Cognitive-Behavioral Therapy: Theory Into Practice

377 Pages·2018·19.463 MB·English

by  Adam M Volungis

Cognitive-Behavioral
Therapy
Theory into Practice
Adam M. Volungis
ROWMAN & LITTLEFIELD
Lanham • Boulder • New York • London
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British Library Cataloguing in Publication Information Available
Library of Congress Cataloging-in-Publication Data
Names: Volungis, Adam M., author.
Title: Cognitive-behavioral therapy : theory into practice / Adam M. Volungis.
Description: Lanham : Rowman & Littlefield, [2019] | Includes bibliographical
references and index.
Identifiers: LCCN 2018007121 (print) | LCCN 2018009164 (ebook) | ISBN
9781442274112 (electronic) | ISBN 9781442274099 (cloth : alk. paper) |
ISBN 9781442274105 (pbk. : alk. paper)
Subjects: | MESH: Cognitive Therapy—methods | Evidence-Based Practice |
Professional-Patient Relations | Models, Psychological
Classification: LCC RC489.C63 (ebook) | LCC RC489.C63 (print) | NLM WM
425.5.C6 | DDC 616.89/1425—dc23
LC record available at https://lccn.loc.gov/2018007121
The paper used in this publication meets the minimum requirements of American
National Standard for Information Sciences—Permanence of Paper for Printed Library
Materials, ANSI/NISO Z39.48-1992.
Printed in the United States of America
To Yeonjoo:
My wife and best friend
To Kai:
My son and angel from heaven

Contents
List of Figures vii
List of Tables ix
List of Sample Forms xiii
List of Activities xv
List of Video Vignettes xvii
Preface xix
Acknowledgments xxiii
1 The CBT Model 1
2 Establishing a CBT Therapeutic Alliance: Collaborative Empiricism 11
3 CBT Assessment, Case Formulation, and Treatment Planning 31
4 CBT Session Structure: Purposeful and Flexible 71
5 Psychoeducation: Teaching, Supporting, and Motivating 105
6 Behavioral Activation: Monitoring, Scheduling, Moving,
and Getting Things Done 121
7 Automatic Thoughts: Eliciting, Identifying, Evaluating,
and Modifying Maladaptive Thought Patterns 157
8 Core Beliefs: Identifying and Modifying the Source of Maladaptive
Thought Patterns 209
v
vi Contents
9 Behavioral Exposure: Relaxing, Testing Thoughts, and Confronting
Fears and Anxieties 259
10 Homework: Therapy Between Sessions 299
11 CBT and Technology 311
12 Common CBT Myths 321
13 Being a Competent CBT Therapist 329
Index 335
About the Author 351
List of Figures
1.1 Reciprocal Cognitive-Behavioral Model 4
1.2 Reciprocal Cognitive-Behavioral Model—Maladaptive
Functioning Individual 5
1.3 Reciprocal Cognitive-Behavioral Model—Adaptive
Functioning Individual 5
2.1 Therapist–Client Activity Level Across Three Phases of Therapy 20
6.1 Behavioral Inactivity and Distress 123
6.2 Graded Task Assignment Worksheet 149
7.1 Guided Discovery: Using Emotions to Elicit Automatic Thoughts 166
7.2 Emotion Intensity and Negative Automatic Thought Believability Scale 174
7.3 Attributional Style Worksheet 186
7.4 Responsibility Attribution Pie 187
8.1 Core Belief Development 213
8.2 Downward-Arrow Technique 221
8.3 Core Belief Flowchart 226
8.4 Negative Core Belief Continuum Worksheet 241
9.1 Cognitive and Behavioral Avoidance Reinforcing Anxiety 261
vii

List of Tables
2.1 Questions to Consider While Expressing Empathy 14
2.2 Presenting Symptoms and Challenges to the Therapeutic Relationship 22
2.3 Using the Collaborative Relationship for Conceptualization
and Treatment 26
2.4 Common Challenges in Establishing a Therapeutic Alliance 27
3.1 Common Intake Information Gathered 33
3.2 Specific CBT Assessment Information 36
3.3 Basic Intake Questions to Assess Thoughts, Emotions,
Physiological Arousal, and Behaviors 41
3.4 Treatment Goals: Poor Versus Better 64
3.5 Treatment Interventions: Poor Versus Better 65
3.6 Common Challenges for CBT Assessment, Case Formulation,
and Treatment Planning 68
4.1 Therapy Session Stages 73
4.2 Common Challenges for CBT Session Structure 102
5.1 Early Phase Psychoeducation Worksheet 108
5.2 Common Challenges for CBT Psychoeducation 119
ix