Why do standard, evidence-based interventions fail to work for certain clients or in certain situations? What tools do cognitive-behavioral theory and therapy offer for managing difficult cases? This cutting-edge volume brings together an array of leading practitioners to address these and other critical questions that are often overlooked in the CBT literature. Each research-based chapter addresses a specific kind of "roadblock," exploring how and why it arises and suggesting effective, practical solutions. Topics include overcoming obstacles in the treatment of specific disorders, new directions in case conceptualization, working with emotional and metacognitive processes, and applications to couple and family therapy. --- from the publisher Critical Acclaim: "Leahy has packed this volume with clinical wisdom and insightful practical advice....The table of contents reads like a full course gourmet meal."-Bulletin of the Menninger Clinic "[This book] addresses concerns and challenges that are common to all clinical approaches. Its emphasis on clinical application and overcoming treatment challenges coupled with its easy readability make it a useful addition to the clinical libraries of established clinicians and trainees alike."-Psychotherapy "[This book] does a marvelous job of explaining why and how roadblocks occur in therapy with diverse individuals, as well as couples and families, and provides a coherent set of principles for turning obstacles into what Leahy calls windows of opportunity....Could well become a mainstay of professional training programs at all levels."-Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University "This book will suffer a lot of abuse from being pulled from your office shelf again and again to be pored over for ideas and inspiration. Leahy has pulled together some of the greatest CBT minds to share their thoughts, feelings, and strategies for working with some of our most difficult-to-treat disorders and populations."
-Peter J. Bieling, PhD, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Canada "Leahy, one of cognitive therapy's most prolific and creative writers, has brought together leading therapists in the field to address the important issue of impasses and disruptions in therapeutic progress. With coverage of such areas as case conceptualization, the relationship of cognition to emotion, and the therapeutic relationship, the volume provides a wealth of insights and practical solutions to clinical difficulties. I highly recommend this book and I am sure that, like me, other readers will learn much from it." -Paul Gilbert, FBPsS, Mental Health Research Unit, Kingsway Hospital, Derby, UK Contents: I. Case Conceptualization
1. Case Conceptualization in Preventing and Responding to Therapeutic Difficulties, Lawrence D. Needleman
2. Impediments to Effective Psychotherapy, Arthur Freeman and Roya Djalali McCloskey
3. Effective Homework, Michael A. Tompkins
II. Metacognition and Emotion
4. Anxiety Disorders, Metacognition, and Change, Adrian Wells
5. Emotional Schemas and Resistance, Robert L. Leahy
6. Avoidance of Emotion as an Obstacle to Progress, Stephen J. Holland
III. Specific Populations
7. Psychosis, Gillian Haddock and Ronald Siddle
8. Bipolar Disorder, Cory F. Newman
9. Posttraumatic Stress Disorder: A New Algorithm Treatment Model, Mervin R. Smucker, Brad K. Grunert, and Jo M. Weis
10. Binge-Eating and Other Eating Disorders, Nicole A. Schaffer
IV. Couples and Families
11. Couple Therapy, Norman B. Epstein and Donald H. Baucom
12. Family Therapy, Frank M. Dattilio
V. Psychotherapy Processes
13. Difficult-to-Treat Patients: The Approach from Dialectical Behavior Therapy, Christine Foertsch, Sharon Y. Manning, and Linda Dimeff
14. Obstacles or Opportunities?: A Relational Approach to Negotiating Alliance Ruptures, Christopher L. Stevens, J. Christopher Muran, and Jeremy D. Safran
15. Angry Patients: Strategies for Beginning Treatment, Raymond Chip Tafrate and Howard Kassinove
16. Medication Compliance with Difficult Patients, Lynn Marcinko
17. Conclusions, Robert L. Leahy CONTRIBUTORS
Donald H. Baucom, PhD, Department of Psychology, University of North Carolina-Chapel Hill, Chapel Hill, NC
Frank M. Dattilio, PhD, Department of Psychiatry, Massachusetts Mental Health Center, Harvard Medical School, Boston, MA
Linda A. Dimeff, PhD, Behavior Technology Transfer Group, Seattle, WA
Norman B. Epstein, PhD, Department of Family Studies, University of Maryland-College Park, College Park, MD
Christine Foertsch, PhD, Department of Psychiatry, St. Luke's-Roosevelt Hospital, New York, NY
Arthur Freeman, EdD, Department of Clinical Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, PA
Brad K. Grunert, PhD, Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI
Gillian Haddock, PhD, Academic Division of Clinical Psychology, School of Psychiatry and Behavioural Sciences, University of Manchester; Education and Research Centre, Wythenshawe Hospital, Manchester, UK
Stephen J. Holland, PsyD, private practice, Washington, DC
Howard Kassinove, PhD, ABPP, Department of Psychology, Hofstra University, Hempstead, NY
Robert L. Leahy, PhD, Department of Psychiatry, Weill Medical College of Cornell University; American Institute for Cognitive Therapy, New York, NY
Sharon Y. Manning, PhD, South Carolina Center for Dialectical Behavior Therapy, Columbia, SC
Lynn Marcinko, PhD, Cognitive-Behavioral Therapy Clinic, Department of Psychiatry, Harbor-UCLA Medical Center, Torrance, CA
Roya Djalali McCloskey, PsyD, Department of Clinical Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, PA
J. Christopher Muran, PhD, Brief Psychotherapy Research Program, Beth Israel Medical Center, New York, NY
Lawrence D. Needleman, PhD, Department of Psychiatry, Ohio State University, Columbus, OH
Cory F. Newman, PhD, Center for Cognitive Therapy, University of Pennsylvania School of Medicine, Philadelphia, PA
Jeremy D. Safran, PhD, Department of Psychology, New School for Social Research; and Beth Israel Medical Center, New York, NY
Nicole A. Schaffer, PhD, Manhattan Cognitive-Behavioral Associates PLLC, New York, NY
Ronald Siddle, PhD, Department of Clinical Psychology, North Manchester General Hospital, Manchester, UK
Mervin R. Smucker, PhD, Department of Psychiatry and Behavioral Sciences, Medical College of Wisconsin, Milwaukee, WI
Christopher L. Stevens, PhD, Beth Israel Medical Center, New York, NY
Raymond Chip Tafrate, PhD, Department of Criminology, Central Connecticut State University, New Britain, CT
Michael A. Tompkins, PhD, San Francisco Bay Area Center for Cognitive Therapy, Oakland, CA
Jo M. Weis, PhD, Department of Psychiatry and Behavioral Sciences, Medical College of Wisconsin, Milwaukee, WI
Adrian Wells, PhD, Academic Division of Clinical Psychology, School of Psychiatry and Behavioral Sciences, University of Manchester, Manchester Royal Infirmary, Manchester, UK |
