A process-based approach to CBT: understanding and changing the dynamics of psychological problems
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| Format: | Book |
| Language: | English German |
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Newburyport ; Göttingen
Hogrefe
[2024]
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| Subjects: | |
| Online Access: | Inhaltstext Inhaltsverzeichnis Klappentext |
| Item Description: | Auf dem Cover: "Download" Literaturverzeichnis: S. 175-183 Anhang mit Arbeitsblättern: S.185-212 |
| Physical Description: | 212 Seiten Illustrationen, Diagramme 25.4 cm x 17.8 cm |
| ISBN: | 9780889376281 |
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Contents Foreword by Steven C. Hayes. 5 Preface. 9 Part I Theoretical Foundations 1 1.1 1.2 Limitations of Diagnosis-Oriented Psychotherapy. Inadequate Conceptualization of Mental Disorders. Complexity and Dynamics of Mental Disorders. 13 13 14 1.3 1.4 1.5 Somatic or Latent Disease Model. Applying LinearThinkingto Complex Systems. Heterogeneity of Diagnoses. 15 16 18 1.6 Nomothetic Versus Ideographic Explanatory Models. 19 2 2.1 Theoretical Foundations of Process-Based Approach. Process Level: Space Between Narrative and Diagnosis. 21 21 2.2 Processes:The Origins of Behavior Therapy. 23 2.3 2.4 2.4.1 2.4.2 2.4.3 Allostasis Model. Psychopathology: Complex Dynamic Networks. Time Dimension:
Variability Over Time Makes Processes Visible. Stable Networks: Homogeneous and Strongly Interconnected Elements. Development of Mental Disorders From a Network Perspective. 27 28 30 32 33 2.4.4 2.5 Transdiagnostic Network Structures. Psychotherapy: Network Changes at the Process Level. 34 36 2.6 2.7 2.7.1 From Sick to Healthy: Overcoming Network States. Typical Process Patterns Causing Psychopathology and Suffering. Unproductive Process Loops. 37 39 40 2.7.2 Missing Balancing Feedback Loops. 42 2.7.3 2.7.4 Maladaptive Inhibitory Control Processes. Bottlenecks and Tipping Points. 43 44 2.7.5 Core Dimensions With Strong Influence on the Overall System. 45 2.7.6 The Inaccessability of Positive Emotional Network Structures. 46 2.7.7 2.8 2.8.1 2.8.2 Difficulties in Emotional Processing Hinder Learning Processes. Examples of Process-Based Disorder Models. Comorbidity of Depression and
Anxiety. Prolonged Grief Disorder. 46 47 47 48 3 3.1 3.2 Process-Based Models of Mental Disorders. Diathesis-Stress Model. Process-Based Diathesis Model. 51 52 52 3.3 Process-Based Complex Network Model. 55
2 Contents Core Processes of Psychopathology. External Demands or Stressors. Vulnerability Mechanisms. 57 57 58 Neurophysiological Level. Emotional Level. Behavioral Level. Cognitive Level. Levelof the Self. 59 51 59 72 7® 4.2.6 Attachment and Relationship Level. 4.2.7 Specific Constructs. 4.3 Response Mechanisms. 4.3.1 Behavioral Core Processes. 4.3.2 Cognitive Core Processes. 4.3.3 Emotional Core Processes. 77 78 7$ 55 57 54 4.3.4 4.3.5 Motivational Core Processes. Social and Interpersonal Processes. 85 88 5 5.1 5.2 5.2.1
5.2.2 Psychotherapy From a Process-Based Perspective. Core Processes of Psychotherapy. Process-Based Therapeutic Stance. Capturing Complexity With All Perceptual Channels. Collaborative Empiricism. 91 91 92 93 93 5.2.3 Informed Consent. 5.2.4 The Therapist as a Person. 5.2.5 Dealing With Errors and Uncertainties. 5.2.6 Flexibility and Loyalty to the Common Treatment Rationale. 5.3 Evaluation of Adaptivity Based on Evolutionary Principles. 93 94 95 95 96 5.3.1 Variability. 5.3.2 Selection. 5.3.3 Retention. 5.3.4 Context. 5.3.5 Physiological and Social/Cultural Level of Analysis. 5.3.6Application of the Principles of Evolution in the Psychotherapeutic Context. 97 97 98 98 99 99 4 4.1 4.2 4.2.1 4.2.2 4.2.3 4.2.4 4.2.5 Part II Applying the Process-Based Approach in Practice 6 Phases of Process-
