Willem Kuyken, PhD, is Professor of Clinical Psychology at the University of Exeter, United Kingdom; Cofounder of the Mood Disorders Centre; and Fellow of the Academy of Cognitive Therapy. His primary research and clinical interests are case conceptualization and cognitive-behavioral approaches to depression, and he has published more than 50 articles and book chapters. Dr. Kuyken is a recipient of the May Davidson Award from the British Psychological Society. Christine A. Padesky, PhD, is a Distinguished Founding Fellow of the Academy of Cognitive Therapy and recipient of their Aaron T. Beck Award. She is an internationally renowned speaker, consultant, and coauthor of six books, including the bestselling Mind Over Mood. Dr. Padesky’s numerous awards include the Distinguished Contribution to Psychology Award from the California Psychological Association. Robert Dudley, PhD, is a Consultant Clinical Psychologist for the Early Intervention in Psychosis Service at the Northumberland, Tyne, and Wear Mental Health NHS Trust, United Kingdom. He is currently serving as a Beck Institute Scholar at the Beck Institute for Cognitive Therapy and Research. Dr. Dudley’s primary clinical and research focus is the understanding and treatment of psychotic symptoms. As a clinician, trainer, and supervisor, he developed an interest in case conceptualization, and has undertaken several research projects in this area. “An important and timely book that will be of great interest to clinicians and researchers. CBT texts rarely provide detailed guidance on conceptualization. Written by internationally recognized experts, this book fills the gap by providing clinicians with numerous insightful tips about how to develop conceptualizations, and, crucially, how to link those conceptualizations to interventions. Ways of teaching conceptualization are outlined, and a much-needed research agenda for the area is advanced. A major achievement.” - David M. Clark, Institute of Psychiatry, Kings College London “What a marvelous addition to the conceptualization literature! is intriguing book compellingly fuses theoretical acuity, in-depth research understanding, and true clinical creativity. Extended case examples bring the text vividly to life, and the innovative emphasis on fostering clients’ resilience and strengths adds a unique dimension to conceptualization work. An essential guide for the novice and a rich source of new ideas and inspiration for experienced cognitive therapists.” - Melanie Fennell, Department of Psychiatry, University of Oxford “A major achievement.”
Transcript
Willem Kuyken, PhD, is Professor of Clinical Psychology at the University of Exeter, United Kingdom; Cofounder of the Mood Disorders Centre; and Fellow of the Academy of Cognitive Therapy. His primary research and clinical interests are case conceptualization and cognitive-behavioral approaches to depression, and he has published more than 50 articles and book chapters. Dr. Kuyken is a recipient of the May Davidson Award from the British Psychological Society.
Christine A. Padesky, PhD, is a Distinguished Founding Fellow of the Academy of Cognitive Therapy and recipient of their Aaron T. Beck Award. She is an internationally renowned speaker, consultant, and coauthor of six books, including the bestselling Mind Over Mood. Dr. Padesky’s numerous awards include the Distinguished Contribution to Psychology Award from the California Psychological Association.
Robert Dudley, PhD, is a Consultant Clinical Psychologist for the Early Intervention in Psychosis Service at the Northumberland, Tyne, and Wear Mental Health NHS Trust, United Kingdom. He is currently serving as a Beck Institute Scholar at the Beck Institute for Cognitive Therapy and Research. Dr. Dudley’s primary clinical and research focus is the understanding and treatment of psychotic symptoms. As a clinician, trainer, and supervisor, he developed an interest in case conceptualization, and has undertaken several research projects in this area.
“An important and timely book that will be of great interest to clinicians and researchers. CBT texts rarely provide detailed guidance on conceptualization. Written by internationally recognized experts, this book fills the gap by providing clinicians with numerous insightful tips about how to develop conceptualizations, and, crucially, how to link those conceptualizations to interventions. Ways of teaching conceptualization are outlined, and a much-needed research agenda for the area is advanced. A major achievement.”
- David M. Clark, Institute of Psychiatry, Kings College London
“What a marvelous addition to the conceptualization literature! This intriguing book compellingly fuses theoretical acuity, in-depth research understanding, and true clinical creativity. Extended case examples bring the text vividly to life, and the innovative emphasis on fostering clients’ resilience and strengths adds a unique dimension to conceptualization work. An essential guide for the novice and a rich source of new ideas and inspiration for experienced cognitive therapists.”
- Melanie Fennell, Department of Psychiatry, University of Oxford
“A major achievement.”
Collaborative Case ConCeptualizationWorking effeCtively With Clients in Cognitive-behavioral therapy Willem Kuyken, Christine A. Padesky, and Robert Dudley
Presenting an innovative framework for tailoring cognitive-behavioral interventions to each client’s needs, this accessible book is packed with practical pointers and sample dialogues.
Step by step, the authors show how to collaborate with clients to develop and test conceptualizations that illuminate personal strengths as well as problems, and that deepen in explanatory power as treatment progresses. An extended case illustration demonstrates the three-stage conceptualization process over the entire course of therapy with a multiproblem client. The approach emphasizes building resilience and coping while decreasing psychological distress. Special features include self-assessment checklists and learning exercises to help therapists build their conceptualization skills.
