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Cognitive/Behavioral Psychology

COGNITIVE THERAPY FOR CHALLENGING PROBLEMS
What To Do When the Basics Don't Work

Judith S. Beck
Guilford Press, 2005

EDUCATIONAL OBJECTIVES The reader will be able to:
• Describe advanced techniques of cognitive therapy
• Describe strategies for solving problems in the fundamental elements of cognitive therapy
• Describe the framework for identifying and overcoming therapeutic obstacles
• Demonstrate how to revisit the case conceptualization to illuminate why progress may get derailed at any point
• Demonstrate how to get back on track once derailed
• Investigate longstanding distorted beliefs and self-defeating coping strategies of personality disorders
• Describe how to use a goal list and problem list
• Describe the cardinal principle of cognitive therapy

Judith Beck, Ph.D., is the Director of the Beck Institute for Cognitive Therapy and Research and Clinical Associate Professor of Psychology in Psychiatry at the University of Pennsylvania. She is author of Cognitive Therapy: Basics and Beyond, coauthor of Cognitive Therapy of Personality Disorders, 2nd Ed., and coeditor of the Oxford Textbook of Psychotherapy.

Building on the acclaimed "Cognitive Therapy: Basics and Beyond, " this groundbreaking book from Judith S. Beck addresses what to do when a patient is not making progress in cognitive-behavioral therapy. Provided is practical, step-by-step guidance on conceptualizing and solving frequently encountered problems, whether in developing and maintaining the therapeutic alliance or in accomplishing specific therapeutic tasks. While the framework presented is applicable to a range of challenging clinical situations, particular attention is given to modifying the longstanding distorted beliefs and dysfunctional behavioral strategies of people with personality disorders. Helpful appendices include a reproducible assessment tool, the Personality Belief Questionnaire.

Editorial Reviews

This is a highly practical guide for using cognitive therapy with patients who present challenging problems to clinicians with diverse levels of experience. An excellent hands-on text for graduate-level courses and for novice therapists, it can also fruitfully guide mature practitioners who wish to expand their realm of expertise. Enriched with numerous illuminating case materials, the book will enlighten even the most experienced mental health worker.--Theodore Millon, PhD, DSc, Institute for Advanced Studies in Personology and Psychopathology


Clinicians have been reporting for some time now that they are seeing increasingly difficult cases in their consulting rooms. Axis I and Axis II comorbidities have become the rule rather than the exception. By systematically addressing these challenges in this clearly written and eminently readable new volume, Judith Beck takes cognitive therapy to a new level. This book will be equally useful to students and to experienced therapists.--Glen O. Gabbard, MD, Department of Psychiatry, Baylor College of Medicine


This excellent book focuses on the art of cognitive therapy. When therapy does not seem to be going well, most clinicians can think of another therapist who they think would fare better. This book teaches you how to become that therapist. Drawing on her vast experience with therapists and clients, Dr. Beck beautifully outlines how to identify and overcome many of the difficulties that can arise in cognitive therapy. As a consequence, therapists will be heartened and more patients will experience the benefits they hope for. Highly recommended reading for novice to highly experienced cognitive therapists. --David M. Clark, DPhil, Institute of Psychiatry, King's College, London, UK


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