Based Psychotherapy. 103 Phase 1 : Multidimensional Diagnostic of Relevant Processes. 104 Phase 2: Core Processes: Creating a Process-Based Diathesis Model. 106 Phase 3: Developing an Individual Process-Based Complex Network Model. 107 Phase 4: Defining Therapy Goals and Evaluating Readiness for Change. 108 Phase 5: Selecting and Implementing Interventions. 108 Phase 6: Monitoring and Réévaluation of the Perturbation Model. 108 7 7.1 Phase 1: Multidimensional Diagnostics of Relevant Processes. 111 Spontaneously Reported Symptomatology. Recognizing Processes. 112
Contents 7.2 7.2.1 Specified Exploration of Conditional Factors at the Process Level. 113 Exploring External Coping Demands (Threats). 113 7.2.2 7.2.3 7.2.4 Understanding Internal Coping Demands. 115 Identifying Vulnerability Mechanisms. 116 Identifying Problematic Response Mechanisms. 117 7.2.5 Understanding the Effectsand Consequences. 118 7.3 7.3.1 7.3.2 7.4 Process-Oriented Functional Analyses. 119 Selecting Relevant Problematic Situations. 119 Process-Based Functional Analysis. 119 Longitudinal Analysis of Symptom Development (Life Chart). 120 7.5 7.6 Treatment History. 124 Including External Perspectives. 124 7.7 Context Analysis: Protective Factors and Risk Factors.125 7.8 7.9 7.9.1 7.9.2 Process-Oriented Assessment of Psychopathology. 126 Using Traditional
Diagnostic Methods to Identify RelevantProcesses. 127 Established Test Procedures. 127 Questionnaires for Specific Process-Oriented Constructs.127 7.9.3 7.10 Neuropsychological Testing and Biofeedback Methods. 128 Further Process-Orientated Methods: Self-Observation and Visualization Instruments. 128 7.10.1 Recording Emotion Regulation Processes. 129 7.10.2 Recording Cognitive Processes.134 7.10.3 Recording Behavioral Processes. 135 7.10.4 Recordingof Somatic Processes. 137 8 Phase 2: Developing a Process-Based Diathesis Model. 9 9.1 9.2 9.2.1 9.2.2 9.2.3 Phase 3: Developing an Individual Process-Based Complex Network Model . 141 Practical Procedure for Developing a Complex Network Model. 141 Evaluatingthe Adaptivity of Network Patterns Using the Extended Evolutionary Metamodel. 144 Variability. 144
Selection. 144 Retention. 145 9.2.4 Context.145 9.3 Practical Example. 148 9.3.1 9.3.2 Individual Process-Based Complex Network Model. .'. 149 Complexity. 149 9.3.3 9.3.4 Core Dimensions. 150 Accessing Adaptivity. 150 10 10.1 Phase 4: Defining Therapy Goals and Creating Readiness for Change. 151 Defining Global Therapy Goals.151 10.2 10.3 Defining Targets of Change at a Process Level. 152 Capturing Readiness for Change. 153 139 10.3.1 Determining the Current Phase of Motivation. 153 3
4 Contents 10.3.2 Cost-Benefit Analysis for Change. 154 10.3.3 Determining the Type and Duration of Motivation Required for Change. 155 10.3.4 Subjective Prognosis of Success Limits Change. 159 11 11.1 11.1.1 Phase 5: Selecting and Implementing Interventions. 161 Selecting Interventions. 161 Defining Effective Dimensions to Target. 161 11.1.2 Selecting Interventions to Change Core Processes. 162 11.1.3 Planning the Sequence of Interventions.164 11.1.4 Weaken the Maladaptive Network or Strengthen the Coping Network?. 165 11.2 Implementing Interventions. 165 12 12.1 Phase 6: Monitoring Change and Constant Réévaluation. 167 Negative Versus Positively Oriented Monitors. 168 12.2 12.3 Critical Thresholds and Bottlenecks in Therapy. 168 Criteria for EndingTherapy. 168 13
