Cognitive Behavioral Group Therapy E-Book

Ingrid Sochting

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 808

Veröffentlichungsjahr: 2014

Beschreibung

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

Leseprobe

CONTENTS

Cover

Title page

Copyright page

Dedication

About the Author

Acknowledgments

Introduction

Part 1: The Basics of Cognitive Behavioral Group Therapy

1 Extending CBT to Groups

Why CBT Is Increasingly Used for Common Mental Health Problems

Principles of CBT

Cost-Effectiveness of CBT

Transporting Individual CBT to a Group Setting

Unique Benefits of the Group Format

How to Start a CBT Group

Summary

Recommended Readings for Clinicians

References

2 Working with Process and Content

Process and Content in Group Therapy

Group Process in Theory

Group Process in Practice: Obsessive–Compulsive Disorder Illustration

Scott’s General Group Therapeutic Skills Rating Scale

Summary

Recommended Readings for Clinicians

References

3 Effectiveness of CBGT Compared to Individual CBT: Research Review

Depression

Social Anxiety Disorder (SAD)

Obsessive–Compulsive Disorder (OCD)

Generalized Anxiety Disorder (GAD)

Panic Disorder

Posttraumatic Stress Disorder (PTSD)

Addictions

Psychosis

Hoarding

Language and Culture

What to Take Away from the Research Findings

Summary

References

4 CBGT for Depression

The Diagnoses of Depression

Treatment Protocols Informed by Beck’s Cognitive Model of Depression

An Example of a CBGT Depression Protocol

Psychoeducation

Behavioral Interventions

Focus on Emotions in Preparation for the Thought Records

Capitalizing on the Group in CBGT for Depression

Summary

Recommended Readings for Clinicians

References

5 CBGT for Depression

The Thought Record in a Group

Other Cognitive Interventions

CBGT Psychodrama

Relapse Prevention

Mindfulness-Based Cognitive Therapy (MBCT)

Summary

Recommended Readings for Clinicians

References

Part 2: Challenges of Cognitive Behavioral Group Therapy

6 How to “Sell” CBGT, Prevent Dropouts, and Evaluate Outcomes

Drawing People into CBGT

Preparing Clients for CBGT

Preventing Dropouts

Expectations for CBGT

Client Characteristics Impacting CBGT

Evaluating CBGT Outcomes

Summary

Recommended Reading and Viewing for Clinicians

References

7 Transdiagnostic and Other Heterogeneous Groups

Why Consider Transdiagnostic Groups?

What Do Transdiagnostic CBGT Protocols Include?

CBGT for Social Anxiety and Panic Disorder

CBGT for Different Types of Trauma

Summary

Recommended Readings for Clinicians

References

8 Augmenting CBGT with Other Therapy Approaches

Integrating CBGT and Mindfulness: Generalized Anxiety Disorder (GAD)

