | p. 249 |
Dysfunctional Thought Record | p. 251 |
References | p. 253 |
Index | p. 273 |
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