From an experienced clinician and a prominent psychotherapy researcher, this book synthesizes the evidence base for cognitive-behavioral therapy (CBT) and translates it into practical clinical guidelines. Therapists and students learn how to implement core CBT techniques, why and how they work, and what to do when faced with gaps in scientific knowledge. Vivid case examples illustrate what evidence-based strategies look like in action with real-world clients who may have multiple presenting problems. The authors also separate CBT myths from facts and discuss ways to manage common treatment challenges.
New to This Edition *Revised throughout to incorporate the latest research, including key meta-analytic studies. *Chapters on clinical techniques have been restructured to be more concise and digestible. *New content on sleep difficulties, reducing avoidance, and motivational interviewing. *A new extended case example runs throughout the book.
Lots of people thought it was funny that I was reading this book "for fun." In truth, I read it mainly because I want to become very familiar with CBT, which is fun and meaningful for me.
This book's main goal is stated to provide more traffic between research and CBT practice, and this book does a great job including important philosophical / theoretical aspects of CBT while acknowledging the research available at the time. I'm more intrinsically interested in the theoretical side of counseling theories, and this book has a great ability to distill that information (especially in using and clarifying a variety of terms that may be often confused - e.g. - "schemas" vs. "beliefs"), but allowing myself to be involved in the processes of addressing the research / practice gap is very refreshing and motivating. Certainly the research in this book is out of date, as in there's probably research out there that addresses topics that this book says we need more research on, but seeing a CBT book express honesty towards areas where CBT research is weak or unclear is refreshing and liberating.
I also enjoyed the chapter on Myths about CBT and the chapter about starting a CBT practice.
Impactful quotes:
“Generally speaking, we argue that a more accurate appraisal of the world, and a closer adaptation to its demands, is one of the indicators of good mental health.” - pg. 5
“...to maximize the possibility of achieving a positive treatment outcome, therapist and patient should be involved throughout therapy in a process of shared decision making, where goals are frequently discussed and agreed upon” (Winograd, 2001, p. 387) - pg. 57
“Our belief is that when most people face problems in their lives, they naturally try to solve these problems.” - pg. 64
“The client is the expert on his or her own history, psychological functioning, and current concerns” - pg. 66
“From our perspective, termination is not the goal of therapy; the goal of therapy is the resolution of the problems that brought the client into treatment.” - pg. 180
“Remember that the outcome studies only predict results for the average client, or provide percentages of people who show improvements. We can extrapolate from these results for our clients, but these predictions are educated guesses most of the time.” - pg. 222
---> “Since most clients do not fit the profile of the typical client, there is always the need to translate research findings into case-specific clinical decisions.” - pg. 225
“It can be humbling to work with clients, particularly if they have multiple problems or live in difficult circumstances. Learn to live with uncertainty and ambiguity.” - pg. 222
“...the transformative part of this treatment is viewed as occurring as much (or more) between sessions as within them.” - pg. 233
Och vi är igång! Hmmm. KBT - INTE ett paradigm alltså, utan ett fruktsallad av massa kognitiva OCH beteendeteorier. Idéhistoriskt så är det en ohelig allians.