CBGT and Interpersonal Therapy: Perinatal Depression

Summary

Recommended Readings for Clinicians

References

9 How to Fine-Tune CBGT Interventions

Why Exposure Hierarchies are Important

How to Support Homework Completion

How to Plan for Termination

How to Handle the Last CBGT Session

Summary

References

10 Who Is Qualified to Offer CBGT?

Standards for Training and Qualifications

How to Become a CBGT Therapist

Equal Cofacilitation

Students in CBGT Training

How to Stay Competent as a CBGT Therapist

Summary

References

Part 3: Cognitive Behavioral Group Therapy Across Ages and Populations

11 Later Life Depression and Anxiety

Depression and Anxiety in the Elderly

Psychotherapy for the Elderly

CBGT Protocol for the Elderly

Capitalizing on the Group for the Elderly

Common Challenges in Later Life CBGT

Summary

Recommended Readings for Clinicians

References

12 Youth with Anxiety and Depression

Anxiety and Depression in Children and Adolescents

Child-Focused CBT

CBGT Protocol for Anxious Children

Capitalizing on the Group for Youth with Anxiety and Depression

Common Challenges in CBGT for Children and Adolescents

Summary

Recommended Readings for Clinicians

References

13 Youth Obsessive–CompulsiveDisorder (OCD)

OCD in Children and Adolescents

CBT for Youth OCD

CBGT Protocol for Youth OCD

Capitalizing on the Group for Youth OCD

Disorders Related to OCD

Common Challenges in CBGT for Youth OCD

Summary

Recommended Readings for Clinicians

References

14 Language, Culture, and Immigration

A Chinese Cognitive Behavioral Treatment Program for Chinese Immigrants

Chinese CBGT Program Rationale

Referral Issues

Assessment

CBGT Treatment Issues for Depressed Chinese People

A Spanish-Language Cognitive Behavioral Treatment Program for Latino Immigrants

Referral and Access Issues

Assessment

Latino CBGT Program Rationale

CBGT Treatment Issues

A CBGT Program for African American Women

Common Challenges in Culturally Sensitive CBGT

Summary

Recommended Readings for Clinicians

References

15 Hoarding

The Diagnosis and Features of Hoarding Disorder

CBT for Compulsive Hoarding

CBGT for Compulsive Hoarding

CBGT Protocol for Compulsive Hoarding

Capitalizing on the Group for Compulsive Hoarding

Common Challenges in CBGT for Hoarding

Summary

Recommended Readings and Viewing for Clinicians

References

16 Psychosis

The Diagnoses of Schizophrenia Spectrum and Other Psychotic Disorders

Vulnerability to Psychotic Disorders

CBT for Psychosis

Assessment

Increasing Evidence Supports CBGT for Psychosis

Capitalizing on the Group for Psychosis

Common Challenges in CBGT for Psychosis

Summary

Recommended Readings for Clinicians

References

17 Addictions

The Diagnoses of Substance-Related and Addictive Disorders

CBT for Addictions

CBGT for Addictions

Capitalizing on the Group for Addictions

Common Challenges in CBGT for Addictions

Summary

Recommended Readings for Clinicians

References

Appendix A

Appendix B

Appendix C

Appendix D

Appendix E

Reference

Appendix F

Biases in Thinking or Faulty Assumptions

Reference

Appendix G

Relapse Prevention

Reference

Appendix H

Appendix I

Appendix J

Screen for CBGT Intake Assessment

Author Index

Subject Index

End User License Agreement

List of Tables

Chapter 06

Table 6.1 Recommended symptom measures for evaluating CBGT outcomes

List of Illustrations

Chapter 02

Figure 2.1 Man chained to desk.

Chapter 04

Figure 4.1 CBT triangle.

Chapter 05

Figure 5.1 Automatic thoughts–assumptions–core beliefs.

Chapter 11

Figure 11.1 Interconnection between thoughts, feelings, behavior, and physical health.

Chapter 13

Figure 13.1 Cognitive behavioral model of OCD.

Chapter 15

Figure 15.1 Model of compulsive hoarding. .

Chapter 17

Figure 17.1 Cognitive Model of Addiction.

Guide

Cover

Table of Contents

Begin Reading

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Cognitive Behavioral Group Therapy

Challenges and Opportunities

Ingrid Söchting

This edition first published 2014© 2014 John Wiley & Sons, Ltd.

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Library of Congress Cataloging-in-Publication Data

Söchting, Ingrid. Cognitive behavioral group therapy : challenges and opportunities / Ingrid Söchting.  pages cm Includes bibliographical references and index. ISBN 978-1-118-51035-3 (cloth) – ISBN 978-1-118-51034-6 (pbk.) 1. Cognitive therapy. 2. Group psychotherapy. I. Title. RC489.C63S63 2014 616.89′1425–dc23

2014005687

A catalogue record for this book is available from the British Library.

Cover image: Diana Ong, Masked emotion, 2006. © Diana Ong / SuperStock

Dedication

For my group therapy colleagues

About the Author

Ingrid Söchting is chief clinical psychologist in an outpatient mental health program and clinical assistant professor in the Department of Psychiatry at the University of British Columbia. Over the past 20 years, she has been instrumental in developing cognitive behavioral group therapy (CBGT) programs for depression, obsessive-compulsive disorder, generalized anxiety disorder, panic disorder, social anxiety disorder, and posttraumatic stress disorder, as well as interpersonal therapy (IPT) groups for later life depression. She supervises and teaches CBGT and IPT to psychology and psychiatry residents and is the codirector of the Richmond Psychotherapy Training Program. She has received several teaching excellence awards. She lectures and consults nationally and internationally. She is involved in group psychotherapy research and has published over 25 peer-reviewed journal articles and book chapters. She received her PhD in clinical psychology at Simon Fraser University, Vancouver, Canada, and trained at the University of British Columbia as an intern and postdoctoral fellow from 1994 to 1997 to become a CBT therapist. She is a Canadian certified CBT therapist and a Certified Group Therapist of the American Group Psychotherapy Association.

Acknowledgments

This book is the sum of many people’s work. I have benefited from their teaching, supervision, consultation, group cofacilitation, research collaboration, and collegial inspiration.

This book is also written in gratitude to the hundreds, if not thousands, of group members in our program who trusted their facilitators and were therefore able to engage in challenging exposures and revisions of their previously held self-denigrating beliefs.

First and foremost, thanks to my team of exceptionally skilled and supportive outpatient mental health group program colleagues. They are, in alphabetical order: Ellen Abrams, clinical counselor; psychiatrist Jaswant Bhopal; Veronica Clifton, social worker; Lorna Clutterham, psychiatric nurse; Denise Coles, clinical counselor; Abi Dahi, psychiatrist; Heather Donaldson, psychiatrist; Maureen Edgar, counseling psychologist; Rosemary Messmer, clinical counselor; Jamal Mirmiran, psychiatrist; Erica O’Neal, psychiatrist; Sue Paul, rehabilitation assistant; Nicola Piggott, nurse; Dan Ring, recreational therapist; Petra Rutten, recreational therapist; Shelagh Smith, occupational therapist; Betty Third, occupational therapist; Darren Thompson, psychiatrist; and Tova Wolinsky, social worker. I also extend my appreciation to psychiatrists Harry Karlinsky, Raj Katta, Carolyn Steinberg, David Cohen and psychologists Timothy Crowell, Ingrid Fedoroff, and Suja Srikameswaran for their collegiality and cheerful support for this book.