Outlook. 171 References. 175 Appendix: Worksheets 1-18. 185 Notes on Supplementary Materials. 213
Using a process-based approach to personalize CBT for better success The process-based approach to cognitive-behavioral therapy (CBT) is a unique method for understanding psychological problems as complex networks of interacting processes. It allows therapists to grasp the individuality, complexity, and dynamics of psychological disorders - things that often get missed in diagnosis-oriented approaches. The authors, both experienced researchers and practitioners of this method, explore how understanding these complex networks enables therapists using CBT to focus on the core processes responsible for a person’s suffering. First, the reader is shown how emotional, cognitive, behavioral, and somatic processes interact in maintaining maladaptive states and how this approach identifies the points at which therapeutic interventions can be applied to achieve maximum leverage. This is followed by guidance on implementing the approach in practice, including addressing diagnostic issues, to create an individual process-based model network for selecting the right evidence-based interventions. The process-based approach forms a connecting foundation that combines classical CBT with third-wave approaches (acceptance commitment therapy, schema therapy) and integrates helpful recent developments in psychotherapy research, such as evolutionary theories. Practitioners will find the downloadable tools in the appendix invaluable for their clinical practice. This book is of interest to clinical psychologists, psychiatrists, psychotherapists, mental health practitioners, students, and trainees. |
| adam_txt |
Contents Foreword by Steven C. Hayes. 5 Preface. 9 Part I Theoretical Foundations 1 1.1 1.2 Limitations of Diagnosis-Oriented Psychotherapy. Inadequate Conceptualization of Mental Disorders. Complexity and Dynamics of Mental Disorders. 13 13 14 1.3 1.4 1.5 Somatic or Latent Disease Model. Applying LinearThinkingto Complex Systems. Heterogeneity of Diagnoses. 15 16 18 1.6 Nomothetic Versus Ideographic Explanatory Models. 19 2 2.1 Theoretical Foundations of Process-Based Approach. Process Level: Space Between Narrative and Diagnosis. 21 21 2.2 Processes:The Origins of Behavior Therapy. 23 2.3 2.4 2.4.1 2.4.2 2.4.3 Allostasis Model. Psychopathology: Complex Dynamic Networks. Time Dimension:
Variability Over Time Makes Processes Visible. Stable Networks: Homogeneous and Strongly Interconnected Elements. Development of Mental Disorders From a Network Perspective. 27 28 30 32 33 2.4.4 2.5 Transdiagnostic Network Structures. Psychotherapy: Network Changes at the Process Level. 34 36 2.6 2.7 2.7.1 From Sick to Healthy: Overcoming Network States. Typical Process Patterns Causing Psychopathology and Suffering. Unproductive Process Loops. 37 39 40 2.7.2 Missing Balancing Feedback Loops. 42 2.7.3 2.7.4 Maladaptive Inhibitory Control Processes. Bottlenecks and Tipping Points. 43 44 2.7.5 Core Dimensions With Strong Influence on the Overall System. 45 2.7.6 The Inaccessability of Positive Emotional Network Structures. 46 2.7.7 2.8 2.8.1 2.8.2 Difficulties in Emotional Processing Hinder Learning Processes. Examples of Process-Based Disorder Models. Comorbidity of Depression and
Anxiety. Prolonged Grief Disorder. 46 47 47 48 3 3.1 3.2 Process-Based Models of Mental Disorders. Diathesis-Stress Model. Process-Based Diathesis Model. 51 52 52 3.3 Process-Based Complex Network Model. 55
