Cognitive-Behavioral Therapy in Groups

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Overview

An Authoritative Practitioner Guide and Student Text, This Book Offers Clear Advice on how to structure and lead cognitive-behavioral therapy (CBT) groups and overcome common challenges that arise. Specific, evidence-based group assessment and treatment protocols are provided for a range of frequently encountered disorders. Emphasizing that a CBT group is more than the sum of its individual members, the authors show how to understand and use group process to optimize outcomes. Up to date, accessible, and highly practical, the book is filled with session outlines, sample dialogues, checklists, troubleshooting tips, and other user-friendly features.

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Editorial Reviews

Doody's Review Service
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: The authors cover both process and techniques in their description of how cognitive-behavioral therapy (CBT) can be applied to group settings.
Purpose: According to the authors, "We attempt to bridge the gap between the typical CBT protocols to follow particular strategies and the real-world messiness that is inherent in translating these specific strategies in a group context. To do so, we illustrate the challenges in this translation with a formalized description of the interplay among group members as they think, feel, and experience together the powerful changes that occur during CBT. We also try to do justice to the complexities of being a group CBT leader and specify the set of skills that group leaders must know and practice if they are to be effective. Through this work, we have come to believe that considering processes in CBT groups is as basic as the mechanics of teaching through disputation. Group CBT works best only when the interactional properties of the group modality are understood by group leaders and leveraged to maximize learning, change, and growth."
Audience: The book is intended for CBT practitioners who work with groups, as well as other group therapists interested in evidence-based techniques. Students and trainees in clinical psychology, psychiatry, social work, counseling, family therapy, and nursing will also find it of value. Dr. Bieling is associate professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University and is a founding fellow in the Academy of Cognitive Therapy. Dr. McCabe is chair of the Clinical Behavioural Sciences Programme in the Faculty of Health Sciences and Assistant Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University and has published widely, including on cognitive-behavioral therapy. Dr. Antony is professor in the Department of Psychology, Ryerson University, Toronto and has published extensively in the areas of cognitive-behavioral therapy and anxiety disorders.
Features: The three parts of the book cover general principles and practice of CBT groups; CBT groups for specific disorders; comorbidity and future directions. The book combines research with CBT theory to create a very practical treatment manual. The authors do a nice job of explicating both process and CBT techniques, in the Yalom tradition. The many tables go a long way in illustrating the material. The authors also provide useful case material. In Part II, the authors present tables with sample outlines of treatment protocols for each disorder. Part III gives treatment protocols when groups are composed of individuals with multiple Axis I diagnoses. This practical and easy to read book can aid both the novice therapist and the seasoned veteran.
Assessment: This book is a tremendous help for all CBT therapists who have wanted to combine both process and technique in conducting group therapy. The authors show how some of Yalom's principles apply and how some do not in CBT tradition. It's like a master class in learning how to do group therapy. Short-term group approaches to specific disorders will help therapists satisfy managed care insurance demands. Hopefully, books like this will train CBT therapists to conduct effective groups, just like Yalom has been doing for decades in the psychodynamic tradition. Finally, with Dr. Arthur Freeman as one of the contributors, you know you have a powerful book.
From the Publisher
"This is a groundbreaking volume. Unlike other books on CBT with groups, this one highlights the importance of group processes and structure. The authors provide detailed descriptions of how clinicians can manage these aspects of practice more effectively to improve outcomes. The book also addresses common comorbidities and other thorny, real-world issues that are often neglected in the group CBT literature."—Ronald W. Toseland, PhD, University at Albany, State University of New York

"This impressive volume richly details the challenges and rewards of providing cognitive-behavioral therapy in a multiperson context. Group leaders, who face the demanding task of structuring therapeutic content while simultaneously leaving room for therapeutic process, will find themselves ably supported by the authors' sophisticated integrative philosophy and clinically astute suggestions. This book will set the standard for group-based CBT for years to come."—Zindel V. Segal, PhD, Departments of Psychology and Psychiatry, University of Toronto, Canada

"An excellent addition to any therapist's library. This volume nicely combines the research literature and sound group protocols with practical advice that every group therapist/m-/beginning or experienced/m-/can use. This volume is an outstanding example of evidence-based practice. I would definitely use this book in a graduate psychotherapy course. Group therapy has many advantages over individual therapy, and this volume will help many more therapists use the group format. This is easily the most important volume on CBT in groups today. The depth of coverage and broad range of disorders will make it useful in many settings."—Debra A. Hope, PhD, University of Nebraska, Lincoln

"This is a wonderful, original, and highly needed book addressing the very practical problem of providing CBT in a group format. The authors thoughtfully integrate the scholarly clinical literature on group therapy with that of evidence-based, protocol-driven CBT therapies for individual DSM-IV mood, anxiety, and eating disorders. Given the pressing need to make these efficacious treatments available to large numbers of people, group therapy makes a lot of sense. However, the authors go beyond this practical rationale to explain clearly the important advantages of working in groups. As a primarily individual therapist, I felt excited by the idea that group work may be superior, and have become motivated to try this modality. This book sets a new standard for the field, and will be useful for psychiatric residents, clinical psychologists, and social workers who have some familiarity with psychopathology and are interested in learning how to do group therapy."—M. Katherine Shear, MD, Columbia University School of Social Work

