Robert D. Friedberg Erica V. Rozmid Editors Creative CBT with Youth Clinical Applications Using Humor, Play, Superheroes, and Improvisation Creative CBT with Youth Robert D. Friedberg • Erica V. Rozmid Editors Creative CBT with Youth Clinical Applications Using Humor, Play, Superheroes, and Improvisation Editors Robert D. Friedberg Erica V. Rozmid Palo Alto University Clarity CBT & DBT Center Palo Alto, CA, USA Los Angeles, CA, USA ISBN 978-3-030-99668-0 ISBN 978-3-030-99669-7 (eBook) https://doi.org/10.1007/978-3-030-99669-7 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland To my mom whose writing, perspicacity, and creativity never received the attention it deserved but who nurtured my efforts. You are the true superhero. (R. D. F.) To all the children, adolescents, and families for whom I have treated and to those who I will work with in the future. (E. V. R.) Acknowledgments First and always, to my brilliant wife Barbara whose own writing career is a model and catalyst to my creativity. I really don’t deserve you, but I treasure you anyway!! Second, huge kudos and gratitude to my fantastic co-author, Dr. Erica Rozmid, whose intelligence, clinical skillfulness, and creativity are unparalleled. Everyone should have a colleague like her! Loud shoutouts to the individual chapter authors whose outstanding work filled the pages of this volume. Thank you to the many patients who entrusted their care to me over the years. Finally, to the late Aaron T. Beck, M.D. who sadly passed away shortly before the publication of this book, I am forever indebted to you for your inspiration, wisdom, friendship, pioneering leadership, and encouragement to find my own CBT voice. (R. D. F.). Dr. Robert D. Friedberg started out as my mentor and became a colleague; I am so incredibly honored to co-author this book with him! It is because of him that I am an evidence-based clinician, and I am eternally grateful for his clinical and aca- demic expertise. To my husband, Ramsey, thank you for always being my number one fan and cheerleader. I especially appreciate how you committed to watching the entire Star Wars series with me after I realized I couldn’t skillfully edit a chapter with my little Star Wars knowledge. I’d also like to acknowledge my parents, who live and breathe the concept of “one to many.” I truly hope that this one book has the impact on many children around the world. 100 years on this Earth, but lifetimes of impact. Dr. Aaron T. Beck, this book would not have existed without you. Thank you for paving the way, tirelessly and effortfully creating and studying CBT throughout your life. Lastly, huge shoutouts to the wonderful expert authors of this book. Their creativity and expertise in CBT have inspired me to incorporate more fun and humor into my own clinical work. (E. V. R.). vii Contents 1 Incorporating Humor, Superheroes, and Improvisational Theatre Exercises into CBT with Youth: “Just Because Something Works, It Doesn’t Mean It Can’t Be Improved” . . . . . . . . . . . . . . . . . . . 1 Erica V. Rozmid and Robert D. Friedberg 2 Humor and Engagement with Children and Adolescents . . . . . . . . . . 9 David Castro-Blanco 3 Humor, Irreverent Communication, and DBT . . . . . . . . . . . . . . . . . . . 25 William M. Buerger and Alec L. Miller 4 Humor with Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Hara Stephanou, Christina G. Salley, Kelsey Largen, and Becky H. Lois 5 Cognitive Behavioral Play Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Susan M. Knell 6 Incorporating Play into Cognitive Behavioral Therapy for Youth . . . 83 Alayna L. Park and Rachel E. Kim 7 Playful Approaches to CBT with Aggressive Children . . . . . . . . . . . . 101 Eva L. Feindler and Alexandra Mercurio Schira 8 Playful CBT with Children Diagnosed with OCD . . . . . . . . . . . . . . . . 123 Jennifer Herren, Elena Schiavone, Anna Charlton Kidd, and Briana A. Paulo 9 Superheroes and CBT for Youth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 Sandra S. Pimentel and Ryan C. T. DeLapp 10 Using Superheroes with Children who have Chronic Illnesses . . . . . . 