2 Contents Core Processes of Psychopathology. External Demands or Stressors. Vulnerability Mechanisms. 57 57 58 Neurophysiological Level. Emotional Level. Behavioral Level. Cognitive Level. Levelof the Self. 59 51 59 72 7® 4.2.6 Attachment and Relationship Level. 4.2.7 Specific Constructs. 4.3 Response Mechanisms. 4.3.1 Behavioral Core Processes. 4.3.2 Cognitive Core Processes. 4.3.3 Emotional Core Processes. 77 78 7$ 55 57 54 4.3.4 4.3.5 Motivational Core Processes. Social and Interpersonal Processes. 85 88 5 5.1 5.2 5.2.1
5.2.2 Psychotherapy From a Process-Based Perspective. Core Processes of Psychotherapy. Process-Based Therapeutic Stance. Capturing Complexity With All Perceptual Channels. Collaborative Empiricism. 91 91 92 93 93 5.2.3 Informed Consent. 5.2.4 The Therapist as a Person. 5.2.5 Dealing With Errors and Uncertainties. 5.2.6 Flexibility and Loyalty to the Common Treatment Rationale. 5.3 Evaluation of Adaptivity Based on Evolutionary Principles. 93 94 95 95 96 5.3.1 Variability. 5.3.2 Selection. 5.3.3 Retention. 5.3.4 Context. 5.3.5 Physiological and Social/Cultural Level of Analysis. 5.3.6Application of the Principles of Evolution in the Psychotherapeutic Context. 97 97 98 98 99 99 4 4.1 4.2 4.2.1 4.2.2 4.2.3 4.2.4 4.2.5 Part II Applying the Process-Based Approach in Practice 6 Phases of Process-
Based Psychotherapy. 103 Phase 1 : Multidimensional Diagnostic of Relevant Processes. 104 Phase 2: Core Processes: Creating a Process-Based Diathesis Model. 106 Phase 3: Developing an Individual Process-Based Complex Network Model. 107 Phase 4: Defining Therapy Goals and Evaluating Readiness for Change. 108 Phase 5: Selecting and Implementing Interventions. 108 Phase 6: Monitoring and Réévaluation of the Perturbation Model. 108 7 7.1 Phase 1: Multidimensional Diagnostics of Relevant Processes. 111 Spontaneously Reported Symptomatology. Recognizing Processes. 112
Contents 7.2 7.2.1 Specified Exploration of Conditional Factors at the Process Level. 113 Exploring External Coping Demands (Threats). 113 7.2.2 7.2.3 7.2.4 Understanding Internal Coping Demands. 115 Identifying Vulnerability Mechanisms. 116 Identifying Problematic Response Mechanisms. 117 7.2.5 Understanding the Effectsand Consequences. 118 7.3 7.3.1 7.3.2 7.4 Process-Oriented Functional Analyses. 119 Selecting Relevant Problematic Situations. 119 Process-Based Functional Analysis. 119 Longitudinal Analysis of Symptom Development (Life Chart). 120 7.5 7.6 Treatment History. 124 Including External Perspectives. 124 7.7 Context Analysis: Protective Factors and Risk Factors.125 7.8 7.9 7.9.1 7.9.2 Process-Oriented Assessment of Psychopathology. 126 Using Traditional
Diagnostic Methods to Identify RelevantProcesses. 127 Established Test Procedures. 127 Questionnaires for Specific Process-Oriented Constructs.127 7.9.3 7.10 Neuropsychological Testing and Biofeedback Methods. 128 Further Process-Orientated Methods: Self-Observation and Visualization Instruments. 128 7.10.1 Recording Emotion Regulation Processes. 129 7.10.2 Recording Cognitive Processes.134 7.10.3 Recording Behavioral Processes. 135 7.10.4 Recordingof Somatic Processes. 137 8 Phase 2: Developing a Process-Based Diathesis Model. 9 9.1 9.2 9.2.1 9.2.2 9.2.3 Phase 3: Developing an Individual Process-Based Complex Network Model . 141 Practical Procedure for Developing a Complex Network Model. 141 Evaluatingthe Adaptivity of Network Patterns Using the Extended Evolutionary Metamodel. 144 Variability. 144
