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Collaborative Case Conceptualization

Working Effectively with Clients in Cognitive-Behavioral Therapy

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  • Hardback: 366 pages
  • Published: January 2009
  • ISBN: 978-1-60623-072-5
  • Publisher: Guilford Press

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Presenting an innovative framework for tailoring cognitive-behavioral interventions to each client's needs, this accessible book is packed with practical pointers and sample dialogues. Step-by-step, the authors show how to collaborate with clients to develop and test conceptualizations that illuminate personal strengths as well as problems, and that deepen in explanatory power as treatment progresses. An extended case illustration demonstrates the three-stage conceptualization process over the entire course of therapy with a multiproblem client. The approach emphasizes building resilience and coping while decreasing psychological distress. Special features include self-assessment checklists and learning exercises to help therapists build their conceptualization skills.

Table of Contents

The Procrustean Dilemma. The Case Conceptualization Crucible: A New Model. Two Heads Are Better Than One: Collaborative Empiricism. Incorporating Client Strengths and Building Resilience. "Can You Help Me?": Descriptive Case Conceptualization. "Why Does This Keep Happening to Me?": Cross-sectional Explanatory Conceptualizations. "Does My Future Look Like My Past?": Longitudinal Explanatory Conceptualizations. Learning and Teaching Case Conceptualization. Appraising the Model. Appendix: Aid to History Taking Form.

Reviews

"CBT texts rarely provide detailed guidance on conceptualization. Written by internationally recognized experts, this book fills the gap by providing clinicians with numerous insightful tips about how to develop conceptualizations and, crucially, how to link those conceptualizations to interventions. Ways of teaching conceptualization are outlined, and a much-needed research agenda for the area is advanced." - David M. Clark, University of Oxford, UK

"What a marvelous addition to the conceptualization literature! This intriguing book compellingly fuses theoretical acuity, in-depth research understanding, and true clinical creativity. Extended case examples bring the text vividly to life, and the innovative emphasis on fostering clients' resilience and strengths adds a unique dimension to conceptualization work. An essential guide for the novice and a rich source of new ideas and inspiration for experienced cognitive therapists." - Melanie Fennell, University of Oxford, UK

Author/Editor Biography

Willem Kuyken, PhD, is Professor of Clinical Psychology at the University of Exeter, United Kingdom; Cofounder of the Mood Disorders Centre; and a Fellow of the Academy of Cognitive Therapy. His primary research and clinical interests are case conceptualization and cognitive-behavioral approaches to depression, and he has published more than 50 articles and book chapters. Dr. Kuyken is a recipient of the May Davidson Award from the British Psychological Society

Christine A. Padesky, PhD, is a Distinguished Founding Fellow of the Academy of Cognitive Therapy and recipient of its Aaron T. Beck Award. She is an internationally renowned speaker, consultant, and coauthor of six books, including the bestselling Mind Over Mood. Dr. Padesky's numerous awards include the Distinguished Contribution to Psychology Award from the California Psychological Association. Through her website, www.padesky.com, she produces audiovisual programs on case conceptualization and other topics that provide CBT training for therapists in more than 45 countries

Robert Dudley, PhD, is a Consultant Clinical Psychologist for the Early Intervention in Psychosis Service at the Northumberland, Tyne, and Wear Mental Health NHS Trust, United Kingdom. He is currently serving as a Beck Institute Scholar at the Beck Institute for Cognitive Therapy and Research. Dr. Dudley's primary clinical and research focus is the understanding and treatment of psychotic symptoms. As a clinician, trainer, and supervisor, he developed an interest in case conceptualization and has undertaken several research projects in this area