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Cognitive Therapy of Anxiety Disorders: A Practice Manual and Conceptual Guide [Kietas viršelis]

(University of Manchester, UK)
  • Formatas: Hardback, 328 pages, aukštis x plotis x storis: 248x175x24 mm, weight: 680 g
  • Išleidimo metai: 07-Jul-1997
  • Leidėjas: John Wiley & Sons Inc
  • ISBN-10: 0471964743
  • ISBN-13: 9780471964742
Kitos knygos pagal šią temą:
  • Formatas: Hardback, 328 pages, aukštis x plotis x storis: 248x175x24 mm, weight: 680 g
  • Išleidimo metai: 07-Jul-1997
  • Leidėjas: John Wiley & Sons Inc
  • ISBN-10: 0471964743
  • ISBN-13: 9780471964742
Kitos knygos pagal šią temą:
A tutorial for practicing and training mental health clinicians, emphasizing the design and implementation of pure cognitive therapy interventions. Wells (clinical psychology, U. of Manchester, England) reviews assessment and basic cognitive therapy skills, then shows he they can be applied to panic, hypochondriasis, social phobia, generalized anxiety disorder, and obsessive-compulsive disorder. For each he discusses such aspects as verbal reattribution, modifying beliefs, and sequencing treatment interventions. He also projects future developments in the field. Annotation c. by Book News, Inc., Portland, Or.

Cognitive therapies are based on the idea that behavior and emotions result largely from an individual's appraisal of a situation, and are therefore influenced by that individual's beliefs, assumptions and images. This book is a comprehensive guide to cognitive therapy of anxiety disorders.

Recenzijos

"... an excellent section on GAD and the metacognitive approach...." (The Observer, 14 October 2001)

