Improving Outcomes and Preventing Relapse in Cognitive-Behavioral Therapy

Edited by Martin M. Antony, Deborah Roth Ledley, and Richard G. Heimberg

Hardcover
Hardcover
August 25, 2005
ISBN 9781593851972
Price: $60.00
432 Pages
Size: 6⅛" x 9¼"
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Organized around specific psychological disorders, this important work brings together leading scientist-practitioners to present strategies for maximizing the benefits of cognitive-behavioral therapy (CBT). Described are effective ways not only to overcome frequently encountered treatment obstacles, but also to help people stay well once therapy has ended. Tightly edited chapters provide clear recommendations for adapting standard treatment protocols for tough-to-treat patients; enhancing motivation and homework compliance; dealing with common comorbidities; complementing CBT with other approaches; and targeting the factors that contribute to relapse and recurrence.

“Examines what we know about factors that predict outcome and relapse with a view to providing practitioners with answers to the questions like 'Why do some of my clients respond and others do not?'....The editing is generally excellent as the book as a whole and each chapter is coherent, making it an easy book to read or use in a piecemeal way. This is achieved without the need for introductory and concluding chapters, which attests to the quality of both the editing and the writing of the constituent chapters.”

Clinical Child Psychology and Psychiatry


“A much needed and useful resource for therapists working from all theoretical frameworks and orientations. Although this text delivers robust clinical support for seasoned mental health professionals, it is also appropriate for inclusion within the education and training of student practitioners....A practical text that integrates several extensive bodies of scholarly literature....The writing is inspired and successfully imparts the essentials from the empirical research, but without ever reading as a technical publication....Each chapter can stand alone, making consultation of a particular chapter or portion thereof quite feasible....One unique feature of this text are the case examples provided at the end of 10 chapters...illustrating how empirically supported treatment can be integrated into practice without jeopardizing one's responsiveness, individuality, or spontaneity, as has often been criticized of EST and manualized treatment....All mental health practitioners and educators alike can benefit from an increased awareness of the research-supported treatment available in [this book].”

Family Journal


“This is a very good book....There is no question that the standard CBT protocols plus the additional techniques described in this book provide a powerful armamentarium to help therapists alleviate the suffering of our patients.”

The Journal of Psychiatry and Law


“The book outlines and offers practical strategies for many of the most common sources of difficulty in the application of CBT. Given the practical significance of this topic, this book is likely to be of significant interest to clinicians who are routinely faced with these challenges in clinical practice, where guidance beyond the standard CBT practice manuals is very much welcome. The practical nature of the book, including extended case examples, is highly conducive to its intended use as an adjunct to practicing clinicians. Moreover, given its emphasis on the clinical need for solutions to common problems in applying CBT, it is hoped that this book will also challenge researchers to further empirically investigate the underpinnings of impoverished response to CBT.”

Cognitive Behavioral Therapy Book Reviews


“A unique feature of this book is that the chapter authors' extensive practice wisdom is effectively combined with up-to-date research evidence about factors influencing CBT outcomes with each of the disorders addressed....This book represents a skillful joining of research and practice....Appropriate audiences for this book include direct providers of clinical mental health services and graduate students who are in clinical training programs that emphasize CBT and evidence-based practice. This book affords practicing clinicians a set of techniques that synthesize a large body of research evidence in their derivation. Students and others in CBT training will enjoy a substantial advantage afforded by this straightforward application of evidence-based practice. This book also should be read by researchers who are interested in an exemplar for joining CBT research and practice.”

Research on Social Work Practice


“This is a highly recommended volume. It sheds light on issues that most clinicians encounter in daily practice. It identifies common obstacles in treatment, suggests possible ways to deal with the obstacles at hand, and convincingly points to the need for clinicians to work with strategies that might prevent relapse and recurrence. As such it is a good volume for clinicians who wish to improve their clinical skills, but also for those who work with challenging patients.”

Cognitive Behaviour Therapy


“Cognitive-behavioral therapy has demonstrated success in a large number of treatment areas, but important challenges remain. These include the maximization of acute care to people suffering from mental disorders and, more importantly, a shift in focus to the prevention of relapse and recurrence. In this innovative work, some of the world's foremost authorities demonstrate what is known about the predictors of outcome and how the field can use this knowledge to maximize treatment. As such, this volume helps to fill a recognized void in the treatment of mental disorders. Congratulations to the editors and authors for challenging the field to think outside of its usual parameters! This book should be required reading for mental health professionals.”

—Keith S. Dobson, PhD, Department of Psychology, University of Calgary, Canada


“I wish this kind of sophisticated graduate-level text had been available 30 years ago, when I was in training. Although CBT is clearly a first-line, evidence-based treatment for many mental disorders, such treatment does not always yield complete and lasting remission of symptoms. This book provides a complete, state-of-the-art review of what can be done to enhance the maintenance and generalization of behavior change for clients with refractory or relapsing problems. This is an excellent choice as an advanced graduate-level text for the mental health professions. The cast of contributing authors is first-rate!”

—Bruce A. Thyer, PhD, College of Social Work, Florida State University


“This powerful new book answers an important need in the implementation of CBT: how to go beyond basic methods to enhance treatment response and reduce the risk for relapse. Full of clinical insights and innovative ideas, this important contribution will help clinicians build advanced skills in reaching difficult-to-treat patients. The authors provide a cogent and practical guide to solving many of the most vexing problems encountered in clinical practice.”

