Trial-Based Cognitive Therapy presents a model that, although still inherently Beckian, organizes known cognitive and behavioral techniques in a step-by-step fashion in order to make cognitive therapy easier for the new therapist to learn, easier for patients to understand, and simpler to implement. Based on and backed up by a series of published studies, Trial-Based Cognitive Therapy lays out structured strategies for changing core beliefs about the self, and its clear, coherent, integrative conceptualization of psychopathology is presented as an easy-to-remember case-formulation model that is useful for both the therapist and the client. This book introduces a new approach, the Trial-Based Cognitive Therapy (TBCT), whose main technique, the Trial-Based Thought Record (TBTR), is a structured strategy to change core beliefs about the self and is presented as a law-centered analogy in which the therapist engages the client in a simulation of the judicial process. Perfect for psychotherapists at any level, Trial-Based Cognitive Therapy presents a balanced blend of theory advancement, scientific scrutiny of a new method, and practical application.
Table of Contents
Series Editor Introduction Bret Moore Foreword Stephen Stahl Introduction Session 1. Introducing the Cognitive Model to the Patient Session 2. Introducing the Cognitive Distortions Questionnaire Session 3. Changing Dysfunctional Automatic Thoughts Session 4. Assessing and Changing Underlying Assumptions Session 5. Changing Negatice Core Beliefs with Trial I Session 6. Trial I in the Appeal Format Session 7. Trial I to Change a Second Core Belief Session 8. Trial I in the Appeal Format to Change a Second Core Belief Session 9. Changing Multiple Negative Core Beliefs with Trial I Session 10. Trial-Based Metacognitive Awareness (Trial II) Session 11. Relaxation and the Sailboat Metaphor Session 12. Trial-Based Participation Assessment (Trial III) Conclusion Appendix. Blank Diagrams and Forms to Be Used with Patients References Index
Irismar Reis de Oliveira, MD, PhD, is a professor in the department of neurosciences and mental health at the Federal University of Bahia, Brazil. Dr. de Oliveira maintains a private practice and is the editor of Standard and Innovative Strategies in Cognitive Behavior Therapy and coeditor of Integrating Psychotherapy and Psychopharmacology.
"Trial-Based Cognitive Therapy is a significant contribution to the literature on CBT. It is often quite difficult to help patients develop new and more functional beliefs. Dr. de Oliveira has developed a systematic and effective approach to change core beliefs, one that combines cognitive and experiential work in a readily understandable and accessible format."
—Donna M. Sudak, MD, professor of psychiatry at Drexel University College of Medicine and a past president of the Academy of Cognitive Therapy.
"Trial-Based Cognitive Therapy is a well-conceived, empirically tested offshoot of Beckian cognitive therapy that facilitates quicker, easier access to clients’ positive, more balanced cognitive/affective structures through very creative, evocative techniques. The metaphor and experiential exercise of ‘the trial’ enables clients to see more clearly the unfair prejudices of their distressed minds and to decenter from them by various role-taking and other exercises. The careful conceptualization and clear explication of Dr. Oliveira’s techniques and theories are impressive and this book represents a significant step forward in the field of CBT and psychotherapy more generally. Any therapist would learn a great deal from reading this excellent volume."
—Kevin Kuehlwein, PsyD, staff psychologist at the Center for Cognitive Therapy at the University of Pennsylvania
"Clinicians often don't realize that a great deal of creativity can be incorporated into cognitive therapy, and this book represents creative cognitive therapy at its finest. Trial-based cognitive therapy has as its basis a persuasive and memorable metaphor. It borrows standard intervention strategies that have been in existence for many years and weaves them into a fresh approach addressing some of our patients' most entrenched unhelpful cognitions—core beliefs. The logical progression across the course of treatment provides a compelling framework for patients to extend their core-belief modification outside of session and even after the completion of treatment."
—Amy Wenzel, PhD, is a clinical assistant professor at University of Pennsylvania School of Medicine and author or editor of 15 books