About the Author xi
Preface xiii
Cognitive Theory and Models of Anxiety: An Introduction
1(20)
Cognitive theory of anxiety disorders
2(6)
dysfunctional schemas
3(1)
negative automatic thoughts, worries and obsessions
4(1)
the role of behaviour
5(2)
cognitive biases
7(1)
Summary of the general schema theory
8(1)
Evidence for the schema theory of anxiety
9(4)
information-processing tasks
10(3)
judgement, evaluation and memory tasks
13(1)
A question of causality
13(1)
From schema theory to disorder-specific models
14(5)
panic disorder and health anxiety
14(2)
social phobia
16(1)
generalised anxiety disorder
17(1)
obsessive-compulsive disorder
18(1)
Overlapping and distinct constructs
19(1)
Conclusion
19(2)
Assessment: An Overview
21(21)
Aims of assessment
21(3)
measurement
22(2)
Recommended additional measures for specific disorder
24(10)
panic disorder and agoraphobia
24(2)
health anxiety
26(2)
social phobia
28(2)
generalized anxiety disorder
30(3)
obsessive-compulsive disorder
33(1)
Specific rating scales
34(1)
Cognitive Therapy Assessment Interview
35(3)
detailed description of the presenting problem
35(1)
cross-sectional cognitive-behavioural analysis
35(2)
longitudinal analysis
37(1)
underlying assumptions and beliefs
37(1)
use of behaviour tests
38(1)
Structure of the assessment interview
38(2)
Multiple presenting problems
40(1)
Conclusion
41(1)
Cognitive Therapy: Basic Characteristics
42(15)
Cognitive techniques
43(1)
Behavioural techniques
43(1)
The structure of therapy
44(2)
case conceptualisation (formulation)
44(1)
socialisation
45(1)
symptom and schema focused intervention
46(1)
relapse prevention
46(1)
Session structure
46(4)
review of objective measures
47(1)
agenda setting
47(1)
use of feedback
48(1)
implementation of specific strategies
49(1)
provision of new homework
49(1)
ending a session
50(1)
The first treatment session
50(1)
problem list and goal setting: issues of problem primacy
50(1)
The process of therapy: essential basics
51(5)
pacing and efficient time use
51(1)
the socratic dialogue
52(4)
Conclusion
56(1)
Cognitive Therapy: Basic Techniques
57(41)
Eliciting negative automatic thoughts
57(10)
ten ways of eliciting relevant NATs
58(9)
Reattribution methods
67(11)
verbal reattribution
68(10)
summary of verbal reattribution
78(1)
Behavioural reattribution
78(7)
use of exposure in cognitive therapy
79(1)
behavioural experiments
80(1)
disconfirmation experiments in anxiety and depression
81(1)
designing and implementing effective experiments
81(3)
difficulties with behavioural experiments
84(1)
Safety in treatment
85(1)
schema-focused techniques in anxiety disorder
85(1)
Eliciting assumptions
86(11)
meta-cognition and the vertical arrow
89(4)
imagery and schemas
93(1)
restructuring of rules, assumptions and beliefs
93(4)
Conclusion
97(1)
Panic Disorder
98(35)
Characteristics of panic attacks
98(1)
Cognitive model of panic
99(4)
From cognitive model to case conceptualisation
103(1)
assessment
103(1)
Deriving the vicious circle
103(4)
Developing the basic conceptualisation: incorporating safety behaviours and avoidance
107(2)
Socialisation
109(4)
sample socialisation experiments
110(3)
Reattribution strategies
113(1)
evolution of treatment strategies in panic
113(1)
Behavioural experiments
113(6)
guidelines for effective symptom-induction experiments
114(1)
hyperventilation provocation task
115(2)
physical exercise tasks
117(1)
chest pain strategies
117(1)
strategies for inducing visual disturbances
118(1)
dissociative experiences
118(1)
`acting as if' experiments
118(1)
Verbal reattribution techniques
119(11)
questioning the evidence
119(1)
the panic cognitions diary
120(1)
education and exploring counter-evidence
121(1)
selected educational scenarios in panic
121(6)
counter-evidence
127(1)
symptom contrast technique
128(2)
the survey technique
130(1)
Dealing with avoidance
130(1)
Relapse prevention
130(1)
therapy blueprint
131(1)
reframe and booster sessions
131(1)
Example treatment outline
131(2)
Hypochondriasis: Health Anxiety
133(34)
A cognitive model of hypochondriasis
134(5)
cognitive factors
135(1)
affect/physiological changes
136(1)
behavioural responses
137(1)
summary of the model and new directions
138(1)
General treatment issues
139(2)
engagement in treatment
139(2)
From cognitive model to case conceptualisation
141(3)
Socialisation
144(3)
sample socialisation experiments
145(2)
Reattribution strategies
147(1)
Behavioural experiments
147(4)
testing patient predictions
147(2)
survey method
149(1)
paradoxical procedures
149(1)
medical consultation during cognitive therapy
149(1)
reducing reassurance seeking
150(1)
developing a plan for medical consultation
150(1)
self-monitoring
151(1)
Verbal reattribution techniques
151(12)
the health-anxiety thoughts record
152(1)
pie charts
152(2)
inverted pyramid
154(1)
thinking errors
155(1)
answering thoughts and imagery modification
156(1)
the `dual model' strategy
157(1)
dealing with rumination and worry
157(2)
modifying assumptions and beliefs
159(4)
Imagery techniques
163(1)
Dealing with health-risk behaviour
164(1)
