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Cognitive Therapy for Challenging Problems

What to Do When the Basics Don't Work

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  • Hardback: 324 pages
  • Published: October 2005
  • ISBN: 978-1-59385-195-8
  • Publisher: Guilford Press

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Following on the success of the bestselling Cognitive Therapy: Basics and Beyond, this groundbreaking book from Judith S. Beck addresses what to do when a patient is not making progress in cognitive-behavioral therapy. Provided is practical, step-by-step guidance on conceptualizing and solving frequently encountered problems, whether in developing and maintaining the therapeutic alliance or in accomplishing specific therapeutic tasks. While the framework presented is applicable to a range of challenging clinical situations, particular attention is given to modifying the longstanding distorted beliefs and dysfunctional behavioral strategies of people with personality disorders. Helpful appendices include a reproducible assessment tool, and the Personality Belief Questionnaire.

Table of Contents

Beck, Foreword. Identifying Problems in Treatment. Conceptualizing Patients Who Present Challenges. When a Personality Disorder Challenges Treatment. Developing and Using the Therapeutic Alliance. Therapeutic Relationship Problems: Case Examples. When Therapists Have Dysfunctional Reactions to Patients. Challenges in Setting Goals. Challenges in Structuring the Session. Challenges in Solving Problems and in Homework. Challenges in Identifying Cognitions. Challenges in Modifying Thoughts and Images. Challenges in Modifying Assumptions. Challenges in Modifying Core Beliefs. Appendix A: Resources, Training, and Supervision in Cognitive Therapy. Appendix B: The Personality Belief Questionnaire.

Reviews

'This excellent book focuses on the art of cognitive therapy. When therapy does not seem to be going well, most clinicians can think of another therapist whom they think would fare better. This book teaches you how to become that therapist. Drawing on her vast experience with therapists and clients, Dr. Beck beautifully outlines how to identify and overcome many of the difficulties that can arise in cognitive therapy. Highly recommended reading for novice to highly experienced cognitive therapists.' - David M. Clark, DPhil, FBA, FMedSci, Institute of Psychiatry, King's College, London, UK

'Clinicians have been reporting for some time now that they are seeing increasingly difficult cases in their consulting rooms. Axis I and Axis II comorbidities have become the rule rather than the exception. By systematically addressing these challenges in this clearly written and eminently readable new volume, Judith Beck takes cognitive therapy to a new level. This book will be equally useful to students and to experienced therapists.' - Glen O. Gabbard, MD, Department of Psychiatry, Baylor College of Medicine

Author Biography

Judith S. Beck, PhD, Beck Institute for Cognitive Therapy and Research; Department of Psychiatry, University of Pennsylvania, Philadelphia, PA