Ingrid Sochting

Cognitive Behavioral Group Therapy (eBook, PDF)

Challenges and Opportunities

• Format: PDF

Produktbeschreibung

With coverage of the latest theory and research, this is a complete guide to implementing cognitive behavioral group therapy for practitioners and trainees in a range of mental health disciplines. * Presents evidence-based protocols for depression, panic, social anxiety, generalized anxiety, posttraumatic stress, OCD, compulsive hoarding, psychosis, and addiction * Provides innovative solutions for achieving efficient, effective therapy as mandated by emerging health care priorities, as well as trouble-shoots for common problems such as dropouts * Details unique strategies for working with ethnic minorities and clients across the age spectrum, along with material on mindfulness augmentation and transdiagnostic approaches * Includes clear, accessible instructions, complete with references to DSM-5 diagnostic changes, real-life clinical examples, and group session transcripts

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 392
• Erscheinungstermin: 25. August 2014
• Englisch
• ISBN-13: 9781118510278
• Artikelnr.: 41740145

Autorenporträt

Ingrid Söchting is Chief Psychologist in an outpatient mental health program and Clinical Assistant Professor in the Department of Psychiatry at the University of British Columbia, Canada. She has been instrumental in developing CBT group therapy programs for depression, obsessivecompulsive disorder, panic disorder, social anxiety, and posttraumatic stress disorder, as well as interpersonal therapy (IPT) groups for later life depression. She supervises and teaches CBT and IPT to psychology and psychiatry residents, and is Co-Director of the Richmond Psychotherapy Training Program. She has also published over 25 peer-reviewed journal articles and book chapters in the field; and is a Canadian-Certified CBT Therapist and a Certified Group Therapist of the American Group Psychotherapy Association.