Selection. 144 Retention. 145 9.2.4 Context.145 9.3 Practical Example. 148 9.3.1 9.3.2 Individual Process-Based Complex Network Model. .'. 149 Complexity. 149 9.3.3 9.3.4 Core Dimensions. 150 Accessing Adaptivity. 150 10 10.1 Phase 4: Defining Therapy Goals and Creating Readiness for Change. 151 Defining Global Therapy Goals.151 10.2 10.3 Defining Targets of Change at a Process Level. 152 Capturing Readiness for Change. 153 139 10.3.1 Determining the Current Phase of Motivation. 153 3
4 Contents 10.3.2 Cost-Benefit Analysis for Change. 154 10.3.3 Determining the Type and Duration of Motivation Required for Change. 155 10.3.4 Subjective Prognosis of Success Limits Change. 159 11 11.1 11.1.1 Phase 5: Selecting and Implementing Interventions. 161 Selecting Interventions. 161 Defining Effective Dimensions to Target. 161 11.1.2 Selecting Interventions to Change Core Processes. 162 11.1.3 Planning the Sequence of Interventions.164 11.1.4 Weaken the Maladaptive Network or Strengthen the Coping Network?. 165 11.2 Implementing Interventions. 165 12 12.1 Phase 6: Monitoring Change and Constant Réévaluation. 167 Negative Versus Positively Oriented Monitors. 168 12.2 12.3 Critical Thresholds and Bottlenecks in Therapy. 168 Criteria for EndingTherapy. 168 13
Outlook. 171 References. 175 Appendix: Worksheets 1-18. 185 Notes on Supplementary Materials. 213
Using a process-based approach to personalize CBT for better success The process-based approach to cognitive-behavioral therapy (CBT) is a unique method for understanding psychological problems as complex networks of interacting processes. It allows therapists to grasp the individuality, complexity, and dynamics of psychological disorders - things that often get missed in diagnosis-oriented approaches. The authors, both experienced researchers and practitioners of this method, explore how understanding these complex networks enables therapists using CBT to focus on the core processes responsible for a person’s suffering. First, the reader is shown how emotional, cognitive, behavioral, and somatic processes interact in maintaining maladaptive states and how this approach identifies the points at which therapeutic interventions can be applied to achieve maximum leverage. This is followed by guidance on implementing the approach in practice, including addressing diagnostic issues, to create an individual process-based model network for selecting the right evidence-based interventions. The process-based approach forms a connecting foundation that combines classical CBT with third-wave approaches (acceptance commitment therapy, schema therapy) and integrates helpful recent developments in psychotherapy research, such as evolutionary theories. Practitioners will find the downloadable tools in the appendix invaluable for their clinical practice. This book is of interest to clinical psychologists, psychiatrists, psychotherapists, mental health practitioners, students, and trainees. |
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| id | DE-604.BV049597860 |
| illustrated | Illustrated |
| index_date | 2024-07-03T23:34:15Z |
| indexdate | 2024-08-23T00:07:00Z |
| institution | BVB |
| institution_GND | (DE-588)1065422652 |
| isbn | 9780889376281 |
| language | English German |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-034942364 |
| oclc_num | 1427316539 |
| open_access_boolean | |
| owner | DE-384 DE-19 DE-BY-UBM DE-11 DE-20 DE-473 DE-BY-UBG |
| owner_facet | DE-384 DE-19 DE-BY-UBM DE-11 DE-20 DE-473 DE-BY-UBG |
| physical | 212 Seiten Illustrationen, Diagramme 25.4 cm x 17.8 cm |
| publishDate | 2024 |
| publishDateSearch | 2024 |
