Cognitive-Behavioral Conjoint Therapy for PTSD
Harnessing the Healing Power of Relationships
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Presenting an evidence-based treatment for couples in which one or both partners suffer from posttraumatic stress disorder (PTSD), this step-by-step manual is packed with practical clinical guidance and tools. The therapy is carefully structured to address both PTSD symptoms and associated relationship difficulties in a time-limited framework. It is grounded in cutting-edge knowledge about interpersonal aspects of trauma and its treatment. Detailed session outlines and therapist scripts facilitate the entire process of assessment, case conceptualization, and intervention. In a large-size format for easy photocopying, the book includes 50 reproducible handouts and forms.
Table of Contents
I. Background and Overview of CBCT for PTSD
1. An Introduction to Cognitive-Behavioral Conjoint Therapy for PTSD
2. Initial Assessment, Case Conceptualization, and Working with Complex Cases
II. CBCT for PTSD Treatment Manual
Phase 1. Rationale for Treatment and Education about PTSD and Relationships
Session 1. Introduction to Treatment
Session 2. Safety Building
Phase 2. Satisfaction Enhancement and Undermining Avoidance
Session 3. Listening and Approaching
Session 4. Sharing Thoughts and Feelings: Emphasis on Feelings
Session 5. Sharing Thoughts and Feelings: Emphasis on Thoughts
Session 6. Getting U.N.S.T.U.C.K.
Session 7. Problem Solving to Shrink PTSD
Phase 3. Making Meaning of the Trauma(s) and End of Therapy
Session 8. Acceptance
Session 9. Blame
Session 11. Control
Session 12. Emotional Closeness
Session 13. Physical Closeness
Session 14. Posttraumatic Growth
Session 15. Review and Reinforcement of Treatment Gains
Candice M. Monson, PhD, is Professor of Psychology at Ryerson University in Toronto, Ontario, Canada. She is President-Elect of the International Society of Traumatic Stress Studies and is a Fellow of the American and Canadian Psychological Associations, the Association for Behavioral and Cognitive Therapies, and the Royal Society of Canada. Dr. Monson is a foremost expert on traumatic stress and the use of individual and conjoint therapies to treat PTSD. She is coauthor of Cognitive Processing Therapy for PTSD and Cognitive-Behavioral Conjoint Therapy for PTSD and coeditor of Effective Treatments for PTSD, Third Edition, among other books.
Steffany J. Fredman, PhD, is Assistant Professor of Human Development and Family Studies at the Pennsylvania State University. Dr. Fredman is a recipient of the Martin S. Wallach Award for Outstanding Doctoral Candidate in Clinical Psychology from the University of North Carolina at Chapel Hill. Her clinical and research interests focus on the interpersonal context of individual psychopathology, with an emphasis on PTSD. Together, Drs. Monson and Fredman are the codevelopers of cognitive-behavioral conjoint therapy for PTSD.
"PTSD, by definition, affects relationships. Even experienced clinicians will profit from the well-planned and well-researched treatment approach presented in this volume. The manual is incredibly user friendly, taking readers through the ABCs of couple treatment with session-by-session instructions, reproducible handouts, clinical examples, and suggested dialogue. The authors are experts who address all the nuances and co-occurring problems we see with PTSD. This book should be on the shelf of everyone who works with adults with PTSD--they will offer better treatment for it."--Barbara Olasov Rothbaum, PhD, ABPP, Professor of Psychiatry and Director, Emory Healthcare Veterans Program and Trauma Anxiety Recovery Program, Emory University School of Medicine
"Monson and Fredman provide an optimistic, strength-based approach to a challenging clinical condition; their focus on interpersonal factors significantly advances treatment of PTSD. The authors’ clinical expertise in engaging patients and their significant others in a clearly defined, empirically supported treatment program shines through in this highly readable and practical work. The richly detailed guidelines for each assessment and treatment session, sample scripts for explaining concepts and methods to the couple, numerous clinical tips for implementing the procedures, and extensive handouts for clients make this one of the most user-friendly treatment manuals I have ever read. Having this volume on your bookshelf is like having wise clinical supervisors on hand."--Norman B. Epstein, PhD, Department of Family Science, University of Maryland, College Park
"Monson and Fredman have created an essential resource for clinicians who treat trauma survivors, expanding the frame from individual and group therapy to the key--yet too often overlooked--domain of intimate relationships. The manual provides a complete template for working with couples struggling with PTSD. It addresses critical relational issues (such as blame, closeness, and trust) and shows how to teach clients invaluable practical skills for getting not only themselves, but also their relationships, 'unstuck' from PTSD."--Julian D. Ford, PhD, ABPP, Department of Psychiatry, University of Connecticut Health Center; President-Elect (2017–2019), International Society for Traumatic Stress Studies