Cognitive therapy of anxiety disorders: a practice manual and conceptual guide
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Chichester [u.a.]
Wiley
2008
|
| Ausgabe: | Repr. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 314 S. graph. Darst. |
| ISBN: | 9780471964742 9780471964766 |
Internformat
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| 245 | 1 | 0 | |a Cognitive therapy of anxiety disorders |b a practice manual and conceptual guide |c Adrian Wells |
| 250 | |a Repr. | ||
| 264 | 1 | |a Chichester [u.a.] |b Wiley |c 2008 | |
| 300 | |a XIV, 314 S. |b graph. Darst. | ||
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Datensatz im Suchindex
| _version_ | 1804138110235181056 |
|---|---|
| adam_text | CONTENTS
About the Author
............................................... xi
Preface
........................................................ xiii
1.
COGNITIVE THEORY AND MODELS OF ANXIETY:
AN INTRODUCTION
....................................... 1
Cognitive theory of anxiety disorders
2
dysfunctional
schemas
3,
negative automatic thoughts, worries and
obsessions
4,
the role of behaviour
5,
cognitive biases
7
Summary of the general schema theory
8
Evidence for the schema theory of anxiety
9
information-processing tasks
10,
judgement, evaluation and
memory tasks
13
A question of causality
13
From schema theory to disorder-specific models
14
panic disorder and health anxiety
14
social phobia
16,
generalised anxiety disorder
17,
obsessive-compulsive
disorder
18
Overlapping and distinct constructs
19
Conclusion
19
2.
ASSESSMENT: AN OVERVIEW
.............................. 21
Aims of assessment
21
measurement
22
Recommended additional measures for specific disorder
24
panic disorder and agoraphobia
24,
health anxiety
26,
social phobia
28,
generalized anxiety disorder
30,
obsessive-
compulsive disorder,
33
vi
CONTENTS
Specific
rating
scales
34
Cognitive Therapy Assessment Interview
35
detailed
description of the presenting problem
35,
cross-sectional
cognitive-behavioural analysis
35,
longitudinal analysis
37,
underlying assumptions and beliefs
37,
use of behaviour
tests
38
Structure of the assessment interview
38
Multiple presenting problems
40
Conclusion
41
3.
COGNITIVE THERAPY: BASIC CHARACTERISTICS
......... 42
Cognitive techniques
43
Behavioural techniques
43
The structure of therapy
44
case conceptualisation
(formulation)
44,
socialisation
45,
symptom and schema focused
intervention
46,
relapse prevention
46
Session structure
46
review of objective measures
47,
agenda setting
47,
use of feedback
48,
implementation of
specific strategies
49,
provision of new homework
49,
ending a session
50
The first treatment session
50
problem list and goal setting:
issues of problem primacy
50
The process of therapy: essential basics
51
pacing and efficient
time use
51,
the
socratic
dialogue
52
Conclusion
56
4.
COGNITIVE THERAPY: BASIC TECHNIQUES
................ 57
Eliciting negative automatic thoughts
57
ten ways of eliciting
relevant NATs
58
Reattribution
methods
67
verbal
reattribution
68,
summary
of verbal
reattribution
78
Behavioural
reattribution
78
use of exposure in cognitive
therapy
79,
behavioural experiments
80,
disconfirmation
experiments in anxiety and depression
81,
designing and
implementing effective experiments
81,
difficulties with
behavioural experiments
84
Safety in treatment
85
schema-focused techniques in anxiety
disorder
85
Eliciting assumptions
86
meta-cognition and the vertical
arrow
89,
imagery and
schemas
93,
restructuring of rules,
assumptions and beliefs
93
Conclusion
97
CONTENTS
vii
5.
PANIC DISORDER
......................................... 98
Characteristics of panic attacks
98
Cognitive model of panic
99
From cognitive model to case conceptualisation
103
assessment
103
Deriving the vicious circle
103
Developing the basic conceptualisation: incorporating safety
behaviours and avoidance
107
Socialisation
109
sample socialisation experiments
110
Reattribution
strategies
113
evolution of treatment strategies
in panic
113
Behavioural experiments
113
guidelines for effective
symptom-induction experiments
114,
hyperventilation
provocation task
115,
physical exercise tasks
117,
chest pain
strategies
117,
strategies for inducing visual
disturbances
118,
dissociative experiences
118,
acting as if
experiments
118
Verbal
reattribution
techniques
119
questioning the
evidence
119,
the panic cognitions diary
120,
education and
exploring counter-evidence
121,
selected educational
scenarios in panic
121,
counter-evidence
127,
symptom contrast
technique
128,
the survey technique
130
Dealing with avoidance
130
Relapse prevention
130
therapy blueprint
131,
reframe and
booster sessions
131
Example treatment outline
131
6.
