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Cognitive-Behavioral Therapy for Anxiety Disorders: Mastering Clinical Challenges de Gillian Butler

Cognitive-Behavioral Therapy for Anxiety Disorders: Mastering Clinical Challenges: Guides to Individualized Evidence-Based Treatment

Autor Gillian Butler, Melanie Fennell, Ann Hackmann
en Limba Engleză Paperback – 9 iun 2010

În practica clinică, tranziția de la protocoalele standardizate la gestionarea cazurilor rezistente necesită un algoritm de lucru flexibil, dar riguros. Putem afirma că volumul Cognitive-Behavioral Therapy for Anxiety Disorders propune exact acest cadru, începând cu un protocol de investigare a evaluărilor cognitive (appraisals) în profunzime, esențial pentru a depăși impasurile terapeutice inițiale. Subliniem modul în care Gillian Butler și echipa sa reușesc să transforme complexitatea clinică într-o formulare de caz coerentă, facilitând obiectivitatea pacientului prin tehnici avansate de decentrare.

Remarcăm structura logică a lucrării, divizată în cinci părți ce oglindesc progresia naturală a terapiei: de la stabilirea cadrului și evaluare, la procesarea emoțională profundă prin experimente comportamentale, până la faza critică a încheierii tratamentului prin crearea unui „blue-print” terapeutic. Clinicienii care folosesc Treatment Resistant Anxiety Disorders ca referință vor găsi aici instrumentele necesare pentru a aborda specific obstacolele care blochează progresul, cum ar fi evitarea afectului sau frica paralizantă de incertitudine. Spre deosebire de manualele care se limitează la controlul simptomelor, această lucrare vizează schimbarea durabilă la nivelul structurilor cognitive profunde.

Această abordare clinică avansată continuă direcția stabilită de Gillian Butler în Oxford Guide to Behavioural Experiments in Cognitive Therapy, rafinând utilizarea experimentelor ca instrument de schimbare emoțională, nu doar cognitivă. Dacă în lucrările sale anterioare, precum Manage Your Mind, accentul cădea pe reziliența generală, volumul de față este o resursă strict specializată, dedicată profesioniștilor care doresc să stăpânească nuanțele fine ale psihoterapiei cognitiv-comportamentale aplicate tulburărilor de anxietate.

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Specificații

ISBN-13: 9781606238691
ISBN-10: 1606238698
Pagini: 224
Dimensiuni: 178 x 254 x 25 mm
Greutate: 0.44 kg
Ediția:1
Editura: Guilford Publications
Colecția Guilford Press
Seria Guides to Individualized Evidence-Based Treatment

Public țintă

Professional Practice & Development

De ce să citești această carte

Această lucrare este esențială pentru psihoterapeuții care caută soluții dincolo de protocoalele standard pentru anxietate. Cititorul câștigă o metodologie clară pentru conceptualizarea cazurilor dificile și instrumente practice (fișe reproductibile) pentru a aborda stima de sine scăzută și intoleranța la incertitudine. Este o resursă de perfecționare profesională ce transformă teoria în intervenții clinice de precizie.

Despre autor

Gillian Butler este psiholog clinician consultant și membru de onoare al British Psychological Society. Cu o carieră academică și clinică prodigioasă, aceasta profesează în cadrul Oxfordshire Mental Healthcare Trust. Expertiza sa în terapia cognitiv-comportamentală este recunoscută la nivel internațional, fiind co-autoarea unor lucrări fundamentale care au definit utilizarea experimentelor comportamentale în psihoterapie. Prin contribuțiile sale, Butler a modelat modul în care clinicienii abordează mecanismele de schimbare în tulburările de anxietate, combinând rigoarea cercetării cu empatia practicii clinice.

Descriere scurtă

Helping therapists bring about enduring change when treating clients with any anxiety disorder, this invaluable book combines expert guidance, in-depth exploration, and innovative clinical strategies. The authors draw on extensive experience and research to provide a framework for constructing lucid formulations of complex cases. They identify obstacles that frequently arise during the early, middle, and later stages of treatment and present a wide range of practical solutions. The volume demonstrates clear-cut yet flexible ways to enhance client engagement, foster metacognitive awareness, facilitate emotional processing, address low self-esteem and fear of uncertainty, and much more. Reproducible handouts and forms are included.

Cuprins

Introduction
I. Setting the Scene
1. Treating Anxiety Disorders: The State of the Art
II. Deepening Understanding and Securing Engagement
2. Assessment: Investigating Appraisals in Depth
3. Case Formulation: Making Sense of Complexity
4. Decentering from Thoughts: Achieving Objectivity
III. Facilitating Emotional Processing
5. Bringing About Lasting Change at the Deepest Level
6. The Role of Behavioral Experiments
IV. Overcoming Three Major Obstacles to Progress
7. Avoidance of Affect
8. Low Self-Esteem
9. Dealing with Uncertainty
V. Ending Treatment Productively
10. Creating a Therapy Blueprint

