Roadblocks in Cognitive-behavioral Therapy

Why do standard, evidence-based interventions fail to work for certain clients or in certain situations? What tools do cognitive-behavioral theory and therapy offer for managing difficult cases? This cutting-edge volume brings together an array of leading practitioners to address these and other critical questions that are often overlooked in the CBT literature. Each research-based chapter addresses a specific kind of "roadblock," exploring how and why it arises and suggesting effective, practical solutions. The topics include overcoming obstacles in the treatment of specific disorders, new directions in case conceptualization, working with emotional and metacognitive processes, and applications to couple and family therapy.

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'Leahy, one of cognitive therapy's most prolific and creative writers, has brought together leading therapists in the field to address the important issue of impasses and disruptions in therapeutic progress. With coverage of such areas as case conceptualization, the relationship of cognition to emotion, and the therapeutic relationship, the volume provides a wealth of insights and practical solutions to clinical difficulties. I highly recommend this book and I am sure that, like me, other readers will learn much from it.' "- Paul Gilbert, FBPsS, Mental Health Research Unit, Kingsway Hospital, Derby, UK" '[This book] addresses concerns and challenges that are common to all clinical approaches. Its emphasis on clinical application and overcoming treatment challenges coupled with its easy readability make it a useful addition to the clinical libraries of established clinicians and trainees alike.' - "Psychotherapy"

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Part I: Case Conceptualization. "Needleman, "Case Conceptualization in Preventing and Responding to Therapeutic Difficulties. "Freeman, McCloskey," Impediments to Effective Psychotherapy. "Tompkins, "Effective Homework. Part II: Metacognition and Emotion. "Wells," Anxiety Disorders, Metacognition, and Change. "Leahy, "Emotional Schemas and Resistance. "Holland, "Avoidance of Emotion as an Obstacle to Progress. Part III: Specific Populations. "Haddock, Siddle, "Psychosis. "Newman, "Bipolar Disorder. "Smucker, Grunert, Weis, "Posttraumatic Stress Disorder: A New Algorithm Treatment Model. "Schaffer, "Binge-Eating and Other Eating Disorders. Part IV: Couples and Families. "Epstein, Baucom, "Couple Therapy. "Dattilio," Family Therapy. Part V: Psychotherapy Processes. "Foertsch, Manning, Dimeff, "Difficult-to-Treat Patients: The Approach from Dialectical Behavior Therapy. "Stevens, Muran, Safran, "Obstacles or Opportunities?: A Relational Approach to Negotiating Alliance Ruptures. "Tafrate, Kassinove, "Angry Patients: Strategies for Beginning Treatment. "Marcinko, "Medication Compliance with Difficult Patients. "Leahy, "Conclusions.

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