—Jesse H. Wright, MD, PhD, Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine


“This volume is an excellent resource both for therapists working to master CBT and for seasoned practitioners who want to increase their effectiveness. Each chapter takes a major Axis I problem and summarizes empirically supported treatment approaches. The authors then provide clear, practical suggestions for overcoming problems encountered when treating that disorder, getting better results, and reducing the risk of relapse. Antony, Ledley, and Heimberg have produced a book that belongs on my short list of the most valuable texts in CBT. It will be excellent for graduate students if paired with another text that introduces the basic principles of CBT.”

—James Pretzer, PhD, Cleveland Center for Cognitive Therapy

Table of Contents

1. Panic Disorder and Agoraphobia, Randi E. McCabe and Martin M. Antony

2. Social Anxiety Disorder, Deborah Roth Ledley and Richard G. Heimberg

3. Generalized Anxiety Disorder, Allison M. Waters and Michelle G. Craske

4. Obsessive-Compulsive Disorder, Martin E. Franklin, David S. Riggs, and Anushka Pai

5. Posttraumatic Stress Disorder, Norah C. Feeny and Edna B. Foa

6. Depression, Karen Rowa, Peter J. Bieling, and Zindel V. Segal

7. Bipolar Disorder, Dominic Lam and Warren Mansell

8. Eating Disorders, Traci McFarlane, Jacqueline Carter, and Marion Olmsted

9. Schizophrenia, Nicholas Tarrier

10. Alcohol Use Disorders, Frederick Rotgers and Laura Sharp

11. Couple Distress, Mark A. Whisman, Margaret L. McKelvie, and Yael Chatav


About the Editors

Martin M. Antony, PhD, is Professor of Psychology at Toronto Metropolitan University in Toronto, Ontario, Canada, and Provincial Clinical and Training Lead for the Ontario Structured Psychotherapy Program. Previously, Dr. Antony was founding director of both the Anxiety Treatment and Research Clinic and the Psychology Residency Program at St. Joseph’s Healthcare Hamilton. He has published over 300 scientific articles and chapters and 33 books in areas related to cognitive-behavioral therapy and anxiety-related disorders, and has presented his work widely across four continents. A Fellow of the Royal Society of Canada, he is past president of the Canadian Psychological Association and the Association for Behavioral and Cognitive Therapies.

Deborah Roth Ledley, PhD, is Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania School of Medicine, as well as a faculty member at the Center for the Treatment and Study of Anxiety at the University of Pennsylvania. Her publications include scientific articles and book chapters on the nature and treatment of social phobia, obsessive–compulsive disorder, and other anxiety disorders. She is coauthor of Making Cognitive-Behavioral Therapy Work.

Richard G. Heimberg, PhD, is Thaddeus L. Bolton Professor of Psychology and Director of the Adult Anxiety Clinic of Temple at Temple University. He is past president of the Association for Behavioral and Cognitive Therapies as well as former editor of the Association's journal Behavior Therapy. Dr. Heimberg is well known for his efforts to develop and evaluate cognitive-behavioral treatments for social anxiety and generalized anxiety disorder and has published several books and more than 300 articles and chapters on these and related topics.

Contributors

Martin M. Antony, PhD, Anxiety Treatment and Research Centre, St. Joseph’s Healthcare, and Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada

Peter J. Bieling, PhD, Mood Disorders Program, St. Joseph’s Healthcare, and Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada

Jacqueline Carter, PhD, Eating Disorders Program, University Health Network, Toronto General Hospital, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

Yael Chatav, MA, Department of Psychology, University of Colorado at Boulder, Boulder, CO

Michelle G. Craske, PhD, Department of Psychology, University of California, Los Angeles, Los Angeles, CA

Norah C. Feeny, PhD, Departments of Psychiatry and Psychology, Case Western Reserve University, Cleveland, OH

Edna B. Foa, PhD, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, Philadelphia, PA

Martin E. Franklin, PhD, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, Philadelphia, PA

Richard G. Heimberg, PhD, Department of Psychology, Temple University, Philadelphia, PA

Dominic Lam, PhD, Department of Psychology, Institute of Psychiatry, Kings College, London, UK

Deborah Roth Ledley, PhD, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, Philadelphia, PA

Warren Mansell, DPhil, DClinPsy, Department of Psychological Medicine, Institute of Psychiatry, London, UK

Randi E. McCabe, PhD, Anxiety Treatment and Research Centre, St. Joseph’s Healthcare, and Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada

Traci McFarlane, PhD, Ambulatory Care for Eating Disorders, University Health Network, Toronto General Hospital, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

Margaret L. McKelvie, MA, Department of Psychology, University of Colorado at Boulder, Boulder, CO

Marion Olmsted, PhD, Ambulatory Care for Eating Disorders, University Health Network, Toronto General Hospital, and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

Anushka Pai, BA, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, Philadelphia, PA

David S. Riggs, PhD, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, Philadelphia, PA

Frederick Rotgers, PsyD, Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, PA

Karen Rowa, PhD, Anxiety Treatment and Research Centre, St. Joseph’s Healthcare, and Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada

Zindel V. Segal, PhD, Departments of Psychology and Psychiatry, University of Toronto, Canada

Laura Sharp, MS, Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, PA

Nicholas Tarrier, PhD, Academic Division of Clinical Psychology, University of Manchester, Manchester, UK

Allison M. Waters, PhD, School of Psychology, Griffith University, Gold Coast, Australia

Mark A. Whisman, PhD, Department of Psychology, University of Colorado at Boulder, Boulder, CO

Audience

Clinicians, graduate students, interns, and residents in all of the mental health disciplines, including clinical and counseling psychology, psychiatry, social work, family therapy, and psychiatric nursing.

Course Use

Serves as a supplemental text in graduate-level courses.