Notă biografică

Gillian Butler, PhD, an Associate of the Oxford Cognitive Therapy Centre, is a Fellow of the British Psychological Society and a Founding Fellow of the Academy of Cognitive and Behavioral Therapies. She has conducted research on CBT for anxiety disorders and has a special clinical interest in the use of CBT during recovery from childhood trauma. Dr. Butler is the author of Overcoming Social Anxiety and Shyness, Manage Your Mind: The Mental Fitness Guide, Psychology: A Very Short Introduction, and other books. With colleagues from the Oxford Cognitive Therapy Centre (including Melanie Fennell and Ann Hackmann), she is a coeditor of the Oxford Guide to Behavioural Experiments in Cognitive Therapy.
Melanie Fennell, PhD, is Director of the University of Oxford Diploma/MSc in Advanced Cognitive Therapy Studies and is a research therapist in Oxford's Department of Psychiatry. She will also codirect a new Master of Studies in Mindfulness-Based Cognitive Therapy program. Dr. Fennell has contributed to the development of treatment protocols for depression and for a range of anxiety disorders, and has published widely on CBT for depression and low self-esteem. In 2002, she was voted "Most Influential Female UK Cognitive Therapist" by the membership of the British Association of Behavioural and Cognitive Psychotherapies.
Ann Hackmann, PhD, until her death in 2017, was a Consultant Clinical Psychologist at the Oxford Cognitive Therapy Centre and the Department of Psychiatry, University of Oxford. She has worked for over 20 years in a research group specializing in the development of cognitive therapy protocols for anxiety disorders. She was particularly interested in working with imagery in cognitive therapy, and published widely on this topic. Dr. Hackmann provided teaching and training in cognitive therapy in many national and international settings, and was a Founding Fellow of the Academy of Cognitive and Behavioral Therapies.

Recenzii

"This long-awaited book exceeds expectations. It provides a single, comprehensive guide to CBT for anxiety disorders, from assessment to termination. This is no small feat in itself, and yet, Butler et al. also offer so much more. Therapists will appreciate the sophisticated nuances of therapy depicted here. Layers of clinical creativity are embedded within illustrative case examples. As an added bonus, the authors' transdiagnostic approach offers a clear path through the sometimes confusing process of treating clients with multiple anxiety disorders. I heartily recommend this elegant book, whether it is the first or the 50th that you read on anxiety treatment."--Christine A. Padesky, PhD, Co-Founder, Center for Cognitive Therapy, Huntington Beach, California
"Cognitive-Behavioral Therapy for Anxiety Disorders is a refreshing alternative to many of the existing manuals on this topic. It presents a highly individualized, formulation-based, cognitive approach to treating these challenging conditions. The book is well grounded in science and includes solutions to the most common treatment roadblocks. I highly recommend it to anyone who works with people who suffer from anxiety disorders."--Martin M. Antony, PhD, ABPP, Department of Psychology,Toronto Metropolitan University, Canada
"This book must be read by all those who seek to help people suffering from anxiety disorders. It clearly and accessibly portrays the essence of effective CBT for anxiety while avoiding oversimplified prescriptions. The book is unique in helping clinicians to achieve the integration of clinical art and clinical science that characterizes excellent CBT. The reader will learn essential therapeutic skills for striking a balance in two key areas: between general and specific factors in anxiety disorders and their treatment, and between self-acceptance and recognizing and implementing the need for change. Read this book and use it!"--Paul Salkovskis, PhD, CPsychol, Institute of Psychiatry, King’s College, London, and Clinical Director, Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust
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Therapists who have some experience using CBT in practice will find it useful in learning how to circumvent common stumbling blocks and use CBT in situations novel to them. The book does a nice job in using theory, evidence, and clinical experience to enhance practice. It is a useful work for clinicians working to hone their CBT skills.
--Bulletin of the Menninger Clinic, 4/22/2010ƒƒ
Each chapter constructs a golden bridge between science and practice. The authors identify the important components of treatment at each phase, while explicating the theoretical and empirical framework within which each component of treatment is grounded. Their knowledge of the literature on the development and persistence of anxiety disorders is current and impeccable. Large bodies of findings are distilled into accurate summations that readily inform practice. The authors draw upon their collective expertise in treatment to describe a myriad of strategies the clinician can use to meet the goals of each treatment component. Well-written, concise, and centered on rich case examples, these descriptions effectively communicate how to implement CBT techniques in a truly compassionate and collaborative manner....This book empowers the clinician with the knowledge required to develop a solid case formulation and exercise good clinical judgment in the implementation of the rich variety of therapeutic techniques described. This book is an invaluable resource for the clinician, the CBT trainee, and the CBT instructor.
--Journal of Behavioural and Cognitive Psychotherapy, 4/22/2010ƒƒ
Provides practical and user-friendly guidelines for clinicians in their daily work....A valuable resource for clinicians in training in advanced CBT strategies and is a notable attempt to advance a transdiagnostic approach to treating anxiety disorders that provides a snapshot of where the field is heading next.
--Journal of Psychosomatic Research, 4/22/2010ƒƒ
I would love to have had [this book] available to me when I first attempted to treat people with anxiety disorders as a trainee in the 1970s, and I would urge anyone new to the field, as well as more experienced practitioners, to obtain a copy....Provides one of the best accounts I have read of how to get the most out of therapist-guided, in-session behavioral experiments, including their use to enrich the formulation, to detect subtle safety-seeking behaviors that maintain the problem and prevent patients from disconfirming their fears, and to promote experiential learning.
--Cognitive Behavioral Therapy Book Reviews, 4/22/2010