Summary

Patients with complex problems, including co-morbidity, chronic conditions, enduring vulnerabilities, psychotic conditions, persistent difficulties with social relationships and destabilising social environments, are increasingly recognised as the reality of the therapist's case load. The cognitive behavioural case formulation approach can be particularly suited to the treatment of such complex cases.This book brings together some of the most experienced and expert cognitive behavioural therapists to share their specialist experience of formulation and treatment of these complex cases. The experienced clinician will find in these accounts: Evidence-based approaches to assessment and formulation of complex cases A wide range of problems not restricted to disorder categories, including anger, low self-esteem, abuse and shame A concern with the realities of clinical practice which involves complex cases that do not fit neatly into simple case conceptualisations or diagnostic categories Many of these chapters highlight the difficulties and complexities encountered by the clinician in conceptualising and treating these cases. However, they go beyond raising awareness of issues and provide,. where appropriate, specific guidance on dealing with problems of engagement, socialisation, and implementation of treatment in complex cases.

Author Biography

Dame Hilary Margaret Wykes is an English academic, author and editor. She is Professor of Clinical Psychology and Rehabilitation at King's College London, Director of the NIHR Clinical Research Network: Mental Health, and President and Secretary of Schizophrenia International Research Society.

Nicholas Tarrier is Professor of Clinical Psychology, Head of the Division of Clinical Psychology and Research Director of the School of Psychological Sciences, University of Manchester, UK, and Honorary Consultant Clinical Psychologist in the Manchester Mental Health and Social Care NHS Trust. He has held academic posts at universities in Brazil and Australia.He has a long-standing interest in the practice and evaluation of Cognitive-Behaviour Therapy and its application to a wide range of disorders.

About the Editors

vii

List of Contributors

Series Preface

xii

Preface

xiii

Cognitive Therapy of Social Phobia

(26)

Adrian Wells

Cognitive Therapy with Panic and Agoraphobia: Working with Complex Cases

(19)

Ann Hackmann

The Devil is in the Detail: Conceptionalising and Treating Obsessional Problems

(35)

Paul M. Salkovskis

Elizabeth Forrester

H. Candida Richards

Norma Morrison

Where There's a Will...Cognitive Therapy for People with Chronic Depressive Disorders

(24)

Jan Scott

Cognitive Behavioural Treatment for Complicated Cases of Post-Traumatic Stress Disorder

105

(26)

Matthew O. Kimble

David S. Riggs

Terence M. Keane

Eating Disorders, Self-Image Disturbance and Maltreatment

131

(24)

Rachel Calam

Assessment and Formulation in the Cognitive Behavioural Treatment of Psychosis

155

(21)

Gillian Haddock

Nicholas Tarrier

Cognitive Behavioural Therapy of Psychosis: Complexities in Engagement and Therapy

176

(19)

David Kingdon

Cognitive Behaviour Therapy for Psychotic Symptoms in Schizophrenia

195

(22)

Anthony P. Morrison

Low Self-Esteem

217

(24)

Melanie J. V. Fennell

Shame and Humiliation in the Treatment of Complex Cases

241

(31)

Paul Gilbert

Parasuicide

272

(23)

Gary L. Sidley

Cognitive Behavioural Interventions for Anger, Aggression and Violence

295

(24)

Kevin Howells

Cognitive Behavioural Treatment of Personality Disorders

319

(21)

Arthur Freeman

James T. Jackson

Schema-Focused Therapy for Personality Disorders

340

(37)

Jeffrey Young

Wendy T. Behary

Issues in Treating Rape and Sexual Assault

377

(22)

Terri L. Weaver

Kathleen M. Chard

Patricia A. Resick

Complex Relationship Cases: Conceptualisation, Assessment and Treatment

399

(31)

W. Kim Halford

Ruth Bouma

Index

430

Supplemental Materials

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