Evidence-Based Practice of Cognitive-Behavioral Therapy

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From leading experts in the field-a practicing clinical psychologist and a renowned psychotherapy researcher-this book synthesizes the evidence base for cognitive-behavioral therapy (CBT) and translates it into practical clinical guidelines. The focus is how clinicians can use current research findings to provide the best care in real-world practice settings. Within a case formulation framework, core cognitive and behavioral theories and techniques are described and illustrated with vivid case examples. The authors also discuss managing everyday treatment challenges; separating CBT myths from facts; and how to develop a successful CBT practice and optimize the quality of services.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Psychotherapy has always been entrenched in the realities of business, whether it is in terms of private practice or work in a clinic or hospital setting. Many training programs ignore the business aspects and instead focus on the therapeutic approaches themselves. This book takes a broader look at cognitive behavioral therapy (CBT) as a practice within a larger healthcare and business setting.
Purpose: The intent is to provide instruction in CBT techniques and to do so within the larger systemic context without losing sight of the empirical basis for the approach.
Audience: The authors point out that this book is principally intended for individuals learning psychotherapy in the field of psychology, psychiatry, and mental health. They also hope that the ideas will reinforce the work being done by seasoned clinicians and offer some small nuggets of additional wisdom. The authors are university faculty and practicing clinicians.
Features: A case study runs throughout this book and each chapter includes abstracts. The book begins with an outline of an intake interview. There are suggestions for standardized measures, as well as a couple of very useful tables delineating pertinent information to gather and ways to phrase questions for different parts of the interview. Next the book describes the integration of information and case conceptualization with a sample report. Planning for therapy is next with a discussion of how goal setting in research may or may not apply to clinical settings. A sample therapy contract is provided to set realistic expectations and to specify business aspects of therapy, such as fee structure and policies. Single chapters cover basic skills, behavioral change, restructuring cognitions, and modifying core beliefs. While this is a good introduction to CBT, readers should not expect comprehensive instruction in CBT. The authors continue to weave in the practicalities of conducting CBT in a practical setting with some suggestions about how to make the most of the limited sessions clinicians have. There are discussions of the empirical basis for CBT, as well as common myths associated with this approach. Finally, a chapter is dedicated to starting a practice and methods for assuring competence of practitioners. The Cognitive Therapy Scale is included as an appendix.
Assessment: This is a worthwhile book for students becoming familiar with CBT. It reviews the tenets of CBT and updates information from classic texts. The integration of practical issues is valuable for navigating the systemic constraints placed on therapy by business realities. Supervisors and clinical faculty would greatly benefit from the book's resources in the instruction of trainees.
Nursing Standard

"Written by two well-qualified psychologists, this book offers a comprehensive approach to the process of cognitive behavioral therapy (CBT) from assessment and case formulation to completion and relapse prevention....The book is evidence-based, building a bridge between the theoretical concepts and the clinical application....This is an ideal text for any therapist using CBT and would be of particular interest to students and practicing CPT nurse specialists."--Nursing Standard
From the Publisher

"This guide provides an integration of recommended practices and up-to-date evidence for CBT across a range of disorders. Particular (and novel) strengths include accurate and brief summaries of the science concerning CBT, along with discussions of the nuts and bolts of setting up a practice, relevant cultural and contextual issues, and useful strategies in assessment and intervention. The book is clearly written and highly accessible. Dobson and Dobson are to be congratulated on doing exactly what the title suggests by providing a valuable, well-balanced introductory guide to science and practice."--Edward Watkins, PhD, Mood Disorders Centre, School of Psychology, University of Exeter, UK

"A unique contribution to the clinical literature. This book provides valuable guidance on how to carry out CBT effectively. It would serve as an excellent text for courses on CBT for practicing clinicians. Cutting across disorders, Dobson and Dobson show how CBT can be used with virtually any client. They include valuable instruction on often-overlooked techniques, such as behavioral activation and social skills training. They also address challenges and controversies in clinical training and the dissemination of evidence-based practices. This is a book for everyone interested in the science and practice of CBT."--Deborah Roth Ledley, PhD, Children’s Center for OCD and Anxiety, Plymouth Meeting, Pennsylvania

"Finally--a book that is actually written as a bridge between the science of CBT and real-world treatment. This is a comprehensive how-to volume that examines the issues of putting CBT into practice from stem to stern. The most useful CBT volume I’ve ever seen."--Peter J. Bieling, PhD, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Canada