Inhaltsangabe

About the Author xv Acknowledgments xvi Introduction: The Depth and Breadth
of Cognitive Behavior Group Therapy 1 Part 1 The Basics of Cognitive
Behavioral Group Therapy 5 1 Extending CBT to Groups 7 Why CBT Is
Increasingly Used for Common Mental Health Problems 7 Principles of CBT 9
Cost-Effectiveness of CBT 11 Transporting Individual CBT to a Group Setting
12 Adapting CBT to CBGT: panic disorder illustration 13 Managing the group
process across CBGT 15 Unique Benefits of the Group Format 17 How to Start
a CBT Group 19 Setting up the group room 20 The first session 20 Absences
and being late 22 Confidentiality and socializing outside the group 22
Member introductions 23 Expectations for CBGT commitment 24 Note-taking by
CBGT therapists 24 Subsequent sessions 25 Summary 25 Notes 26 Recommended
Readings for Clinicians 26 References 26 2 Working with Process and Content
29 Process and Content in Group Therapy 30 Group Process in Theory 31 Group
Process in Practice: Obsessive-Compulsive Disorder Illustration 32
Instillation of hope 32 Universality 34 Imitative behavior and peer
modeling 34 Imparting of information 35 Altruism 35 Group cohesiveness 36
Existential factors 37 Catharsis 37 Interpersonal learning and new ways of
socializing 38 Experiencing the group as similar to one's family of origin
39 Group process research and CBGT application 40 Scott's General Group
Therapeutic Skills Rating Scale 41 Summary 42 Note 42 Recommended Readings
for Clinicians 42 References 42 3 Effectiveness of CBGT Compared to
Individual CBT: Research Review 44 Depression 46 Social Anxiety Disorder
(SAD) 47 Obsessive-Compulsive Disorder (OCD) 49 Generalized Anxiety
Disorder (GAD) 50 Panic Disorder 50 Posttraumatic Stress Disorder (PTSD) 51
Addictions 52 Psychosis 52 Hoarding 52 Language and Culture 53 What to Take
Away from the Research Findings 53 Summary 54 References 54 4 CBGT for
Depression: Psychoeducation and Behavioral Interventions 59 The Diagnoses
of Depression 60 Treatment Protocols Informed by Beck's Cognitive Model of
Depression 61 An Example of a CBGT Depression Protocol 63 Psychoeducation
63 Behavioral Interventions 66 Focus on Emotions in Preparation for the
Thought Records 70 Capitalizing on the Group in CBGT for Depression 71
Summary 72 Notes 72 Recommended Readings for Clinicians 72 References 72 5
CBGT for Depression: Cognitive Interventions and Relapse Prevention 74 The
Thought Record in a Group 76 Other Cognitive Interventions 81 Testing
assumptions 82 Testing core beliefs 83 Behavioral experiments 84 CBGT
Psychodrama 85 Relapse Prevention 86 Mindfulness-Based Cognitive Therapy
(MBCT) 87 Summary 90 Note 90 Recommended Readings for Clinicians 90
References 91 Part 2 Challenges of Cognitive Behavioral Group Therapy 93 6
How to "Sell" CBGT, Prevent Dropouts, and Evaluate Outcomes 95 Drawing
People into CBGT 95 Preparing Clients for CBGT 96 Individual pregroup
orientation 98 Group pregroup orientation 99 Rapid access group orientation
99 Preventing Dropouts 100 Expectations for CBGT 101 Client Characteristics
Impacting CBGT 103 Chronic pain 103 Gender 104 Evaluating CBGT Outcomes 106
The benefits of outcome measures 106 The CORE-R outcome battery 108 Summary
110 Note 110 Recommended Reading and Viewing for Clinicians 111 References
111 7 Transdiagnostic and Other Heterogeneous Groups 115 Why Consider
Transdiagnostic Groups? 116 What Do Transdiagnostic CBGT Protocols Include?
118 Mixing anxiety with depression in the same group 118 Mixing different
anxiety disorders in the same group 120 CBGT for Social Anxiety and Panic
Disorder 122 The diagnosis of social anxiety disorder 122 Why groups can be
challenging for people with social anxiety 123 Why a transdiagnostic group
is attractive for people with social anxiety 123 Key features of a mixed
social anxiety and panic group 124 In-session social anxiety exposures 126
CBGT for Different Types of Trauma 127 The diagnosis of posttraumatic
stress disorder (PTSD) 127 From homogeneous to heterogeneous trauma groups
128 Self-care skills as a prerequisite 128 Cognitive processing therapy
(CPT) in heterogeneous CBGT for trauma 130 The role of exposure in CBGT for
trauma 132 Capitalizing on the group in heterogeneous CBGT for trauma 133
Summary 134 Notes 134 Recommended Readings for Clinicians 134 References
135 8 Augmenting CBGT with Other Therapy Approaches 138 Integrating CBGT
and Mindfulness: Generalized Anxiety Disorder (GAD) 139 The diagnosis of
generalized anxiety disorder 139 CBGT for GAD 139 Intolerance of
uncertainty 140 Problem solving 141 Imaginary exposure 143 GAD and
mindfulness 144 Integrating mindfulness into CBGT 145 CBGT and
Interpersonal Therapy: Perinatal Depression 146 Integrating interpersonal
therapy (IPT) into CBGT 148 What exactly is IPT? 148 Research support for
IPT and CBT in treating perinatal depression 150 Example of combined IPT
and CBGT for perinatal depression 151 Summary 153 Notes 153 Recommended
Readings for Clinicians 154 References 154 9 How to Fine-Tune CBGT
Interventions 156 Why Exposure Hierarchies are Important 156 How to develop
exposure hierarchies in the group 159 How to Support Homework Completion
162 How to Plan for Termination 165 Becoming one's own therapist 166 Formal
and informal booster sessions 167 How to Handle the Last CBGT Session 168
