Roadblocks in Cognitive-Behavioral Therapy

Robert L. Leahy, PhD, is Director of the American Institute for Cognitive Therapy in New York City and Clinical Professor of Psychology in the Department of Psychiatry at Weill Cornell Medical College. Dr. Leahy is Associate Editor of the International Journal of Cognitive Therapy and is past president of the Association for Behavioral and Cognitive Therapies (ABCT), the International Association for Cognitive Psychotherapy, and the Academy of Cognitive and Behavioral Therapies (A-CBT). He is a recipient of the Outstanding Clinician Award from ABCT and the Aaron T. Beck Award from A-CBT. Dr. Leahy is author or editor of 29 books for mental health professionals and the general public, including If Onlyand The Worry Cure. His books have been translated into 21 languages.

Dr. Robert L. Leahy has brought together leading cognitive-behavioral therapists from around the world to provide a rich compendium of tools and techniques that deals with roadblocks in treatment. He sees resistance as a window into the patient's psyche that needs to be addressed with a collaborative ear. Each chapter addresses specific issues suggesting practical solutions which provide an abundance of specific strategies that can be used by both beginning and seasoned therapists alike.--Muriel Prince Warren, DSW, ACSWRoadblocks in Cognitive-Behavioral Therapy provides a rich and multifaceted exploration of the many obstacles that can arise in the treatment process. It does a marvelous job of explaining why and how roadblocks occur in therapy with diverse individuals, as well as couples and families, and provides a coherent set of principles for turning obstacles into what Leahy calls windows of opportunity. Filled with clinical wisdom and specific strategies, this volume should be of use to both beginning and experienced clinicians. It could well become a mainstay of professional training programs at all levels.--Steven D. Hollon, Department of Psychology, Vanderbilt UniversityLeahy, 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, others readers will learn much from it.--Paul Gilbert, FBPsS, Mental Health Research Unit, Kingsway Hospital, Derby, UKThis book will suffer a lot of abuse from being pulled from your office shelf again and again to be pored over for ideas and inspiration. Leahy has pulled together some of the greatest CBT minds to share their thoughts, feelings, and strategies for working with some of our most difficult-to-treat disorders and populations. Whether a neophyte or a veteran therapist, the reader will find new ways to understand obstacles and overcome resistance in its many guises.--Peter J. Bieling, PhD, St. Joseph's Hospital, Hamilton, Ontario, Canada; Department of Psychiatry and Behavioral Neurosciences, McMaster University- Leahy has packed this volume with clinical wisdom and insightful practical advice....The table of contents reads like a full course gourmet meal. --Bulletin of the Menninger Clinic, 7/23/2006Æ’Æ’ [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, 7/23/2006

• I. Case Conceptualization1. Case Conceptualization in Preventing and Responding to Therapeutic Difficulties, Lawrence D. Needleman2. Impediments to Effective Psychotherapy, Arthur Freeman and Roya Djalali McCloskey3. Effective Homework, Michael A. TompkinsII. Metacognition and Emotion4. Anxiety Disorders, Metacognition, and Change, Adrian Wells5. Emotional Schemas and Resistance, Robert L. Leahy6. Avoidance of Emotion as an Obstacle to Progress, Stephen J. HollandIII. Specific Populations7. Psychosis, Gillian Haddock and Ronald Siddle8. Bipolar Disorder, Cory F. Newman9. Posttraumatic Stress Disorder: A New Algorithm Treatment Model, Mervin R. Smucker, Brad K. Grunert, and Jo M. Weis10. Binge-Eating and Other Eating Disorders, Nicole A. SchafferIV. Couples and Families11. Couple Therapy, Norman B. Epstein and Donald H. Baucom12. Family Therapy, Frank M. DattilioV. Psychotherapy Processes 13. Difficult-to-Treat Patients: The Approach from Dialectical Behavior Therapy, Christine Foertsch, Sharon Y. Manning, and Linda Dimeff14. Obstacles or Opportunities?: A Relational Approach to Negotiating Alliance Ruptures, Christopher L. Stevens, J. Christopher Muran, and Jeremy D. Safran15. Angry Patients: Strategies for Beginning Treatment, Raymond Chip Tafrate and Howard Kassinove16. Medication Compliance with Difficult Patients, Lynn Marcinko 17. Conclusions, Robert L. Leahy