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