Trial-Based Cognitive Therapy
Trial-Based Cognitive Therapy (TBCT) is a new model of cognitive behaviour therapy (CBT) that organizes standard cognitive and behavioural techniques in a step-by-step fashion, making CBT more easily mastered by the new therapist, more easily understood by the patients, and simpler to be implemented, whilst still maintaining flexibility and CBT’s recognized effectiveness.
Dividing thirty key features into two parts: ‘Theory and Practice’, this concise book explores the principles of TBCT, explains the techniques developed throughout TBCT therapy to change dysfunctional cognitions, and provides a clear guide to the distinctive characteristics of TBCT.
Trial-Based Cognitive Therapy will be of interest to psychiatrists, psychologists, social workers, therapists, counsellors and other professionals working in the field of mental health, plus those wanting to learn CBT.
Trial-Based Cognitive Therapy is part of the Distinctive Features series, which asks leading practitioners and theorists of the main CBT therapies to highlight the main features of their particular developing approach. The series as a whole will be essential reading for psychotherapists, counsellors and psychologists of all orientations.
Table of Contents
Introduction List of abbreviations List of figures and tables Part 1 THE DISTINTIVE THEORETICAL FEATURES OF TBCT 1. Historical development and underpinnings of Trial-Based Cognitive Therapy (TBCT) 2. Core beliefs about the self conceptualized as self-accusations: contribution from the literature to Trial-Based Cognitive Therapy (TBCT) 3. Trial-Based Cognitive Therapy (TBCT): A 3-level, 3-phase case conceptualization approach 4. Assessing cognitions: the cognitive distortions questionnaire (CD-Quest) 5. The modulatory role of underlying assumptions (UAs) 6. Separating discomfort from distress: the color-coded symptom hierarchy (CCSH) 7. Resolving ambivalence 8. A focus on experiential techniques for restructuring cognitions 9. Core beliefs about the self conceptualized as self-accusations 10. Distinguishing the inner characters: taking distance 11. The "preparation for the appeal" metaphor: building new positive and functional core beliefs 12. Metacognitive awareness 13. TBCT and social anxiety disorder 14. TBCT and posttraumatic stress disorder 15. TBCT as a preventative approach for adolescents in schools Part 2 THE DISTINTIVE PRACTICAL FEATURES OF TBCT 16. Explaining the cognitive model. Case formulation: level 1 17. Assessing dysfunctional cognitions 18. Introducing the CD-Quest 19. Using the intrapersonal thought record (Intra-TR) 20. Using the interpersonal thought record (Inter-TR) 21. Using the trial-based participation assessment (TBPA) to resolve guilt 22 Case conceptualization diagram, level 2 23. Using the color-coded symptom hierarchy (CCSH): discomfort vs. distress 24. Resolving ambivalence and making decisions: the consensual role-play (CRP) 25. Case formulation: level 3 26. Using Trial I to restructure dysfunctional CBs 27. Using Trial I to change multiple core beliefs 28. Using Trial I in group settings 29. Using Trial II to promote metacognitive awareness 30. Relaxation and the sailboat metaphor
Irismar Reis de Oliveira, MD, PhD, is Professor of Psychiatry in the Department of Neurosciences and Mental Health at the Federal University of Bahia, Brazil. He is the creator of trial-based cognitive therapy and has trained therapists in Brazil and other countries in this model. Dr. de Oliveira also maintains a private practice and has published numerous articles and books. He is the editor of Standard and Innovative Strategies in Cognitive Behavior Therapy, co-editor of Integrating Psychotherapy and Psychopharmacology: A Handbook for Clinicians, and the author of Trial-Based Cognitive Therapy: A Manual for Clinicians.
Trial-Based Cognitive Therapy (TBCT): Distinctive Features by Irismar Reis de Oliveira is an outstanding contribution to CBT. It is abundantly clear from the beginning chapter that the author is a master clinician. De Oliveira has developed an innovative, powerful, structured approach that can help clinicians change problematic styles of thinking and behaving. This volume is written in a highly accessible and scholarly manner, while providing the reader with countless clinical techniques and examples. Anyone interested in the new frontiers of cognitive therapy will benefit from reading this book and using the creative ideas that are expressed here. I highly recommend this creative new addition to the cognitive therapy library for clinicians at all levels of expertise. - Robert L. Leahy, Ph.D., Director, American Institute for Cognitive Therapy
"One of the challenges faced by every CBT therapist is working with patients whose harsh inner critic appears unrelenting and impervious to CBT change techniques. Such patients can appear destined to remain caught in an unending cycle of self-reproach, anger, shame, and ineffective problem-solving strategies. Trial-Based Cognitive Therapy targets these processes in a compassionate and innovative manner. Irismar Reis de Oliveira writes in a clear, wise, and accessible voice, as he concisely outlines a treatment model that effectively integrates experiential techniques into the more rationalist Beckian tradition. This book will likely appeal to therapists of all persuasions. Highly recommended." - Scott Temple, Ph.D. Clinical Professor, Department of Psychiatry, University of Iowa
Trial-Based Cognitive Therapy: Distinctive Features provides a first class accessible introduction to Dr Irismar Reis de Oliviera’s recently developed innovation in CBT. Despite the book’s brevity – a requirement for Professor Dryden’s ‘Distinctive Features’ series – there are surprisingly few sacrifices in comprehensiveness, covering theory, research and practice. The book is therefore more than just an overview, but a successful integration of a complex model, giving not only conceptual clarity, but also enabling intending practitioners to see how the method can be used, step by step, with clients. TBCT adds a powerful, evidence-based addition to methods for dealing with one of the most difficult challenges in CBT – core belief change. - Professor Peter Trower, PhD, FBPsS, School of Psychology, University of Birmingham
Trial-Based Cognitive Therapy represents a new generation of Cognitive Behavioral Therapy (CBT) that has its foundation in CBT’s core tenets and adds a rich overlay of theory, strategy, and technique. Trial-Based Cognitive Therapy: Distinctive Features is a must-read for clinicians who deliver CBT with sophistication and innovation to clients with entrenched beliefs about themselves, others, or the world around them. - Amy Wenzel, Clinical Psychologist - Author - Consultant, Clinical Assistant Professor, University of Pennsylvania, The Postpartum Stress Center, Adjunct Faculty, Beck Institute for Cognitive Therapy and Research, Certified Trainer-Consultant, Academy of Cognitive Therapy