HYPOCHONDRIASIS: HEALTH ANXIETY
...................133
A cognitive model of hypochondriasis
134
cognitive
factors
135,
affect/physiological changes
136,
behavioural
responses
137,
summary of the model and new directions
138
General treatment issues
139
engagement in treatment
139
From cognitive model to case conceptualisation
141
Socialisation
144
sample socialisation experiments
145
Reattribution
strategies
147
Behavioural experiments
147
testing patient predictions
147,
survey method
149,
paradoxical procedures
149,
medical
consultation during cognitive therapy
149,
reducing
reassurance seeking
150,
developing a plan for medical
consultation
150,
self-monitoring
151
Verbal
reattribution
techniques
151
the health-anxiety
thoughts record
152,
pie charts
152,
inverted pyramid
154,
thinking errors
155,
answering thoughts and imagery
viii CONTENTS
modification
156,
the dual model strategy
157,
dealing with
rumination and worry
157,
modifying assumptions and
beliefs
159
Imagery techniques
163
Dealing with health-risk behaviour
164
Conclusions
164
Example treatment outline
164
7.
SOCIAL PHOBIA
...........................................167
The nature of social phobia
168
A cognitive model of social phobia
168
anticipatory and
post-event processing
170,
processing of the social self
171,
assumptions and beliefs
171,
summary of the model
172
From cognitive model to case conceptualisation
174
eliciting
information for conceptualisation
175,
collecting data for
formulation
176,
example of a behaviour test to elicit data
180
Socialisation
182
selling self-processing
183,
behavioural
experiments in socialisation
184
Sequencing of treatment interventions
185
Modifying self-processing
186
Challenging other negative thoughts
188
the social balance
sheet
189,
thinking errors
189,
using rational self-statements
190,
defining fears
190,
dealing with anticipatory processing and the
post-mortem
191
Behavioural experiments
191
interrogating the
environment
191,
overcoming avoidance
192
Working with conditional assumptions and beliefs
193
conditional assumptions
193,
generating alternative
evidence
194,
rigid rules: increasing the bandwidth
196,
unconditional negative self-beliefs
197,
the positive data
log
197,
interpersonal strategies
197
Conclusions
198
Example treatment outline
199
8.
GENERALISED ANXIETY DISORDER
.......................200
The nature of worry
201
the nature of worry in GAD
201
A cognitive model of GAD
202
behavioural responses
205,
thought control
206,
emotion
207
Eliciting information for conceptualisation
207
verbal strategies
for eliciting Type
2
worry
208,
questionnaire assessment
211
From cognitive model to case conceptualisation
213
Socialisation
215
socialisation questions
215,
selling
CONTENTS ix
meta-
worry
216,
the worrying thoughts record (WTR)
217,
socialising experiments
218
Modifying meta-wony and negative beliefs
221
Verbal
reattribution
221
questioning the evidence
221,
questioning the mechanism
222,
challenging uncontrollability
appraisals
223,
education (normalising worry)
224,
dissonance
techniques
224,
imagery techniques
226
Behavioural experiments
226
controlled worry periods
226,
challenging uncontrollability beliefs
228,
loss of control
experiments
228,
pushing worry limits in-situ
228,
abandoning thought control
229,
surveys
229
Modifying positive beliefs about worry
229
mismatch
strategies
230,
worry abandonment experiments
231,
worry
enhancement experiments
231
Modifying cognitive bias
231
Strategy shifts
232
new endings for old worries
232,
letting go of worries
232,
avoidance
233
The problem of co-morbidity
233
Conclusion
233
Example treatment outline
234
9.
