Cognitive Behavior Therapy, Third Edition
Basics and Beyond
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Hundreds of thousands of clinicians and graduate students have relied on this text--now significantly revised with more than 50% new material--to learn the fundamentals of cognitive behavior therapy (CBT). Leading expert Judith S. Beck demonstrates how to engage patients, develop a sound case conceptualization, plan individualized treatment, structure sessions, and implement core cognitive, behavioral, and experiential techniques. Throughout the book, extended cases of one client with severe depression and another with depression, anxiety, and borderline personality disorder traits illustrate how a skilled therapist delivers CBT and troubleshoots common difficulties. Adding to the third edition's utility, the companion website features downloadable worksheets and videos of therapy sessions.
New to This Edition
*Chapter on the therapeutic relationship.
*Chapter on integrating mindfulness into treatment.
*Presents recovery-oriented cognitive therapy (CT-R)--which emphasizes clients’ aspirations, values, and positive adaptation--alongside traditional CBT.
*Pedagogical features: clinical tips, reflection questions, practice exercises, and videos at the companion website.
*New case examples featuring clients with more complex problems.
*Demonstrates how to integrate strategies from other modalities, such as acceptance and commitment therapy, dialectical behavior therapy, and mindfulness-based cognitive therapy.
Table of Contents
1. Introduction to Cognitive Behavior Therapy
2. Overview of Treatment
3. Cognitive Conceptualization
4. The Therapeutic Relationship
5. The Evaluation Session
6. The First Therapy Session
7. Activity Scheduling
8. Actions Plans
9. Treatment Planning
10. Structuring Sessions
11. Problems in Structuring Sessions
12. Identifying Automatic Thoughts
14. Evaluating Automatic Thoughts
15. Responding to Automatic Thoughts
16. Integrating Mindfulness into CBT
17. Introduction to Beliefs
18. Modifying Beliefs
19. Additional Techniques
21. Termination and Relapse Prevention
22. Problems in Therapy
Appendix A. CBT Resources
Appendix B. Beck Institute Case Write-Up: Summary and Conceptualization
Appendix C. Steps in the AWARE Technique
Appendix D. Restructuring the Meaning of Early Memories Through Experiential Techniques
Judith S. Beck, PhD, is President of the Beck Institute for Cognitive Behavior Therapy (www.beckinstitute.org), a nonprofit organization that provides state-of-the-art training and certification in CBT to individuals and organizations, offers online courses on a variety of CBT topics, conducts research, and serves as a leading global resource in CBT. She is also Clinical Professor of Psychology in Psychiatry at the University of Pennsylvania Perelman School of Medicine. Dr. Beck has written over 100 articles and chapters as well as several books for professionals and general readers, including Cognitive Behavior Therapy, Third Edition: Basics and Beyond and Cognitive Therapy for Challenging Problems: What to Do When the Basics Don’t Work. She has made hundreds of presentations around the world on topics related to CBT, is codeveloper of the Beck Youth Inventories and the Personality Belief Questionnaire, and has won numerous awards for her contributions to the field. She also continues to treat clients at the Beck Institute’s in-house clinic in suburban Philadelphia.
