Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual
Language: English
Pages: 722
ISBN: 1593855729
Format: PDF / Kindle (mobi) / ePub
With over 75,000 copies sold, this clinical guide and widely adopted text presents authoritative guidelines for treating frequently encountered adult disorders. The Handbook is unique in its focus on evidence-based practice and its attention to the most pressing question asked by students and practitioners—“How do I do it?” Leading clinical researchers provide essential background knowledge on each problem, describe the conceptual and empirical bases of their respective approaches, and illustrate the nuts and bolts of evidence-based assessment and intervention.
the client workbook is assigned. Session 16 formally focuses on assessment of progress, relapse prevention, and the issue of termination. The therapist and client go over a worksheet in which the client reports things that he or she has learned during treatment (e.g., how to identify and challenge automatic thoughts, the importance of avoiding avoidance). The therapist asks the client to provide current ratings for all items from the fear and avoidance hierarchy developed earlier in treatment; a
Beck (1976), who suggested that the content of obsessions is related to danger in the form of doubt or warning. However, neither account distinguishes between threat-related obsessions and threatrelated thoughts in phobics. Salkovskis (1985) offered a more comprehensive cognitive analysis of OCD. He posited that intrusive obsessional thoughts are stimuli that may provoke certain types of negative automatic thoughts. Accordingly, an intrusive thought leads to mood disturbances only if it triggers
will be egosyntonic. By extension, this model suggests that treatment of OCD should largely focus on identifying the erroneous assumptions and modifying the automatic thoughts. This theory paved the way for various elaborations on the cognitive models, experimental studies of the model, and the development of cognitive therapies that derive from the central role of these key cognitive factors. Salkovskis’s (1985) theory sparked examination of the role of responsibility in the psychopathology of
cost-effective (e.g., disability costs, work days missed, health care use) than pharmacotherapy (Heuzenroeder et al., 2004). Understanding the ways in which psychotropic medications influence cognitivebehavioral therapy may prove useful for developing methods that optimize the combination of these two approaches to treatment. First, medications, particularly fast-acting, potent medications that cause a noticeable shift in state and are used on an as-needed basis (e.g., benzodiazepines,
exaggerated thoughts about themselves, the world, and their futures with more probabilistic reasoning and evidence-based argument. Examples of studies that have used this model of cognitive restructuring are Blanchard and colleagues (2003) and Foa and colleagues (2005). The other form of cognitive therapy is more trauma-focused and constructivist, focusing on the particular meanings that the event has for the client and how those interpretations of the event contradict or seemingly confirm