Conclusions
164(1)
Example treatment outline
164(3)
Social Phobia
167(33)
The nature of social phobia
168(1)
A cognitive model of social phobia
168(6)
anticipatory and post-event processing
170(1)
processing of the social self
171(1)
assumptions and beliefs
171(1)
summary of the model
172(2)
From cognitive model to case conceptualisation
174(8)
eliciting information for conceptualisation
175(1)
collecting data for formulation
176(4)
example of a behaviour test to elicit data
180(2)
Socialisation
182(3)
selling self-processing
183(1)
behavioural experiments in socialisation
184(1)
Sequencing of treatment interventions
185(1)
Modifying self-processing
186(2)
Challenging other negative thoughts
188(3)
the social balance sheet
189(1)
thinking errors
189(1)
using rational self-statements
190(1)
defining fears
190(1)
dealing with anticipatory processing and the post-mortem
191(1)
Behavioural experiments
191(2)
interrogating the environment
191(1)
overcoming avoidance
192(1)
Working with conditional assumptions and beliefs
193(5)
conditional assumptions
193(1)
generating alternative evidence
194(2)
rigid rules: increasing the `bandwidth'
196(1)
unconditional negative self-beliefs
197(1)
the positive data log
197(1)
interpersonal strategies
197(1)
Conclusions
198(1)
Example treatment outline
199(1)
Generalised Anxiety Disorder
200(36)
The nature of worry
201(1)
the nature of worry in GAD
201(1)
A cognitive model of GAD
202(5)
behavioural responses
205(1)
thought control
206(1)
emotion
207(1)
Eliciting information for conceptualisation
207(6)
verbal strategies for eliciting Type 2 worry
208(3)
questionnaire assessment
211(2)
From cognitive model to case conceptualisation
213(2)
Socialisation
215(6)
socialisation questions
215(1)
selling meta-worry
216(1)
the worrying thoughts record (WTR)
217(1)
socialising experiments
218(3)
Modifying meta-worry and negative beliefs
221(1)
Verbal reattribution
221(5)
questioning the evidence
221(1)
questioning the mechanism
222(1)
challenging uncontrollability appraisals
223(1)
education (normalising worry)
224(1)
dissonance techniques
224(2)
imagery techniques
226(1)
Behavioural experiments
226(3)
controlled worry periods
226(2)
challenging uncontrollability beliefs
228(1)
loss of control experiments
228(1)
pushing worry limits in-situ
228(1)
abandoning thought control
229(1)
surveys
229(1)
Modifying positive beliefs about worry
229(2)
mismatch strategies
230(1)
worry abandonment experiments
231(1)
worry enhancement experiments
231(1)
Modifying cognitive bias
231(1)
Strategy shifts
232(1)
new endings for old worries
232(1)
letting go of worries
232(1)
avoidance
233(1)
The problem of co-morbidity
233(1)
Conclusion
233(1)
Example treatment outline
234(2)
Obsessive-Compulsive Disorder
236(29)
Prevalance of obsessions and compulsions
237(1)
Cognitive models of OCD
237(4)
the Salkovskis model
238(1)
the Wells and Matthews meta-cognitive model
239(2)
A general working model
241(2)
Developing a case formulation
243(3)
symptom profile and triggering influences
243(1)
eliciting dysfunctional appraisals
244(2)
Conceptualisation interview: a case example
246(3)
Socialisation
249(1)
General aims of cognitive therapy
249(1)
Verbal reattribution
250(6)
defining the cognitive target and detached mindfulness
250(1)
the DTR in OCD
250(2)
thought-action defusion
252(1)
thought-event defusion
252(3)
identifying images
255(1)
Behavioural reattribution
256(5)
exposure and response prevention: the behavioural perspective
256(1)
exposure and response prevention: a cognitive recoceptualisation
257(1)
challenging specific beliefs
258(2)
response prevention: contamination fears
260(1)
absence of cognition
260(1)
Additional considerations
261(2)
rituals and emotional avoidance
261(1)
doubt reduction
262(1)
Conclusion
263(1)
Example treatment outline
263(2)
Future Development in Cognitive Therapy
265(14)
The self-regulatory executive function model
266(3)
Treatment implications of the S-REF model
269(5)
managing on-line activity
270(1)
socratic dialogue
271(1)
developing new processing routines
271(2)
attention training
273(1)
Meta-cognition and anxiety disorder
274(1)
Obsessional problems
275(2)
Summary and conclusion
277(2)
Rating Scales 279(6)
Appendix 285(9)
References 294(8)
Index 302


Adrian Wells, PhD, is Professor of Clinical and Experimental Psychopathology at the University of Manchester, United Kingdom, and Professor II in Clinical Psychology at the Norwegian University of Science and Technology, Trondheim, Norway. He is internationally known for his contributions to understanding psychopathological mechanisms and advancing cognitive-behavioral therapy, particularly for anxiety disorders. The originator of metacognitive therapy, Dr. Wells has published over 130 scientific papers, chapters, and books. He is Associate Editor of the journals Behavioural and Cognitive Psychotherapy and Cognitive Behaviour Therapy, and is a Founding Fellow of the Academy of Cognitive Therapy. Dr. Wells is a founder and director of the Metacognitive Therapy Institute and a patron of the charity Anxiety UK.