"Given the tremendous amount of new research and expansion of ideas that continue to move the field in exciting new directions, I applaud the efforts to expand this volume to incorporate some of the different ways of conceptualizing and treating our clients…. . Even CBT therapists who are skilled at delivering traditional CBT should find this book quite helpful in adopting a strengths-based approach, sharpening their conceptualization skills, expanding their repertoire of therapeutic techniques, planning more effective treatment, and troubleshooting difficulties in therapy….The purpose of Dr. Judith Beck’s book is to educate, to teach, and to train both the novice and the experienced therapist in CBT, and she has succeeded admirably in this mission."--from the Foreword by Aaron T. Beck, MD, University Professor Emeritus of Psychiatry, Perelman School of Medicine, University of Pennsylvania
"CBT is exploding in all directions. Before exploring far-off territories, I recommend learners start here! 'Basic' is defined as 'forming an essential foundation or starting point; fundamental,' which describes this book perfectly. It is an ideal text for graduate students learning CBT and for practitioners at all levels of experience who are new to CBT and want to learn the foundational principles and practices of this important psychotherapy model."--Jacqueline B. Persons, PhD, Director, Oakland Cognitive Behavior Therapy Center; Clinical Professor, Department of Psychology, University of California, Berkeley
"The third edition of Basics and Beyond is not just a superficial update--it is a reconceptualization of how CBT should be taught. My students regularly comment that Beck’s book is their favorite of all the texts in our course. She creates a relationship with readers that increases their ability to understand and apply information from the text, just like a therapeutic alliance facilitates the patient’s incorporation of new data in therapy. Any student of psychology can pick up this text and get a full understanding of the nature, scope, structure, and strengths of CBT."--Laird Bridgman, PsyD, The Chicago School of Professional Psychology, Irvine, California; private practice, Lake Forest, California
"This thoroughly revised third edition provides a systematic bird's-eye view of the method and thinking of an experienced, gifted CBT practitioner. Beck's conversational tone is welcoming and reassuring. The text includes transcripts, reflection questions, practice exercises, and clinical tips for the learner. It seamlessly incorporates contemporary elements of CBT, including mindfulness and the consideration of patient strengths, aspirations, and values. Beginning practitioners will find the rubrics for considering stuck points in therapy and performing good evaluations to be invaluable. This book is a 'must' for anyone interested in learning more about both the micro-skills of CBT and the big picture of thoughtful and reflective therapeutic practice."--Donna M. Sudak, MD, Professor of Psychiatry and Vice Chair for Education, Drexel University-Tower Health Medical Group
“The third edition of Judith Beck’s classic text builds on the legacy of prior editions by including positive, recovery-based methods; mindfulness; and other newer developments that make it even more valuable to students and clinicians. Beck’s inspiring therapy with her clients shines through and gives readers a feast of practical examples of how to put CBT into action. A leading force in the practice and evolution of CBT, Beck has given us a book to treasure.”--Jesse H. Wright, MD, PhD, Kolb Endowed Chair of Outpatient Psychiatry and Director, Depression Center, University of Louisville School of Medicine
"I am delighted to see the third edition of this classic work, which includes a positive, strengths-based perspective for clinicians working with people who struggle with significant mental health problems. Focusing on individual values, goals, strengths, and resources, and on newer evidence-based cognitive and behavioral strategies, will surely benefit patients and their families. This essential resource with clear examples will enhance the practice skills of psychologists, social workers, psychiatric nurses, psychiatrists, licensed mental health practitioners, and their students."--Gail Steketee, PhD, Professor and Dean Emerita, Boston University School of Social Work
"A comprehensive and highly useful teaching text that can be used by either therapists-in-training or experienced therapists….Judith Beck is a master psychotherapist who has successfully compiled a text that clearly explains the fundamentals of cognitive therapy in a way that will be exceedingly useful to anyone studying psychotherapy. Psychiatry residents I work with consistently want to see actual examples of how psychotherapy is done. This book, with its extensive dialogues, provides a clear example of how a skilled, empathic therapist conducts treatment. What is most impressive about this work is that it provides thorough and detailed instruction yet is concise enough to be read cover-to-cover in a reasonable length of time….After mastering this text, those interested in more in-depth instruction from Dr. Beck can obtain her work Cognitive Therapy for Challenging Problems: What to Do When the Basics Don't Work, also published by Guilford Press." (on the second edition) --Journal of Psychiatric Practice, 7/1/2013
"A comprehensive road map to the practice of CBT [and] a must-read guide for graduate students and practicing therapists who are interested in learning the essentials of CBT. It will no doubt be recognized as a classic text in the field due not only to its excellent coverage of CBT, but also to the clear, concise, and illustrative manner in which the techniques are presented." (on the second edition) -- Journal of Clinical Psychiatry, 9/3/2012