1. Case Conceptualization in Preventing and Responding to Therapeutic Difficulties, Lawrence D. Needleman

2. Impediments to Effective Psychotherapy, Arthur Freeman and Roya Djalali McCloskey

3. Effective Homework, Michael A. Tompkins

II. Metacognition and Emotion

4. Anxiety Disorders, Metacognition, and Change, Adrian Wells

5. Emotional Schemas and Resistance, Robert L. Leahy

6. Avoidance of Emotion as an Obstacle to Progress, Stephen J. Holland

III. Specific Populations

7. Psychosis, Gillian Haddock and Ronald Siddle

8. Bipolar Disorder, Cory F. Newman

9. Posttraumatic Stress Disorder: A New Algorithm Treatment Model, Mervin R. Smucker, Brad K. Grunert, and Jo M. Weis

10. Binge-Eating and Other Eating Disorders, Nicole A. Schaffer

IV. Couples and Families

11. Couple Therapy, Norman B. Epstein and Donald H. Baucom

12. Family Therapy, Frank M. Dattilio

V. Psychotherapy Processes

13. Difficult-to-Treat Patients: The Approach from Dialectical Behavior Therapy, Christine Foertsch, Sharon Y. Manning, and Linda Dimeff

14. Obstacles or Opportunities?: A Relational Approach to Negotiating Alliance Ruptures, Christopher L. Stevens, J. Christopher Muran, and Jeremy D. Safran

15. Angry Patients: Strategies for Beginning Treatment, Raymond Chip Tafrate and Howard Kassinove

16. Medication Compliance with Difficult Patients, Lynn Marcinko

17. Conclusions, Robert L. Leahy