Maintenance Factors Just as many different factors can be triggers, there are many pathways to problem maintenance. When CBT therapists look for maintenance factors they usually first consider reinforcement factors...
Ironically, sometimes a person’s chosen coping methods can maintain the problem. This is because people often prefer coping approaches that are immediately reinforcing; those that lead to immediate rewards or reductions in distress. Solving the root causes of distress can involve a temporary increase in discomfort. Therefore, CBT therapists identify the long-term costs of coping methods as well as the short-term benefits.
Mark’s therapist wonders whether Mark’s preferred methods for dealing with his low mood may inadvertently maintain his difficulties. The following dialogue illustrates how Mark’s therapist helps him link his avoidance with maintenance of low mood.
THERAPIST: OK, let’s see what we can figure out together. Looking at these examples (pointing to Figure 6.3), what do you think may keep the problem going?
MARK: (Looks at Figure 6.3 for a minute silently.) Well, it doesn’t help when I just give up on things.
THERAPIST: What do you mean?
MARK: Well, when I was in the shop and my mood crashed I just went home to bed. That didn’t help, did it? It is not like I went and got ready for the meeting, or put time aside on Sunday to do it.
THERAPIST: That’s a really good observation, Mark. (Smiles encouragingly.) What do you think led to you to go home to bed like that?
MARK: Well, at the time it was just better to be away from the situation. I just wanted to be home and not think about it. It helped me a little at the time.
THERAPIST: So, at the time it helps a little to avoid your problems. Thinking about it now, how much do you think it helped in the long run?
MARK: In the end it made it worse, because the pressure just built up.
THERAPIST: So what if we draw an arrow between going home to bed and not being ready for the work meeting to remind us that avoidance might be something that keeps your problems going?
MARK: Yeah, I can see that.
Mark’s therapist then suggests they review the other examples discussed previously to help establish whether this is a common pattern.
January 2009: 366pp. Hb: 978-1-60623-072-5 £27.00/€ 31.00Published by Guilford Press
Mind over MoodChange hoW you feel by Changing the Way you think
Dennis Greenberger, University of California, USA, and Christine A. Padesky, clinical psychologist, and Distinguished Founding Fellow of the Academy of Cognitive Therapy
1995: 250pp. Pb: 978-0-89862-128-0: £16.95/€19.00
Published by Guilford Press
CliniCian’s guide to Mind over MoodChristine A. Padesky, clinical psychologist, and Distinguished Founding
Fellow of the Academy of Cognitive Therapy, USA, with Dennis Greenberger, University of California, USA
1995: 276pp. Pb: 978-0-89862-821-0: £21.00/€24.00
Published by Guilford Press
bestsellers froM Christine padesky
The Procrustean Dilemma1. The Case Conceptualization Crucible: A New Model2. Two Heads Are Better Than One: Collaborative Empiricis3. Incorporating Client Strengths and Building Resilience4. “Can You Help Me?”: Descriptive Case Conceptualization5. “Why Does This Keep Happening to Me?”: Cross-sectional Explanatory Conceptualizations6. “Does My Future Look Like My Past?”: Longitudinal Explanatory Conceptualizations7. Learning and Teaching Case Conceptualization8. Appraising the Model9.
Appendix: Aid to History Taking Form
ConTEnTs
Filled with Practical Pointers and Sample Dialogues
froM Chapter 6: “why does this keep happening to me?”: Cross-sECTionAl ExplAnATory ConCEpTuAlizATions
“This book sets a gold standard for how to develop individualized case conceptualizations with our clients.
While cognitive therapy has always emphasized partnership between therapist and client, Kuyken, padesky, and Dudley
demonstrate a radical commitment to collaboration that brings new insights into how the client can be at the center
of every therapy. i was especially delighted by the three-chapter demonstration of how conceptualization occurs
over time with a single client. offering a real-world illustration of the approach, this in-depth example shows how conceptualizations can evolve to become both more encompassing and simpler. Another innovative hallmark
of the authors’ model is its incorporation of client strengths at each stage. This book is destined to be one of the most important and widely used works on case
conceptualization for many years to come.”- Aaron T. Beck, University Professor of Psychiatry,
University of Pennsylvania Medical School
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“The authors have combined their impressive strengths as CBT practitioners,
teachers, and researchers to develop a new, empirically grounded model of case conceptualization. At its core is a collaborative relationship between
therapist and client and an explicit focus on recognizing and building client resilience. This model is a flexible tool that will aid
therapist, client, and supervisor throughout therapy. rich with case examples, the book
will be a welcome addition to graduate courses on psychotherapy or case formulation.”
- Tracy D. eells, Department of Psychiatry and Behavioral Sciences and Associate Dean
for Faculty Affairs, University of Louisville School of Medicine
Routledge is part of the Taylor & Francis group, a trading division of Informa UK Ltd. Registered in England under no. 1072954. Registered Office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH
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Collaborative Case ConceptualizationWillem Kuyken, Christine A. Padesky and Robert Dudley
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