1st Edition
Integrating CBT with Experiential Theory and Practice A Group Therapy Workbook
This workbook elucidates the techniques clinicians will encounter using the cognitive experiential (psychodrama) group therapy (CEGT) model.
This model incorporates cognitive behavioral and psychodramatic interventions to help identify and modify negative thinking, behavior, and interpersonal patterns. Beginning with a brief overview of cognitive behavioral therapy (CBT) and psychodrama, the book highlights concepts and techniques that are most relevant to CEGT session content. The second half of the workbook provides a description of CEGT and what group members should expect through their engagement in this therapy. Featured throughout are tables and exercises that create pathways to challenge dysfunctional thinking along with blank worksheets to be used by group members located in the appendices.
Readers will learn techniques to challenge negative thought patterns and increase engagement in positive and success-based experiences through clear guidelines for behavioral interventions to help move individuals from negativity to a more positive life space.
1-INTRODUCTION
2- COGNITIVE BEHAVIORAL THERAPY
THOUGHTS AND FEELINGS
SCHEMAS
CORE BELIEFS
COGNITIVE DISTORTIONS *
AUTOMATIC THOUGHTS
BEHAVIORAL INTERVENTIONS
SUMMARY/REVIEW
3-PSYCHODRAMA THERAPY
PSYCHODRAMA ROLES AND TECHNIQUES
SUMMARY/REVIEW
4-COGNITIVE EXPERIENTIAL GROUP THERAPY
SESSION FORMAT
WARM-UP
ACTION
SHARING
USE OF ASSESSMENT AND THROUGH RECORD DATA
CONSIDERATIONS FOR GROUP MEMBERS
WHAT SHOULD I EXPECT IN CEGT?
GENERAL DETAILS
SESSION FORMAT
EXAMPLE TECHNIQUES USED IN SESSIONS
CASE CONCEPTUALIZATION: ADDRESSING SCHEMAS AND CORE BELIEFS
GATHERING ADDITIONAL DATA
HOMEWORK: ALTERNATIVE BEHAVIOR PLAN
MULTI-CULTURAL CONSIDERATIONS
SELF-REPORT MEASURES
VOCABULARY
5-EXAMPLE COGNITIVE EXPERIENTIAL GROUP THERAPY SESSION
WARM-UP, ACTION, AND SHARING
GOING FURTHER THROUGH CASE CONCEPTUALIZATION
GATHERING ADDITIONAL DATA
JANE’S GENOGRAM
JANE’S SOCIAL ATOM
USING THE GENOGRAM AND THE SOCIAL ATOM IN CEGT
HOMEWORK: ALTERNATIVE BEHAVIOR PLAN
SUMMARY/REVIEW
OVERALL SUMMARY
REVIEW OF CBT AND PSYCHODRAMA
EXPECTATIONS OF CEGT SESSIONS
6-COGNITIVE EXPERIENTIAL GROUP THERAPY FOR ADOLESCENTS
CHALLENGING NEGATIVE THOUGHTS
TEENAGERS’ HIERARCHY OF NEEDS
NEGATIVE SELF-THOUGHTS (NSTS) AND COGNITIVE DISTORTIONS
THE MAZE WORKSHEET: A THOUGHT RECORD FOR TEENAGERS
COMPLETING THE TEEN THOUGHT RECORD
COGNITIVE EXPERIENTIAL GROUP THERAPY: ADOLESCENT CASE
WARM-UP
ACTION
SHARING
ALTERNATIVE BEHAVIOR PLAN (HOMEWORK)
SUMMARY/REVIEW
7 SHORT-TERM COGNITIVE EXPERIENTIAL GROUP THERAPY FOR SOCIAL ANXIETY DISORDER
SOCIAL ANXIETY DISORDER
THE DIFFERENCE BETWEEN SOCIAL ANXIETY DISORDER AND SHYNESS
PREVALENCE AND CHARACTERISTICS OF SAD
ETIOLOGY
ASSESSMENT OF SOCIAL ANXIETY DISORDER
TREATMENT OF SOCIAL ANXIETY DISORDER
CEGT FOR SOCIAL ANXIETY DISORDER
APPLYING CBT INTERVENTIONS AND TECHNIQUES TO CEGT FOR SAD
APPLYING PSYCHODRAMA TECHNIQUES TO CEGT FOR SAD
GENERAL GUIDELINES FOR CEGT FOR SAD
EXAMPLE OF CEGT SESSION
PATIENT RESPONSES
SUMMARY/REVIEW
8-REFERENCES
9-APPENDIX A: COGNITIVE DISTORTIONS
10-APPENDIX B: BLANK WORKSHEETS
AUTOMATIC THOUGHT RECORD
DYSFUNCTIONAL THOUGHT RECORD
COGNITIVE CONCEPTUALIZATION DIAGRAM
ACTIVITY SCHEDULING AND MONITORING WORKSHEET
GOAL-SETTING WORKSHEET
GRADED EXPOSURE
FEAR HIERARCHY
HOMEWORK PLAN
SOCIAL ATOM
THE MAZE WORKSHEET: A THOUGHT RECORD FOR TEENAGERS
COGNITIVE RESTRUCTURING PRACTICE FORM
11-APPENDIX C: CERTIFIED TRAINING
Biography
Thomas W. Treadwell, EdD, is a professor of psychology at West Chester University, clinical associate at the Center for Cognitive Therapy at the Perelman School of Medicine at the University of Pennsylvania, and editor for The Group Psychologist, Division 49, Society of Group Psychology and Group Psychotherapy, American Psychological Association.
