Trial-based Cognitive Therapy: A Manual For Clinicians (clinical Topics In Psychology And Psychiatry)

__Trial-Based Cognitive Therapy__ presents a model that, although still inherently Beckian, organizes known cognitive and behavioral techniques in a step-by-step fashion in order to make cognitive therapy easier for the new therapist to learn, easier for patients to understand, and simpler to implement. Based on and backed up by a series of published studies, __Trial-Based Cognitive Therapy__ lays out structured strategies for changing core beliefs about the self, and its clear, coherent, integrative conceptualization of psychopathology is presented as an easy-to-remember case-formulation model that is useful for both the therapist and the client. This book introduces a new approach, the Trial-Based Cognitive Therapy (TBCT), whose main technique, the Trial-Based Thought Record (TBTR), is a structured strategy to change core beliefs about the self and is presented as a law-centered analogy in which the therapist engages the client in a simulation of the judicial process. Perfect for psychotherapists at any level, __Trial-Based Cognitive Therapy__ presents a balanced blend of theory advancement, scientific scrutiny of a new method, and practical application. Trial-Based Cognitive Therapy: A Manual for Clinicians 4 Contents 6 List of Figures 8 List of Tables 10 Series Editor Foreword by Bret A. Moore 11 Foreword by Stephen M. Stahl 13 Acknowledgments 15 Introduction 18 Definitions: Cognitive Therapy vs. Trial-Based Cognitive Therapy 18 TBCT Research 19 Duration of TBCT Treatment 20 Gender Challenges 21 1 Introducing the Cognitive Model to the Patient 22 Outline 22 General Introduction to Therapy 22 Case Conceptualization 23 Explaining the Cognitive Model to a Patient (Paul) 25 Explaining the Cognitive Model to a Patient (Kathleen) 27 Introducing the Concept of Cognitive Distortions to a Patient 29 Case Illustration Dialogue 29 General Introduction to the Therapy 29 Identifying the Problems 33 Setting Therapy Goals 34 Introducing the Cognitive Model: First Level of the Cognitive Conceptualization Diagram (Figs. 1.2–1.4) 35 Introducing Cognitive Distortions 40 Designing Homework, Summarizing, and Concluding Session 1 41 2 Introducing the Cognitive Distortions Questionnaire 42 Outline 42 Cognitive Distortions Questionnaire (CD-Quest) 42 Explaining the CD-Quest to the Patient 43 Case Illustration Dialogue 53 Bridge from Session 1 53 Setting the Agenda 53 Reviewing Questionnaires and Homework 54 Introducing the CD-Quest (Main Agenda Item) 54 Filling in the CD-Quest 56 Summarizing, Assigning Homework, and Concluding Session 2 56 3 Changing Dysfunctional Automatic Thoughts 58 Outline 58 Introduction 58 Intrapersonal Thought Record (Intra-TR) 59 Introducing the Intra-TR to the Patient 62 Interpersonal Thought Record (Inter-TR) 64 Introducing the Inter-TR to the Patient 66 Case Illustration Dialogue 67 Bridge from Session 2 67 Setting the Agenda 68 Reviewing Questionnaires and Homework 68 Working on the Agenda Item 69 Introducing the Intra-TR to Work on the Main Agenda Item 70 Assigning Homework, Summarizing, and Concluding Chapter 3 74 4 Assessing and Changing Underlying Assumptions 76 Outline 76 Introduction 77 TBCT Cognitive Conceptualization Diagram, Phase 1, Level 2 (CCD-1.2) 77 Color-Coded Symptoms Hierarchy (CCSH) 78 Introducing the CCSH to the Patient 80 Introducing Exposure to the Patient 82 Consensual Role-Play (CRP) 83 Description of CRP 84 Case Illustration 86 Case Illustration Dialogue 87 Bridge from Session 3 87 Setting the Agenda and Reviewing Homework 88 Reviewing the Questionnaires 89 Introducing Underlying Assumptions While Working on the Main Agenda Item, Facilitated by the Color-Coded Symptoms Hierarchy Card 90 Introducing the Consensual Role-Play as a Decision-Making Approach 92 Summarizing Session 4 100 