| publishDateSort | 2024 |
| publisher | Hogrefe |
| record_format | marc |
| spelling | Svitak, Michael 1969- Verfasser (DE-588)136396682 aut Prozessbasierte Psychotherapie A process-based approach to CBT understanding and changing the dynamics of psychological problems Michael Svitak, Stefan G. Hofmann Newburyport ; Göttingen Hogrefe [2024] © 2024 212 Seiten Illustrationen, Diagramme 25.4 cm x 17.8 cm txt rdacontent n rdamedia nc rdacarrier Auf dem Cover: "Download" Literaturverzeichnis: S. 175-183 Anhang mit Arbeitsblättern: S.185-212 Psychotherapeutischer Prozess (DE-588)4176276-9 gnd rswk-swf Kognitive Verhaltenstherapie (DE-588)4114250-0 gnd rswk-swf cognitive behavioral therapy Process-based psychotherapy therapeutic intervention network model CBT 10: Psychotherapie und Klinische Psychologie 15: Psychiatrie Kognitive Verhaltenstherapie (DE-588)4114250-0 s DE-604 Psychotherapeutischer Prozess (DE-588)4176276-9 s Hofmann, Stefan G. 1964- Verfasser (DE-588)172652529 aut Hogrefe Publishing GmbH (DE-588)1065422652 pbl Erscheint auch als Online-Ausgabe, PDF 978-1-61676-628-3 Erscheint auch als Online-Ausgabe, EPUB 978-1-61334-628-0 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=c4a1c5581d83465796d1456bd0f29491&prov=M&dok_var=1&dok_ext=htm Inhaltstext Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034942364&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034942364&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext 1\p vlb 20230509 DE-101 https://d-nb.info/provenance/plan#vlb |
| spellingShingle | Svitak, Michael 1969- Hofmann, Stefan G. 1964- A process-based approach to CBT understanding and changing the dynamics of psychological problems Psychotherapeutischer Prozess (DE-588)4176276-9 gnd Kognitive Verhaltenstherapie (DE-588)4114250-0 gnd |
| subject_GND | (DE-588)4176276-9 (DE-588)4114250-0 |
| title | A process-based approach to CBT understanding and changing the dynamics of psychological problems |
| title_alt | Prozessbasierte Psychotherapie |
| title_auth | A process-based approach to CBT understanding and changing the dynamics of psychological problems |
| title_exact_search | A process-based approach to CBT understanding and changing the dynamics of psychological problems |
| title_exact_search_txtP | A process-based approach to CBT understanding and changing the dynamics of psychological problems |
| title_full | A process-based approach to CBT understanding and changing the dynamics of psychological problems Michael Svitak, Stefan G. Hofmann |
| title_fullStr | A process-based approach to CBT understanding and changing the dynamics of psychological problems Michael Svitak, Stefan G. Hofmann |
| title_full_unstemmed | A process-based approach to CBT understanding and changing the dynamics of psychological problems Michael Svitak, Stefan G. Hofmann |
| title_short | A process-based approach to CBT |
| title_sort | a process based approach to cbt understanding and changing the dynamics of psychological problems |
| title_sub | understanding and changing the dynamics of psychological problems |
| topic | Psychotherapeutischer Prozess (DE-588)4176276-9 gnd Kognitive Verhaltenstherapie (DE-588)4114250-0 gnd |
| topic_facet | Psychotherapeutischer Prozess Kognitive Verhaltenstherapie |
| url | http://deposit.dnb.de/cgi-bin/dokserv?id=c4a1c5581d83465796d1456bd0f29491&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034942364&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034942364&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
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