"Dobson and Dobson have provided a most comprehensive resource on the science and practice of cognitive-behavioral therapy. I believe this book will prove to be an invaluable resource for established clinicians who wish not only to enhance their working knowledge and understanding of CBT, but also to gain helpful techniques in general practice development."--Michael G. Wetter, PsyD, Chief, Adult Psychiatry Services, Kaiser Permanente Medical Center, Hayward, California

Canadian Psychology

"The authors have extensive experience in clinical research, practice, and training, and are well-situated to provide clear descriptions of CBT and the relevant empirical literature....Individuals who read this book will obtain a comprehensive and practical description of CBT that cuts across many psychological problems. As a result, this book would be an excellent supplemental textbook for CBT training programs or for individuals receiving training in CBT manuals for specific disorders."--Canadian Psychology
Bulletin of the Menninger Clinic

“This book is well written and easy to read and an invaluable resource. I would recommend it to novices and seasoned practitioners.”--Bulletin of the Menninger Clinic
Behavioural and Cognitive Psychotherapy

“A volume that is relevant for all clinicians who embrace the scientist-practitioner model. It will be especially useful as an introductory text but should also offer something of interest to more expert practitioners. One of the biggest strengths of this book is that it contains an impressive amount of information, offering both breadth and depth….This book provides a practical guide to common elements of CBT for practitioners who are interested in making good use of available evidence to help their clients to get better. It offers information on which aspects of CBT are empirically supported, and tells readers how to use these with clients in their practice, as well placing CBT within a wider context.”--Behavioural and Cognitive Psychotherapy
Nursing Standard

"Written by two well-qualified psychologists, this book offers a comprehensive approach to the process of cognitive behavioral therapy (CBT) from assessment and case formulation to completion and relapse prevention....The book is evidence-based, building a bridge between the theoretical concepts and the clinical application....This is an ideal text for any therapist using CBT and would be of particular interest to students and practicing CPT nurse specialists."--Nursing Standard

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Product Details

  • ISBN-13: 9781606230206
  • Publisher: Guilford Publications, Inc.
  • Publication date: 2/6/2009
  • Edition description: New Edition
  • Pages: 322
  • Sales rank: 598,061
  • Product dimensions: 6.30 (w) x 9.00 (h) x 1.20 (d)

Meet the Author

Deborah Dobson, PhD, is a psychologist with the Calgary Health Region and Adjunct Associate Professor in the Departments of Psychology and Psychiatry at the University of Calgary. She also maintains a private practice, where she provides assessments and cognitive-behavioral therapy for adult clients, and is Director of Clinical Training for the Calgary Consortium in Clinical Psychology. Dr. Dobson is the President of the Board of the Canadian Mental Health Association-Calgary Division and was the Chair of the Clinical Section for the Canadian Psychological Association from 2007 to 2008. Her professional interests include client access to empirically supported treatments, clinical training, consumer advocacy, and cognitive-behavioral therapies.

Keith S. Dobson, PhD, is Professor of Clinical Psychology at the University of Calgary, where he is also Head of Psychology and Co-Leader of the Hotchkiss Brain Institute Depression Research Program. Dr. Dobson’s research has focused on cognitive models and mechanisms in depression and the treatment of depression, particularly using cognitive-behavioral therapies. His research has resulted in over 150 published articles and chapters, 8 books, and numerous conference and workshop presentations in many countries. In addition, he has written about developments in professional psychology and ethics. A past President of the Canadian Psychological Association, he is President of the Academy of Cognitive Therapy and President-Elect of the International Association for Cognitive Psychotherapy. Dr. Dobson is a recipient of the Canadian Psychological Association’s Award for Distinguished Contributions to the Profession of Psychology.

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Table of Contents

1. Introduction and Context of Cognitive-Behavioral Interventions

2. Assessment for Cognitive-Behavioral Therapy

3. Integration and Case Formulation

4. Beginning Treatment: Planning for Therapy and Building Alliance

5. Beginning Treatment: Basic Skills

6. Behavior Change Elements in Cognitive-Behavioral Therapy

7. Cognitive Restructuring Interventions

8. Assessing and Modifying Core Beliefs and Schemas

9. Completion of Treatment and Prevention of Relapse

10. Challenges in Conducting Cognitive-Behavioral Therapy

11. The Research Context of Cognitive-Behavioral Therapy

12. Myths about Cognitive-Behavioral Therapy

13. Starting and Maintaining a Cognitive-Behavioral Practice

Appendix A. The Cognitive Therapy Scale

Appendix B. Review Articles Regarding the Efficacy of Cognitive-Behavioral Therapy

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