OBSESSIVE-COMPULSIVE DISORDER
......................236
Prevalence of obsessions and compulsions
237
Cognitive models of OCD
237
the Salkovskis model
238,
the Wells and Matthews
meta-cognitive
model
239
A general working model
241
Developing a case formulation
243
symptom profile and
triggering influences
243,
eliciting dysfunctional appraisals
244
Conceptualisation interview: a case example
246
Socialisation
249
General aims of cognitive therapy
249
Verbal
reattribution
250
defining the cognitive target and
detached mindfulness
250,
the
DTR in
OCD
250,
thought-action
defusion
252,
thought-event defusion
252,
identifying
images
255
Behavioural
reattribution
256
exposure and response
prevention: the behavioural perspective
256,
exposure and
response prevention: a cognitive reconceptualisation
257,
challenging specific beliefs
258,
response prevention:
contamination fears
260,
absence of cognition
260
Additional considerations
261
rituals and emotional
avoidance
261,
doubt reduction
262
χ
CONTENTS
Conclusion
263
Example treatment outline
263
10.
FUTURE DEVELOPMENTS IN COGNITIVE THERAPY
........265
The self-regulatory executive function model
266
Treatment implications of the S-REF model
269
managing
on-line activity
270,
socratic
dialogue
271,
developing new
processing routines
271,
attention training
273
Meta-cognition and anxiety disorder
274
Obsessional problems
275
Summary and conclusion
277
Rating Scales
...................................................279
Appendix
......................................................285
References
......................................................294
Index
..........................................................302
|
| adam_txt |
CONTENTS
About the Author
. xi
Preface
. xiii
1.
COGNITIVE THEORY AND MODELS OF ANXIETY:
AN INTRODUCTION
. 1
Cognitive theory of anxiety disorders
2
dysfunctional
schemas
3,
negative automatic thoughts, worries and
obsessions
4,
the role of behaviour
5,
cognitive biases
7
Summary of the general schema theory
8
Evidence for the schema theory of anxiety
9
information-processing tasks
10,
judgement, evaluation and
memory tasks
13
A question of causality
13
From schema theory to disorder-specific models
14
panic disorder and health anxiety
14
social phobia
16,
generalised anxiety disorder
17,
obsessive-compulsive
disorder
18
Overlapping and distinct constructs
19
Conclusion
19
2.
ASSESSMENT: AN OVERVIEW
. 21
Aims of assessment
21
measurement
22
Recommended additional measures for specific disorder
24
panic disorder and agoraphobia
24,
health anxiety
26,
social phobia
28,
generalized anxiety disorder
30,
obsessive-
compulsive disorder,
33
vi
CONTENTS
Specific
rating
scales
34
Cognitive Therapy Assessment Interview
35
detailed
description of the presenting problem
35,
cross-sectional
cognitive-behavioural analysis
35,
longitudinal analysis
37,
underlying assumptions and beliefs
37,
use of behaviour
tests
38
Structure of the assessment interview
38
Multiple presenting problems
40
Conclusion
41
3.
COGNITIVE THERAPY: BASIC CHARACTERISTICS
. 42
Cognitive techniques
43
Behavioural techniques
43
The structure of therapy
44
case conceptualisation
(formulation)
44,
socialisation
45,
symptom and schema focused
intervention
46,
relapse prevention
46
Session structure
46
review of objective measures
47,
agenda setting
47,
use of feedback
48,
implementation of
specific strategies
49,
provision of new homework
49,
ending a session
50
The first treatment session
50
problem list and goal setting:
issues of problem primacy
50
The process of therapy: essential basics
51
pacing and efficient
time use
51,
the
socratic
dialogue
52
Conclusion
56
4.
COGNITIVE THERAPY: BASIC TECHNIQUES
. 57
Eliciting negative automatic thoughts
57
ten ways of eliciting
relevant NATs
58
Reattribution
methods
67
verbal
reattribution
68,
summary
of verbal
reattribution
78
Behavioural
reattribution
78
use of exposure in cognitive
therapy
79,
behavioural experiments
80,
disconfirmation
experiments in anxiety and depression
81,
designing and
implementing effective experiments
81,
difficulties with
behavioural experiments
84
Safety in treatment
85
schema-focused techniques in anxiety
disorder
85
Eliciting assumptions
86
meta-cognition and the vertical
arrow
89,
imagery and
schemas
93,
restructuring of rules,
assumptions and beliefs
93
Conclusion
97
CONTENTS
vii
5.
