This groundbreaking book addresses what to do when a patient is not making progress in Cognitive-Behavioral Therapy. Provided is practical, step-by-step guidance on conceptualizing and solving frequently encountered problems, whether in developing and maintaining the therapeutic alliance or in accomplishing specific therapeutic tasks. While the framework presented is applicable to a range of challenging clinical situations, particular attention is given to modifying the longstanding distorted beliefs and dysfunctional behavioral strategies of people with personality disorders. Helpful appendices include a reproducible assessment tool, the Personality Belief Questionnaire.
Identifying Problems in Treatment. Conceptualizing Patients Who Present Challenges. When a Personality Disorder Challenges Treatment. Developing and Using the Therapeutic Alliance. Therapeutic Relationship Problems: Case Examples. When Therapists Have Dysfunctional Reactions to Patients. Challenges in Setting Goals. Challenges in Structuring the Session. Challenges in Solving Problems and in Homework. Challenges in Identifying Cognitions. Challenges in Modifying Thoughts and Images. Challenges in Modifying Assumptions. Challenges in Modifying Core Beliefs. Appendix A. Resources, Training, and Supervision in Cognitive Therapy. Appendix B. Personality Belief Questionnaire.