An Introduction to Cognitive Behaviour Therapy: Skills and Applications
David Westbrook
Language: English
Pages: 448
ISBN: 1848606877
Format: PDF / Kindle (mobi) / ePub
An Introduction to Cognitive Behaviour Therapy is the definitive beginner's guide to the basic theory, skills and applications of Cbt.
In this eagerly-awaited second edition, the authors set out the core concepts and generic skills of Cbt, including case formulation; the therapeutic relationship; and cognitive, behavioural and physiological therapeutic strategies. Practical illustrations of how these techniques can be applied to the most common mental health problems ensure that theory translates into real-life practice. New to this edition, the authors examine:
o cultural diversity in greater depth
o the current topicality of Cbt, especially within the Nhs
o latest Roth/Pilling Cbt competencies
o the impact of third wave Cbt in more detail.
As well as exploring depression, panic and agoraphobia, Ocd and anxiety disorders, the book covers other less common disorders. Discussion of different methods of delivery includes work with individuals, groups, couples and families. This edition also includes extra case study material, student exercises and discussion points.
This fully updated Introduction remains the key textbook for those coming to Cbt for the first time, whether on training courses or as part of their everyday work. It is also useful for more experienced therapists wanting to refresh their core skills.
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Clark (1986, 1999); Wells (1997) Health anxiety Salkovskis & Warwick (1986); Warwick & Salkovskis (1989) Social anxiety Clark (2002); Clark & Wells (1995); Wells (1997) Generalised anxiety disorder (GAD) Borkovec & Newman (1999); Borkovec et al. (2002); Wells (1997, 2000) Obsessive-compulsive disorder (OCD) Salkovskis (1985, 1999); Wells (1997) Post-traumatic stress disorder (PTSD) Ehlers & Clark (2000) Specific phobia There is, as yet, no evaluated ‘cognitive model’ of specific
enduring catastrophic predictions concerning future health issues and preoccupation with physical symptoms (i.e. focus of attention towards the perceived threat). In itself, the fear of developing physical illness can exacerbate alarming physical symptoms, for which there is also likely to be selective awareness. This leads to high levels of anxiety. Sufferers of health anxiety tend to engage either in reassurance-seeking behaviours or in avoidance of situations they predict will heighten their
Anonymous) has continued to divide people who work in this area. It is possible that controlled misuse is more relevant for the very large group with less severe problems, (Sobell & Sobell, 1993). The harm reduction approach is one attempt to circumvent this issue, while accepting the need to take account of the stage that the client has reached. The goals of therapy are to limit the impact of substance misuse rather than aim for total abstinence (Marlatt, Larimer, Baer & Quigley, 1993). The
feedback is welcome; and carefully establishing the client’s goals for treatment all contribute to an effective alliance. Clients differ in what they bring to therapy, and consideration of these factors can also ease the development of a good relationship. For example, some clients may be at a relatively early stage in their ‘preparedness to change’ (Prochaska & DiClemente, 1986), and the therapist needs to be aware of this. A client with an eating disorder may be willing to think about
well in her social and work life because of her preoccupation with dietary restriction: she could reframe the apparent benefit of extreme dieting as the enemy of her work and social life. When exploring the pros and cons, and reframes, you should, of course, be nonconfrontational, empathic and collaborative. Such exercises are aimed at enabling and enlightening your client rather than illustrating how wrong they might be. Carried out in this way, this approach is a particularly helpful one in