Cognitive Schemas and Core Beliefs in Psychological Problems: A Scientist-Practitioner Guide / Edition 1

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Cognitive approaches to psychopathology have evolved from a primary focus on superficial cognition and automatic thoughts to an increased interest in more deeply rooted aspects of cognition, namely, cognitive schemas and core beliefs. Rather than simply focusing on the remediation of acute clinical states, the latest cognitive models are examining premorbid and post-episodic functioning. Findings suggest that cognitive schemas play a principal role in the development and maintenance of psychological disorders, as well as in the recurrence and relapse of future episodes. Cognitive Schemas and Core Beliefs in Psychological Problems provides up-to-date information on the evaluation and utility of the schema concept and core beliefs as they apply to the research and treatment of a variety of clinical problems, including both major and chronic depression, posttraumatic stress disorder, substance use disorders, obsessive-compulsive disorder, schizophrenia, eating disorders, and dissatisfaction in intimate relationships. The chapters in this volume cover basic research and core belief and schema-focused approaches for clinical intervention, with the inclusion of case formulation sheets, therapy worksheets, and case studies. The emphasis on cognitive schemas reflects several trends in cognitive-behavioral therapy including an increased emphasis on personality and personality disorders, a greater focus on chronic forms of psychopathology, increased focus on developmental antecedents of psychopathology, and the recent move to integrate cognitive-behavioral therapy with self-psychology and psychodynamic theory.

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Editorial Reviews

Doody's Review Service
Reviewer: Gary B Kaniuk, Psy.D.(Cermak Health Services)
Description: This book addresses how to intervene in psychological problems at the most foundational level in the CBT (cognitive-behavioral therapy) tradition, i.e. cognitive schemas and core beliefs. It will help practitioners deal with individuals suffering from chronic distress from common psychological maladies.
Purpose: As noted in the introduction, "Our volume examines how the general principles of schema theory can be applied to specific clinical problems. The chapters in this volume cover several major psychological problems including depression, eating disorders, posttraumatic stress disorder, substance use disorders, obsessive-compulsive disorder, and schizophrenia, as well as couples distress. Each chapter begins with basic research on schema processes and issues in the assessment of schemas for that particular disorder, followed by a description of the clinical application of the schema-focused approach. Each chapter describes the implications of a schema-focused approach for theory, research, and practice."
Audience: The book is intended for readers with some familiarity with the cognitive therapy literature. In addition, graduate students in advanced classes on cognitive therapy could benefit as well. According to the editors, the contributors "range from clinic directors to faculty members at universities and university medical schools, and all have developed innovative treatment models that combine science with practice."
Features: The first chapter is an introduction that briefly describes schema theory. The remaining eight chapters describe its application with various psychological disorders such as depression, posttraumatic stress disorder, obsessive-compulsive disorder, substance use disorders, eating disorders, and psychosis. The last chapter addresses treatment and research with couples. The authors combine research with practice very nicely and many of the chapters include case examples. This book is very pragmatic, including informative appendixes, tables, and figures. It is very easy to read so therapists with less experience with CBT can apply the concepts. The authors provide good references for readers who wish to go further. The only shortcoming is that in covering many psychological problems, the book can cover each fairly briefly. However, this allows readers to compare and contrast the treatment approach of each problem side-by-side.
Assessment: This book is good for therapists who want to practice CBT with individuals who are having chronic psychological problems. Many of the CBT books only discuss approaches for acute clinical states so there is definitely a need for books like this which consider longer term interventions. The book is practical, easy to read, and provides ideas that can be applied right away in clinical work.
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Product Details

  • ISBN-13: 9781591477822
  • Publisher: American Psychological Association
  • Publication date: 1/28/2007
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 240
  • Product dimensions: 7.20 (w) x 10.10 (h) x 1.10 (d)

Table of Contents

Contributors     ix
Acknowledgments     xi
Introduction: A Return to a Focus on Cognitive Schemas   Lawrence P. Riso   Carolina McBride     3
Major Depressive Disorder and Cognitive Schemas   Carolina McBride   Peter Farvolden   Stephen R. Swallow     11
Early Maladaptive Schemas in Chronic Depression   Lawrence P. Riso   Rachel E. Maddux   Noelle Turini Santorelli     41
Schema Constructs and Cognitive Models of Posttraumatic Stress Disorder   Matt J. Gray   Shira Maguen   Brett T. Litz     59
Specialized Cognitive Behavior Therapy for Resistant Obsessive-Compulsive Disorder: Elaboration of a Schema-Based Model   Debbie Sookman   Gilbert Pinard     93
Cognitive-Behavioral and Schema-Based Models for the Treatment of Substance Use Disorders   Samuel A. Ball     111
Schema-Focused Cognitive-Behavioral Therapy for Eating Disorders   Glenn Waller   Helen Kennerley   Vartouhi Ohanian     139
Case Formulation and Cognitive Schemas in Cognitive Therapy for Psychosis   Anthony P. Morrison     177
Maladaptive Schemas and Core Beliefs in Treatment and Research With Couples   Mark A. Whisman   Lisa A. Uebelacker     199
Afterword   Lawrence P. Riso     221
Index     225
About the Editors     239
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