175 Laura Nabors and Olutosin Sanyaolu ix x Contents 11 The Force Awakens: Mindfulness-Based Cognitive Therapy Using Star Wars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 Drea Letamendi 12 Clinical Applications of Steven Universe in Cognitive Behavioral Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 Christy Duan, Gian Ramos Monserrate, Elaine Shen, Rishi Chelminski, Diana Mujialli, and Mamatha Challa 13 Integrating Psychodrama [Experiential] and CBT with Adolescents in Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227 Thomas W. Treadwell and Debora J. Dartnell 14 Integrating Popular Culture, Movie Clips, and Improvisation Theater Techniques in Clinical Supervision; Add a Dash of Spice to CBT Supervision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241 Robert D. Friedberg and Erica V. Rozmid 15 The Last Stanza: Creativity, Ingenuity, and Wisdom . . . . . . . . . . . . . 259 Erica V. Rozmid and Robert D. Friedberg Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267 Contributors William M. Buerger Cognitive and Behavioral Consultants, LLP, White Plains, NY, USA David Castro-Blanco Department of Counseling and Clinical Psychology, Medaille College, Buffalo, NY, USA Mamatha Challa Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, New York, MA, USA Rishi Chelminski Pace University, Dyson College of Arts and Sciences, New York, NY, USA Debora J. Dartnell West Chester University, Morgantown, PA, USA Ryan C. T. DeLapp Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY, USA Anxiety and Mood Program Child Outpatient Psychiatry Division, Bronx, NY, USA Christy Duan Private Psychiatric Practice, New York, NY, USA Mind Body Seven, Brooklyn, NY, USA Eva L. Feindler Clinical Psychology Doctoral Program, Brookville, NY, USA Robert D. Friedberg Palo Alto University, Palo Alto, CA, USA Jennifer Herren Pediatric Anxiety Research Center, Bradley Hospital and Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, East Providence, RI, USA Anna Charlton Kidd Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA Rachel E. Kim Judge Baker Children’s Center, Boston, MA, USA Susan M. Knell Private Practice, Highland Heights, OH, USA xi xii Contributors Kelsey Largen Stephen D. Hassenfeld Children’s Center for Cancer and Blood Disorders, Department of Child and Adolescent Psychiatry, New York, NY, USA Drea Letamendi Counseling and Psychological Services, Student and Campus Resilience, UCLA, Los Angeles, CA, USA Becky H. Lois Department of Child and Adolescent Psychiatry, Hassenfeld Children’s Hospital at NYU Langone, New York, NY, USA Alec L. Miller Cognitive and Behavioral Consultants, LLP, White Plains, NY, USA Gian Ramos Monserrate Universidad Central del Caribe School of Medicine, Bayamon, Puerto Rico Diana Mujialli Worcester, MA, USA Laura Nabors Health Promotion and Education Program, School of Human Services, University of Cincinnati, Cincinnati, OH, USA Alayna L. Park Department of Psychology, University of Oregon, Eugene, OR, USA Briana A. Paulo Department of Applied Psychology, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA Sandra S. Pimentel Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA Anxiety and Mood Program Child Outpatient Psychiatry Division, Bronx, NY, USA Erica V. Rozmid Clarity CBT and DBT Center, Los Angeles, CA, USA Christina G. Salley Department of Child and Adolescent Psychiatry, Hassenfeld Children’s Hospital at NYU Langone, New York, NY, USA Olutosin Sanyaolu Health Promotion and Education Program, School of Human Services, University of Cincinnati, Cincinnati, OH, USA Elena Schiavone Florida International University, Miami, FL, USA Alexandra Mercurio Schira Ridgewood, NY, USA Elaine Shen Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Hara Stephanou St. John’s University, Jamaica, NY, USA Thomas W. Treadwell Center for Cognitive Therapy, University of Pennsylvania and West Chester University, Philadelphia, PA, USA