International Journal of Group Psychotherapy
"Provides an excellent and comprehensive discussion of the basic structure and implementation of CBT techniques offered in a group format. The book is a must-read for beginning group therapists, providing in-depth coverage on how to perform behavioral strategies in a group, establish group rules, interact with problem members, work with a cotherapist, and decide between sticking with the agenda versus pursuing unplanned group interaction. Important questions are raised in a thoughtful manner....We wholeheartedly recommend this book to those interested in researching and conducting CBGT and endorse the recommendations regarding future directions to maximize group process integration in CBT groups."—International Journal of Group Psychotherapy
Cognitive Behavioral Therapy Book Reviews
"This is the book I would have liked to be able to read when I started running CBT groups sixteen years ago....What I found particularly helpful about this book is that from the start, the authors acknowledge that CBT groups are 'more than techniques delivered "simultaneously" to multiple clients.' The focus of the book is therefore 'the integration of CBT strategies, and the understanding and enhancement of group process to aid in learning and understanding cognitive and behavioural strategies.' This is a considerably more sophisticated approach to group CBT than has previously been available in the literature....This book will be a very valuable resource for professionals setting up and running CBT groups for a wide range of clients, as well as for professionals supervising CBT groups, and is highly recommended."—Cognitive Behavioral Therapy Book Reviews
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Product Details

  • ISBN-13: 9781606234044
  • Publisher: Guilford Publications, Inc.
  • Publication date: 6/24/2009
  • Edition description: New Edition
  • Pages: 452
  • Sales rank: 701,452
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.20 (d)

Meet the Author

Peter J. Bieling, PhD, is Associate Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University and Director of Mood and Anxiety Services of St. Joseph’s Healthcare, Hamilton, Ontario. He has published widely in the areas of depression and cognitive-behavioral therapy. A Founding Fellow in the Academy of Cognitive Therapy, he is an active therapist, teacher of cognitive-behavioral therapy, and consultant.
 
Randi E. McCabe, PhD, is Chair of the Clinical Behavioural Sciences Programme in the Faculty of Health Sciences and Assistant Professor in the Department of Psychiatry and Behavioural Neurosciences at McMaster University, and is Associate Director of the Anxiety Treatment and Research Centre at St. Joseph’s Healthcare. She has published widely on anxiety, eating disorders, and cognitive-behavioral therapy, and is the author of three books for consumers. An active trainer and workshop presenter, she is on the editorial board of The Clinical Psychologist and maintains a private practice focusing on eating disorders.
 
Martin M. Antony, PhD, is Professor in the Department of Psychology, Ryerson University, Toronto, and is Psychologist-in-Chief and Director of the Anxiety Treatment and Research Centre and the Psychology Residency Program at St. Joseph’s Healthcare. He has published 20 books and over 100 articles and chapters in the areas of cognitive-behavioral therapy and anxiety disorders. Actively involved in research, teaching, and clinical practice, he has received career awards from the Society of Clinical Psychology (American Psychological Association), the Canadian Psychological Association, and the Anxiety Disorders Association, and is a Fellow of the American and Canadian Psychological Associations.

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Table of Contents

Part I General Principles and Practice of Cognitive-Behavioral Therapy Groups

Chapter 1 Cognitive-Behavioral Therapy Groups: Possibilities and Challenges 3

Chapter 2 Group Process in CBT: Using Group Dynamics Productively 22

Chapter 3 Cognitive Strategies in CBT Groups 45

Chapter 4 Behavioral Strategies in CBT Groups 70

Chapter 5 Basic Structure and Implementation of CBT Groups 87

Chapter 6 Overcoming Obstacles in CBT Groups: Challenges and Problems in Group Structure 104

Part II Cognitive-Behavioral Therapy Groups for Specific Disorders

Chapter 7 Panic Disorder and Agoraphobia 123

Chapter 8 Obsessive-Compulsive Disorder 155

Chapter 9 Social Anxiety Disorder 190

Chapter 10 Depression 216

Chapter 11 Bipolar Disorder 239

Chapter 12 Eating Disorders 266

Chapter 13 Substance Abuse Frederick Rotgers and Trinh An Nguyen 298

Chapter 14 Personality Disorders Arthur Freeman and Jessica L. Stewart 324

Chapter 15 Schizophrenia David L. Roberts, Amy E. Pinkham, and David L. Penn 350

Part III Comorbidity and Future Directions

Chapter 16 Comorbidity and CBT Groups 375

Chapter 17 The FAQs of CBT Group Intervention 392

References 401

Index 441

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