Patient's Manual for CBASP

James P. McCullough, Jr., PhD, is a fellow of the American Psychological Association and was elected a Diplomate in Clinical Psychology by the American Board of Psychological Forensic Examiners. He is is Emeritus Professor of Psychology at Virginia Commonwealth University, where he served on the faculty for 45 years. An award-winning educator and researcher, Dr. McCullough's areas of special interest are dysthymia, double depression, and chronic major depression, particularly diagnostic criteria; unipolar diagnostic category psychosocial comparisons; and cognitive and single-case methodology evaluating both private practice and research.

'This manual is an excellent primer for patients entering CBASP. Clearly written and illustrative, it tells patients what to expect from therapy by providing a realistic, useful road map of what will happen in treatment. It enhances trust, raises hope, and will be likely to reduce attrition and improve clinical outcomes. It should be used as an essential first step in conducting CBASP effectively. This manual is a 'must' for practitioners of CBASP and their patients.' - A. John Rush, MD, Department of Psychiatry, University of Texas Southwestern Medical Center'This manual sketches the basic framework and the straightforward rationale and tools of the Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Dr. McCullough teaches patients who are suffering from chronic depression how they can overcome feelings of helplessness and hopelessness by actively engaging in effective therapy. Clinicians will find the manual beneficial in socializing patients to the cognitive-behavioral model and to situational analysis.' - Robin B. Jarrett, PhD, Department of Psychiatry, The University of Texas Southwestern Medical Center at Dallas

• I. The Chronically Depressed Patient1. Introduction to the CBASP Manual2. Two Types of Chronic DepressionEarly-Onset Chronic DepressionLate-Onset Chronic Depression3. Common Problems of the Chronically Depressed PatientThe Global Thinking Approach to CopingThe "Nothing I Do Matters" Defeatist Approach to CopingConsequences for Global/Defeatist ThinkingGoals of Your TreatmentII. An Introduction to CBASP Techniques4. Situational AnalysisDealing with One Problem at a TimeTwo Case ExamplesCase 1: MaryCase 2: Ralph5. The Interpersonal Discrimination ExerciseThe Early Life of Chronically Depressed PatientsSession Two Preparations for Doing IDE WorkSignificant-Other HistoryConstructing the Transference HypothesesTreating Interpersonal Hot Spots with the IDECase 1 (Mary)Case 2 (Ralph)Conclusion