PANIC DISORDER
. 98
Characteristics of panic attacks
98
Cognitive model of panic
99
From cognitive model to case conceptualisation
103
assessment
103
Deriving the vicious circle
103
Developing the basic conceptualisation: incorporating safety
behaviours and avoidance
107
Socialisation
109
sample socialisation experiments
110
Reattribution
strategies
113
evolution of treatment strategies
in panic
113
Behavioural experiments
113
guidelines for effective
symptom-induction experiments
114,
hyperventilation
provocation task
115,
physical exercise tasks
117,
chest pain
strategies
117,
strategies for inducing visual
disturbances
118,
dissociative experiences
118,
'acting as if'
experiments
118
Verbal
reattribution
techniques
119
questioning the
evidence
119,
the panic cognitions diary
120,
education and
exploring counter-evidence
121,
selected educational
scenarios in panic
121,
counter-evidence
127,
symptom contrast
technique
128,
the survey technique
130
Dealing with avoidance
130
Relapse prevention
130
therapy blueprint
131,
reframe and
booster sessions
131
Example treatment outline
131
6.
HYPOCHONDRIASIS: HEALTH ANXIETY
.133
A cognitive model of hypochondriasis
134
cognitive
factors
135,
affect/physiological changes
136,
behavioural
responses
137,
summary of the model and new directions
138
General treatment issues
139
engagement in treatment
139
From cognitive model to case conceptualisation
141
Socialisation
144
sample socialisation experiments
145
Reattribution
strategies
147
Behavioural experiments
147
testing patient predictions
147,
survey method
149,
paradoxical procedures
149,
medical
consultation during cognitive therapy
149,
reducing
reassurance seeking
150,
developing a plan for medical
consultation
150,
self-monitoring
151
Verbal
reattribution
techniques
151
the health-anxiety
thoughts record
152,
pie charts
152,
inverted pyramid
154,
thinking errors
155,
answering thoughts and imagery
viii CONTENTS
modification
156,
the 'dual model' strategy
157,
dealing with
rumination and worry
157,
modifying assumptions and
beliefs
159
Imagery techniques
163
Dealing with health-risk behaviour
164
Conclusions
164
Example treatment outline
164
7.
SOCIAL PHOBIA
.167
The nature of social phobia
168
A cognitive model of social phobia
168
anticipatory and
post-event processing
170,
processing of the social self
171,
assumptions and beliefs
171,
summary of the model
172
From cognitive model to case conceptualisation
174
eliciting
information for conceptualisation
175,
collecting data for
formulation
176,
example of a behaviour test to elicit data
180
Socialisation
182
selling self-processing
183,
behavioural
experiments in socialisation
184
Sequencing of treatment interventions
185
Modifying self-processing
186
Challenging other negative thoughts
188
the social balance
sheet
189,
thinking errors
189,
using rational self-statements
190,
defining fears
190,
dealing with anticipatory processing and the
post-mortem
191
Behavioural experiments
191
interrogating the
environment
191,
overcoming avoidance
192
Working with conditional assumptions and beliefs
193
conditional assumptions
193,
generating alternative
evidence
194,
rigid rules: increasing the 'bandwidth'
196,
unconditional negative self-beliefs
197,
the positive data
log
197,
interpersonal strategies
197
Conclusions
198
Example treatment outline
199
8.
GENERALISED ANXIETY DISORDER
.200
The nature of worry
201
the nature of worry in GAD
201
A cognitive model of GAD
202
behavioural responses
205,
thought control
206,
emotion
207
Eliciting information for conceptualisation
207
verbal strategies
for eliciting Type
2
worry
208,
questionnaire assessment
211
From cognitive model to case conceptualisation
213
Socialisation
215
socialisation questions
215,
selling
CONTENTS ix
meta-
worry
216,
the worrying thoughts record (WTR)
217,
socialising experiments
218
Modifying meta-wony and negative beliefs
221
Verbal
reattribution
221
questioning the evidence
221,
questioning the mechanism
222,
challenging uncontrollability
appraisals
223,
education (normalising worry)
224,
dissonance
techniques
224,
imagery techniques
226
Behavioural experiments
226
controlled worry periods
226,
challenging uncontrollability beliefs
228,
loss of control
experiments
228,
pushing worry limits in-situ
228,
abandoning thought control
229,
surveys
229
Modifying positive beliefs about worry
229
mismatch
strategies
230,
worry abandonment experiments
231,
worry
enhancement experiments
231
Modifying cognitive bias
231
Strategy shifts
232
new endings for old worries
232,
letting go of worries
232,
avoidance
233
The problem of co-morbidity
233
Conclusion
233
Example treatment outline
234
9.
