Main description:

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.

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