Assigning Homework and Concluding Session 4 100 Note 101 5 Changing Negative Core Beliefs with Trial I 102 Outline 103 Introduction 103 Introducing the Third Level of Cognition to the Patient 103 Description of the Trial-Based Thought Record (Trial I) Technique 107 Possible Obstacles to the Trial’s Optimal Use 111 Case Illustration Dialogue 112 Bridge from Session 4 and Setting the Agenda 112 Reviewing Questionnaires 113 Introducing CBs and Trial I While Working on the Main Agenda Item 113 Assigning Homework 123 Summarizing 124 Reviewing the CCD 124 Concluding Session 5 125 6 Trial I in the Appeal Format 128 Outline 128 Explaining Trial I in the Appeal Format 128 Case Illustration Dialogue 129 Bridge from Session 5 and Setting the Agenda 129 Reviewing Questionnaires and Homework 130 Introducing the Appeal as the Agenda Item 130 Assigning Homework 134 7 Trial I to Change a Second Core Belief 136 Outline 136 Explaining Trial I to Restructure a Second Core Belief 136 Calling Witnesses to Court 137 Case Illustration Dialogue 138 Introducing Trial I to Restructure a Second Core Belief 138 Assigning Homework 139 8 Trial I in the Appeal Format to Change a Second Core Belief 141 Outline 141 Explaining Trial I to Restructure a Second Core Belief in the Appeal Format 141 Assertive Letter to the Prosecutor 142 Case Illustration Dialogue 143 Trial I in the Appeal Format to Restructure a Second Core Belief 143 Assigning Homework 143 9 Changing Multiple Negative Core Beliefs with Trial I 144 Outline 144 Introducing Multiple Core Beliefs to the Patient 144 Case Illustration Dialogue 145 Bridge from Session 8 and Setting the Agenda 145 Introducing Multiple Core Beliefs and Trial I While Working on the Agenda Item 148 Reviewing the Cognitive Conceptualization Diagram and Concluding Session 9 161 10 Trial-Based Metacognitive Awareness (Trial II) 163 Outline 163 Introduction 164 Description of the Trial-Based Metacognitive Awareness (Trial II) Technique 164 Explaining Metacognitive Awareness to the Patient 166 Case Illustration Dialogue 167 Bridge from Session 9 and Setting the Agenda 167 Debriefing 173 Summary and Feedback 173 Explaining Metacognitive Awareness to the Patient 173 Assigning Homework and Concluding Session 10 174 11 Relaxation and the Sailboat Metaphor 176 Outline 176 Explaining the Sailboat Metaphor to the Patient 176 Relaxation 177 Sailboat Metaphor 178 Case Illustration Dialogue 179 Relapse Prevention and Ending Treatment 179 12 Trial-Based Participation Assessment (Trial III) 186 Outline 186 Trial-Based Participation Assessment (TBPA) or Trial III 186 Case Illustration 187 Conclusion 188 TBCT Is a Flexible Approach 188 Appendix: Blank Diagrams and Forms to Be Used with and by Patients 190 References 218 Index 222 Series Editor Introduction Bret Moore Foreword Stephen Stahl Introduction Session 1. Introducing the Cognitive Model to the Patient Session 2. Introducing the Cognitive Distortions Questionnaire Session 3. Changing Dysfunctional Automatic Thoughts Session 4. Assessing and Changing Underlying Assumptions Session 5. Changing Negatice Core Beliefs with Trial I Session 6. Trial I in the Appeal Format Session 7. Trial I to Change a Second Core Belief Session 8. Trial I in the Appeal Format to Change a Second Core Belief Session 9. Changing Multiple Negative Core Beliefs with Trial I Session 10. Trial-Based Metacognitive Awareness (Trial II) Session 11. Relaxation and the Sailboat Metaphor Session 12. Trial-Based Participation Assessment (Trial III) Conclusion Appendix. Blank Diagrams and Forms to Be Used with Patients References Index This title presents a model that, although still inherently Beckian, organizes known cognitive and behavioural techniques in a step-by-step fashion in order to make cognitive therapy easier for the new therapist to learn, easier for patients to understand, and simpler to implement