"This text is innovative and essential for readers looking to incorporate cognitive therapy and psychodrama elements in group treatment. Treadwell’s approach emphasizes humanism, creativity, and positivity in the therapeutic environment. The concise descriptions, case formulations and worksheets will be useful to any mental health professional!"
Aaron T. Beck, MD, professor emeritus of Psychiatry, University of Pennsylvania
"This workbook provides in depth look at an innovative approach to group therapy, one in which the powerful role-playing processes of psychodrama are coupled with the insight building tools of cognitive behavior therapy to create a positive, healing group process where individual change can take place. Integrating CBT with Experiential Theory and Practice is a brilliant volume jam packed with exceptional tools and acuity. This is a powerful guide for both beginner and experienced clinicians alike."
Jonathan D. Moreno, PhD, David and Lyn Silfen professor, University of Pennsylvania
"Integrative models produce the highest levels of patient improvement in the small group treatment literature. Strategic integration of two or more efficacious group treatments within a single protocol has proven to be uniquely efficacious treatment for difficult patient populations that present with a complex multi-faceted clinical profile. Treadwell begins with the most efficacious group protocol—cognitive behavioral therapy—and merges it with one of its most engaging—experiential. Integrating CBT with Experiential Theory and Practice begins with an excellent summary of these two well-known group treatments. It then carefully lays out how to integrate key components of each model illustrating case conceptualization and in-session techniques. The reader is provided with clear clinical examples on how to apply the model with both adult and adolescent clients and the worksheets bring to life core treatment components of CBT and psychodrama. A particular strength is application of the Cognitive Experiential Group Therapy (CEGT) model for adolescents and individuals with social anxiety disorder along with expanded appendices filled with worksheets. The model contains empirically supported interventions but has ample flexibility to accommodate varied clinical conditions. I look forward to future research testing the effects of another integrative group model."
Gary Burlingame, PhD, CGP, DFAGPA, professor and chair of Psychology, Brigham Young University
Integrating CBT with Experiential Theory and Practice: A Group Therapy Workbook is true to title and contains large amounts of useful information for those interested in knowing more about these topics. This text is tight and concise, yet abundant with the basic information necessary to wrap your head around the implementation and leadership of cognitive behavioral therapy. This book is a kit that gives you solid understanding of a range of topics that together form the core of a cognitive experiential orientation and group interventions using Moreno’s theories and techniques. There is a lot of wisdom in these chapters and it is presented in a useful and informative voice that many readers will find both encouraging and easily understandable.
Joshua M. Gross, PhD, ABPP, CGP, director of Group Programs, Florida State University.
"Thomas Treadwell et al have assembled a very helpful group therapy workbook combining the skills of Cognitive Behavioral Therapy (CBT) and Experiential (Psychodramatic) Theory (PT) to create Cognitive Psychodrama Group Therapy (CEGT). The handbook is a solid presentation of Cognitive Behavioral Therapy, systematically described in sections related to schemas, core beliefs, cognitive distortions, intermediate beliefs, and automatic thoughts. Graduate students and group members alike will be able to review clear information about CBT and Psychodramatic Therapy, with focus on the latter simply because there is less available in the extant literature regarding the powerful action-oriented psychodrama techniques pioneered by Moreno over sixty years ago. Useful session-by-session outlines are punctuated by glossaries, role-plays, worksheets and charts. Treadwell is an expert at application."
Sally H. Barlow, PhD, ABPP, professor emeritus of Psychology, Clinical Program BYU, adjunct associate professor of Psychiatry School of Medicine, University of Utah SLC UT.
"This workbook is accessible and helpful to both neophyte and advanced group therapy leaders. It takes a practical approach to integrating CBT and psychodrama in group. This offers a data-based methodology that also invites creativity through its experiential focus. The multiple case examples provide the clinician with clear idea of what it looks like in practice. A highly recommended read!"
Leann T. Diederich, PhD, Licensed Psychologist in Private Practice
This innovative text integrates the theory and practice of Cognitive Behavioral Therapy (CBT) and Psychodrama, creating a new model – Cognitive Experiential Group Therapy (CEGT). CEGT brings together the best of both worlds – the evidence-based, systematic CBT approach offering multiple structured therapeutic instruments and psychodrama’s experiential nature which emphasizes action, spontaneity, and creativity. The CEGT model offers a balanced approach of exploring emotions, thoughts, and behaviors through both experiential processes and participant’s written self-reported data. Client examples with case conceptualizations are offered throughout the book depicting the CEGT model in action – furthermore, a dozen different worksheets are included, providing readers with practical resources for use in their work. A noteworthy strength of the revised edition is the addition of the CEGT model with adolescents and persons diagnosed with a social anxiety disorder. The authors have successfully integrated elements of theory, practice, and research making this a significant contribution to the literature. The incorporation of CBT with experiential theory and techniques enables action-oriented therapists to assimilate the wisdom from both CBT and psychodrama that is concretized in the CEGT model. This model is a valuable resource for enhancing the clinical practice of group therapy.
Scott Giacomucci, DSW, LCSW, director/founder at the Phoenix Center for Experiential Trauma Therapy.
