Roadblocks in Cognitive-Behavioral Therapy Transforming Challenges into Opportunities for Change

by Leahy, Robert L.

• ISBN13: 9781572309203
• ISBN10: 1572309202
• Edition: 1st
• Format: Hardcover
• Copyright: 2003-10-06
• Publisher: The Guilford Press

Summary

Helping the clinician understand and manage frequently encountered obstacles in treatment, including but not limited to resistance, this volume brings together leading contributors representing a range of cognitive-behavioral perspectives. Each research-based chapter addresses a specific kind of "roadblock," exploring how and why it arises and suggesting effective, practical solutions. A section on specific populations examines difficulties that occur in treating such complex disorders as psychosis, bipolar disorder, PTSD, and binge eating. Other sections cover new directions in case conceptualization; working with emotional and metacognitive processes in cognitive therapy; approaches to engaging angry patients and dealing with alliance ruptures; and ways to overcome impasses in couple and family work. Key Features Practical: shows not only how roadblocks arise, but spells out strategies for dealing with them. Covers challenges that all therapists grapple with but that

Author Biography

Robert L. Leahy, PhD, is Director of the American Institute for Cognitive Therapy in New York and Clinical Professor of Psychology in the Department of Psychiatry at Weill Cornell Medical College in New York. He is the author or editor of numerous books on cognitive therapy and psychological processes. Dr. Leahy is past president of the Association for Behavioral and Cognitive Therapies, the International Association for Cognitive Psychotherapy, and the Academy of Cognitive Therapy. He is a recipient of the Aaron T. Beck Award for Sustained and Enduring Contributions to Cognitive Therapy.

Table of Contents

PART I. CASE CONCEPTUALIZATION
1. Case Conceptualization in Preventing and Responding to Therapeutic Difficulties	3	(21)
Lawrence D. Needleman
2. Impediments to Effective Psychotherapy	24	(25)
Arthur Freeman and Roya Djalali McCloskey
3. Effective Homework	49	(20)
Michael A. Tompkins
PART II. METACOGNITION AND EMOTION
4. Anxiety Disorders, Metacognition, and Change	69	(22)
Adrian Wells
5. Emotional Schemas and Resistance	91	(25)
Robert L. Leahy
6. Avoidance of Emotion as an Obstacle to Progress	116	(19)
Stephen J. Holland
PART III. SPECIFIC POPULATIONS
7. Psychosis	135	(18)
Gillian Haddock and Ronald Siddle
8. Bipolar Disorder	153	(22)
Cory F. Newman
9. Posttraumatic Stress Disorder: A New Algorithm Treatment Model	175	(20)
Mervin R. Smucker, Brad K. Grunert, and Jo M. Weis
10. Binge-Eating and Other Eating Disorders	195	(22)
Nicole A. Schaffer
PART IV. COUPLES AND FAMILIES
11. Couple Therapy	217	(19)
Norman B. Epstein and Donald H. Baucom
12. Family Therapy	236	(19)
Frank M. Dattilio
PART V. PSYCHOThERAPY PROCESSES
13. Difficult-to-Treat Patients: The Approach from Dialectical Behavior Therapy	255	(19)
Christine Foertsch, Sharon Y. Manning, and Linda Dimeff
14. Obstacles or Opportunities?: A Relational Approach to Negotiating Alliance Ruptures	274	(21)
Christopher L. Stevens, J. Christopher Muran, and Jeremy D. Safran
15. Angry Patients: Strategies for Beginning Treatment	295	(23)
Raymond Chip Tafrate and Howard Kassinove
16. Medication Compliance with Difficult Patients	318	(23)
Lynn Marcinko
17. Conclusions	341	(12)
Robert L. Leahy
Index	353