OBSESSIVE-COMPULSIVE DISORDER
.236
Prevalence of obsessions and compulsions
237
Cognitive models of OCD
237
the Salkovskis model
238,
the Wells and Matthews
meta-cognitive
model
239
A general working model
241
Developing a case formulation
243
symptom profile and
triggering influences
243,
eliciting dysfunctional appraisals
244
Conceptualisation interview: a case example
246
Socialisation
249
General aims of cognitive therapy
249
Verbal
reattribution
250
defining the cognitive target and
detached mindfulness
250,
the
DTR in
OCD
250,
thought-action
defusion
252,
thought-event defusion
252,
identifying
images
255
Behavioural
reattribution
256
exposure and response
prevention: the behavioural perspective
256,
exposure and
response prevention: a cognitive reconceptualisation
257,
challenging specific beliefs
258,
response prevention:
contamination fears
260,
absence of cognition
260
Additional considerations
261
rituals and emotional
avoidance
261,
doubt reduction
262
χ
CONTENTS
Conclusion
263
Example treatment outline
263
10.
FUTURE DEVELOPMENTS IN COGNITIVE THERAPY
.265
The self-regulatory executive function model
266
Treatment implications of the S-REF model
269
managing
on-line activity
270,
socratic
dialogue
271,
developing new
processing routines
271,
attention training
273
Meta-cognition and anxiety disorder
274
Obsessional problems
275
Summary and conclusion
277
Rating Scales
.279
Appendix
.285
References
.294
Index
.302 |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author | Wells, Adrian |
| author_GND | (DE-588)136308295 |
| author_facet | Wells, Adrian |
| author_role | aut |
| author_sort | Wells, Adrian |
| author_variant | a w aw |
| building | Verbundindex |
| bvnumber | BV035128820 |
| classification_rvk | CU 3100 CU 4000 |
| ctrlnum | (OCoLC)315561724 (DE-599)BVBBV035128820 |
| discipline | Psychologie |
| discipline_str_mv | Psychologie |
| edition | Repr. |
| format | Book |
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| id | DE-604.BV035128820 |
| illustrated | Illustrated |
| index_date | 2024-07-02T22:23:54Z |
| indexdate | 2024-07-09T21:22:58Z |
| institution | BVB |
| isbn | 9780471964742 9780471964766 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016796359 |
| oclc_num | 315561724 |
| open_access_boolean | |
| owner | DE-473 DE-BY-UBG |
| owner_facet | DE-473 DE-BY-UBG |
| physical | XIV, 314 S. graph. Darst. |
| publishDate | 2008 |
| publishDateSearch | 2008 |
| publishDateSort | 2008 |
| publisher | Wiley |
| record_format | marc |
| spelling | Wells, Adrian Verfasser (DE-588)136308295 aut Cognitive therapy of anxiety disorders a practice manual and conceptual guide Adrian Wells Repr. Chichester [u.a.] Wiley 2008 XIV, 314 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Kognitive Psychotherapie (DE-588)4164472-4 gnd rswk-swf Angststörung (DE-588)4295459-9 gnd rswk-swf Kognitive Psychotherapie (DE-588)4164472-4 s Angststörung (DE-588)4295459-9 s DE-604 Digitalisierung UB Bamberg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016796359&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Wells, Adrian Cognitive therapy of anxiety disorders a practice manual and conceptual guide Kognitive Psychotherapie (DE-588)4164472-4 gnd Angststörung (DE-588)4295459-9 gnd |
| subject_GND | (DE-588)4164472-4 (DE-588)4295459-9 |
| title | Cognitive therapy of anxiety disorders a practice manual and conceptual guide |
| title_auth | Cognitive therapy of anxiety disorders a practice manual and conceptual guide |
| title_exact_search | Cognitive therapy of anxiety disorders a practice manual and conceptual guide |
| title_exact_search_txtP | Cognitive therapy of anxiety disorders a practice manual and conceptual guide |
| title_full | Cognitive therapy of anxiety disorders a practice manual and conceptual guide Adrian Wells |
| title_fullStr | Cognitive therapy of anxiety disorders a practice manual and conceptual guide Adrian Wells |
| title_full_unstemmed | Cognitive therapy of anxiety disorders a practice manual and conceptual guide Adrian Wells |
| title_short | Cognitive therapy of anxiety disorders |
| title_sort | cognitive therapy of anxiety disorders a practice manual and conceptual guide |
| title_sub | a practice manual and conceptual guide |
| topic | Kognitive Psychotherapie (DE-588)4164472-4 gnd Angststörung (DE-588)4295459-9 gnd |
| topic_facet | Kognitive Psychotherapie Angststörung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016796359&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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