Interpersonal Process in Cognitive Therapy

by Safran, Jeremy; Segal, Zindel V.

• ISBN13: 9781568218588
• ISBN10: 1568218583
• Edition: Reprint
• Format: Paperback
• Copyright: 1996-09-01
• Publisher: Jason Aronson, Inc.

Summary

Illustrates the subtle interaction of cognitive and interpersonal factors.

Table of Contents

Preface to the Softcover Edition	xi
Acknowledgments	xv
PART I. THEORY
Introduction
Cognitive Therapy in Evolution	3	(1)
Psychotherapy as a Human Encounter	4	(1)
A Process Perspective	5	(3)
The Nature of Reality	8	(1)
Metatheory	9	(1)
Supportive versus Insight-Oriented Therapy	10	(2)
Short-Term versus Long-Term Therapy	12	(1)
Psychotherapy Integration	13	(2)
The Plan of the Book	15	(3)
The Cognitive-Behavioral Perspective on the Therapeutic Relationship
Treatment Efficacy	18	(1)
Therapeutic Resistance	19	(3)
The Therapeutic Relationship	22	(5)
Facilitating the Social Influence Process	23	(1)
Positive Therapeutic Expectancies	24	(1)
The Therapist as Role Model	24	(1)
Collaborative Empiricism	25	(1)
In-session Behavior as a problem Sample	25	(2)
Developing a Systematic Cognitive Approach to the Therapeutic Relationship	27	(3)
Technical and Relationship Factors in Therapy
Technical versus Relationship Factors	30	(1)
Predicting Individual Differences	31	(1)
The Therapeutic Alliance	32	(2)
Therapist Competence	34	(2)
Implications for Cognitive Therapy	36	(4)
The Therapist's Role in the Therapeutic Interaction	40	(2)
A Theoretical Model for Integration
Cognitive versus Interpersonal Processes	42	(2)
Experimental Cognitive Psychology	44	(3)
Problems with the Information-Processing Approach	47	(2)
The Concept of Motivation	49	(1)
Information-Processing Theory versus Drive Metapsychology	50	(3)
An Alternative Approach to Motivation	53	(1)
Action Patterns/Behavioral Systems	54	(1)
Attachment	55	(1)
Emotion and Behavioral Systems	56	(2)
The Coordination of Behavioral Systems	58	(1)
Development of the Self	59	(6)
Memory and Self-Knowledge	65	(2)
Representation of Self/Other Interactions	67	(2)
Hypothesized Memory Processes	69	(1)
Interpersonal Schemas and the Management of Anxiety	70	(2)
The Cognitive-Interpersonal Cycle	72	(7)
PART II. PRACTICE
Assessment
Assessing Core Cognitive Processes	79	(1)
Participant-Observation	80	(1)
Interpersonal Markers	81	(2)
The Inner Discipline of the Therapist	83	(2)
Empathy	85	(3)
The Alliance Rupture as a Focus for Exploration	88	(2)
Understanding the Patient's Interpersonal Schema	90	(3)
Assessing the Cognitive-Interpersonal Cycle	93	(8)
General Considerations Relevant to Cognitive Assessment	101	(1)
Concreteness and Specificity	102	(3)
Awareness and Interpersonal Context	105	(1)
Intervening When Automatic Thoughts Are Blocked	105	(4)
Emotional Immediacy	109	(3)
Memory Retrieval and the Process of Change	112	(2)
Experiential Disconfirmation and Decentering: I. Out-of-Session Focus
Experiential Disconfirmation with an Out-of-Session Focus	114	(3)
Decentering with an Out-of-Session Focus	117	(1)
Awareness versus Challenging	118	(1)
The Role of Historical Reconstruction	119	(3)
Examples of Decentering with an Out-of-Session Focus	122	(17)
Comparison of the Two Change Processes	139	(3)
Experiential Disconfirmation and Decentering: II. In-Session Focus
Experiential Disconfirmation with an In-Session Focus	142	(1)
Unhooking from the Cognitive-Interpersonal Cycle	143	(4)
Decentering with an In-Session Focus	147	(4)
Metacommunication	151	(3)
The Focus on the Present	154	(2)
Making Links to the Past to Facilitate Decentering in the Therapeutic Relationship	156	(1)
The Process of Healing an Alliance Rupture	157	(4)
Clinical Illustrations	161	(27)
Accessing Action-Disposition Information
The Role of Empathy	188	(1)
Exploring Attitudes Prohibiting Emotional Experience	189	(4)
Duplicitous Communication and Responsibility	193	(10)
General Clinical Issues
Maintaining a Therapeutic Focus	203	(2)
Therapist Activity Level	205	(1)
The Role of the Rationale in Therapy	206	(1)
Therapeutic Engagement	207	(2)
Challenging Security Operation Cognitions	209	(2)
Issues Related to Termination	211	(4)
Premature Termination	215	(8)
The Therapist As Role Model (Revisited)	223	(6)
Patient Selection for Short-Term Cognitive Therapy
Jeremy D. Safran
Zindel V. Segal
Brian F. Shaw
T. Michael Vallis
Selection Criteria for Cognitive Therapy	229	(1)
Our Approach	230	(3)
Reliability of the Coding Scheme	233	(1)
Factor Structure and Construct Validity	234	(3)
Predictive Validity	237	(1)
Summary	237	(2)
Conclusion
Summary of Central Principles	239	(2)
Research Directions	241	(5)
Outcome Studies	241	(2)
Process Studies	243	(3)
Summary	246	(2)
Epilogue The Authentic Human Encounter	248	(3)
Appendix I Suitability for Short-Term Cognitive Therapy Interview	251	(6)
Appendix II Suitability for Short-Term Cognitive Therapy Rating Scales	257	(8)
Appendix III Suitability for Short-Term Cognitive Therapy Rating Form	265	(2)
Appendix IV Therapy-Adherence Rating Scales	267	(4)
References	271	(2)
Index	273