Summary 169 References 169 10 Who Is Qualified to Offer CBGT? 170 Standards
for Training and Qualifications 170 How to Become a CBGT Therapist 172
Qualifications of the competent CBGT therapist 172 Declarative knowledge
about core CBT competencies 173 Implementing declarative knowledge into
real groups 174 Ongoing observational learning and supervision 175 Equal
Cofacilitation 178 Students in CBGT Training 179 How to Stay Competent as a
CBGT Therapist 180 Summary 181 Recommended Resources for Clinicians 181
References 182 Part 3 Cognitive Behavioral Group Therapy Across Ages and
Populations 183 11 Later Life Depression and Anxiety 185 Depression and
Anxiety in the Elderly 185 Psychotherapy for the Elderly 186 Group therapy
187 CBGT for the elderly 188 CBGT Protocol for the Elderly 188
Psychoeducation in CBGT for the elderly 189 Goal setting in CBGT for the
elderly 190 Challenging unhelpful thinking in CBGT for the elderly 191
Capitalizing on the Group for the Elderly 192 Common Challenges in Later
Life CBGT 194 Summary 196 Note 196 Recommended Readings for Clinicians 196
References 197 12 Youth with Anxiety and Depression 199 Anxiety and
Depression in Children and Adolescents 199 Child-Focused CBT 200 The role
of parents 201 CBGT for children and adolescents with anxiety 203 CBGT for
children and adolescents with depression 205 CBGT Protocol for Anxious
Children 207 Psychoeducation 208 Basic and advanced tools for combating
anxiety 209 Self-rewards 211 Capitalizing on the Group for Youth with
Anxiety and Depression 211 Common Challenges in CBGT for Children and
Adolescents 211 Summary 213 Note 213 Recommended Readings for Clinicians
214 References 214 13 Youth Obsessive-Compulsive Disorder (OCD) 217 OCD in
Children and Adolescents 218 CBT for Youth OCD 219 Behavioral interventions
219 Cognitive interventions 220 CBGT for youth OCD 221 CBGT Protocol for
Youth OCD 222 Psychoeducation in CBGT for adolescent OCD 223 Exposure,
response prevention, and refocusing 225 Capitalizing on the Group for Youth
OCD 227 Disorders Related to OCD 228 Common Challenges in CBGT for Youth
OCD 230 Summary 231 Note 232 Recommended Readings for Clinicians 232
References 232 14 Language, Culture, and Immigration 235 A Chinese
Cognitive Behavioral Treatment Program for Chinese Immigrants 236 Chinese
CBGT Program Rationale 236 Referral Issues 238 Assessment 239 CBGT
Treatment Issues for Depressed Chinese People 241 Challenging unhelpful
thinking 241 How to improve homework compliance? 242 Capitalizing on the
group for Chinese immigrants 243 A Spanish-Language Cognitive Behavioral
Treatment Program for Latino Immigrants 244 Referral and Access Issues 244
Assessment 245 Latino CBGT Program Rationale 245 CBGT Treatment Issues 246
The people module 246 How to improve homework compliance? 246 Capitalizing
on the group in CBGT for Latino immigrants 247 A CBGT Program for African
American Women 248 Common Challenges in Culturally Sensitive CBGT 249
Summary 251 Note 251 Recommended Readings for Clinicians 251 References 252
15 Hoarding 254 The Diagnosis and Features of Hoarding Disorder 256
Financial and social burdens 257 Why do people hoard? 257 CBT for
Compulsive Hoarding 258 CBT model of compulsive hoarding 258 Assessment 260
Hoarding-specific CBT 261 CBGT for Compulsive Hoarding 261 CBGT Protocol
for Compulsive Hoarding 262 Psychoeducation 262 Motivation and goal setting
263 Skills training for organizing and problem solving 264 Challenging
unhelpful thinking 265 Exposures and behavioral experiments 265 Homework
266 Relapse prevention 267 Capitalizing on the Group for Compulsive
Hoarding 268 Common Challenges in CBGT for Hoarding 269 Summary 270
Recommended Readings and Viewing for Clinicians 270 References 271 16
Psychosis 273 The Diagnoses of Schizophrenia Spectrum and Other Psychotic
Disorders 274 Vulnerability to Psychotic Disorders 275 CBT for Psychosis
276 Assessment 279 Increasing Evidence Supports CBGT for Psychosis 280
Integrating evolving trends in CBGT for psychosis 282 Narrative enhancement
and cognitive therapy 283 Compassion-focused therapy 283 Person-based
cognitive therapy 285 Metacognitive training 286 Capitalizing on the Group
for Psychosis 288 Common Challenges in CBGT for Psychosis 288 Summary 289
Notes 290 Recommended Readings for Clinicians 290 References 290 17
Addictions 294 The Diagnoses of Substance-Related and Addictive Disorders
296 Why do people become addicted? 297 CBT for Addictions 298 Assessment
300 CBGT for Addictions 301 Co-occurring CBGT 301 CBGT protocols for
addictions 302 Psychoeducation 304 Motivation and stages of change 305
Functional analysis 305 Challenging unhelpful thinking 307 Coping skills
training 307 Homework 308 Relapse prevention 308 Mindfulness-based relapse
prevention 309 Spiritually oriented relapse prevention 311 Capitalizing on
the Group for Addictions 313 Common Challenges in CBGT for Addictions 314
Summary 315 Notes 315 Recommended Readings for Clinicians 316 References
316 Appendix A 320 Appendix B 321 Appendix C 323 Appendix D 324 Appendix E
325 Appendix F 329 Appendix G 334 Appendix H 338 Appendix I 343 Appendix J
344 Author Index 347 Subject Index 360

Rezensionen

"Even the most experienced clinician will be able to find some practical help, useful tips and research references." (British Psychological Society, 1 January 2015)