Page - 1 Cognitive Behavioral Therapy

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1 Page - 1 Cognitive Behavioral Therapy Instructor: Dr. Eva Gilboa-Schechtman, Room 39, phone: gilboae@mail.biu.ac.il Office Hours: Monday 2:30-3:30. You are encouraged to contact me by for any problem or clarification. Course objectives and format: This course is designed to gain personal and direct experience with the philosophy, theory, and practice of cognitive-behavioral therapy (CBT). Readings and lectures will address theory, assessment (as it relates to treatment), and intervention techniques. In-class activities will include lectures, student presentations, discussions, video presentations, and therapy simulations. The course will also address the empirical evaluation of behavior therapies and provide background in critically evaluating therapy research. Although this course will in no way provide a comprehensive coverage of the cognitive-behavioral tradition, it is intended to provide an introduction to this area of psychotherapy and to prepare students to further explore these therapies on their own and in subsequent supervised practica. Evaluation: Class participation and attendance - 10% The class will be greatly enhanced by your participation. Please come to class prepared to contribute to discussions of the assigned reading. Class presentation 15% Each week, a pair of individuals will be asked to make a brief (30 minute) summary and discussion of the topic of that week s lecture. Self-change project - 70% (10 X 7) ** Consider this to be the CBT analog of self-analysis. Early in the course you will select a goal for your self-change project (some ideas for that project will be discussed in class). During the course you will submit (a) description of the self-change goal (present state, desired state); (b) summary of the assessment period about the to-be-changed actions/thoughts. Final exam 5%. The final exam will evaluate your ability to think critically about the presented material. ** The alternative assignment to those who don t want to do a self-change project is to write an updated literature review and critique (Clinical Psychology Review format and length, i.e., about 25 pages). The topic would be either cognitive origins of one of the main Axis I disorders, or the efficacy and effectiveness of CBT for one of these I disorders. Please coordinate with me the exact topic and format.

2 Page - 2 Meeting Assignment 1. Overview and introduction 2. Brief theoretical introduction to cognitive behavioral therapy (CBT) 3*. Initial interview, case conceptualization, and treatment planning 4*. Cognitive restructuring I: Unipolar Depression and Panic Disorder 5*. Cognitive restructuring II: Unipolar Depression and PTSD Set goals Prepare for change: List advantages and disadvantages of change. Increase Self-knowledge: Observation and Recording Collect baseline data: Record Antecedents, Behavior, Consequences (ABC) 6*. Exposure I: PTSD and Panic Disorder Increase Motivation: Define rewards and identify obstacles. 7*. Exposure II: PTSD and Panic Disorder Cognitive Restructuring 1: Use cognitive restructuring to work on major obstacles to change. 8*. Scheduling of activities: Severe depression and suicidality 9*. Overcoming resistance and planning for failure: Treating OCD 10*. Tolerance and containment: Treating personality disorders Plan revision 1: Revise ABC Cognitive Restructuring 2: Conduct cognitive restructuring on thoughts surrounding change. Plan revision 2: Learn from mistakes. 11*. Termination and treatment effectiveness Evaluation: Preventing relapse and planning for termination. 12. Presentation of Self-Change Projects Termination: Submit self-change projects. *Student Presentations during class. The presenters need to read and integrate all the readings for that week s class. The rest of the class needs to read the bolded reading only.

3 Page - 3 Readings 2. Brief theoretical introduction to cognitive behavioral therapy (CBT) DeRubeis, R., Tang, A., & Beck, A. (2001). Cognitive Therapy. In K. Dobson (Ed.), Therapy Handbook of Cognitive Behavioral Therapies (pp ). London: Guilford. Persons, J. B., Gross, J. J., Etkin, M. S., & Madan, M. A. (1996). Psychodynamic therapists' reservations about cognitive behavioral therapy: Implications for training and practice. The Journal of Psychotherapy Practice and Research, Safran, J. (1998). Barriers to Psychotherapy Integration., Widening the scope of cognitive therapy: The therapeutic relationship, emotion, and the process of change. (pp ). Northwale, NJ: Aronson. Dobson, K., & Dozois, L. (2001). Historical and Philosophical Bases of the Cognitive Behavioral Therapies. In K. Dobson (Ed.), Therapy Handbook of Cognitive Behavioral Therapies (pp. 3-39). London: Guilford. Arnow, B. A., & Castonguay, L. G. (1996). Treatment goals and strategies of cognitive-behavioral and psychodynamic therapists: A naturalistic investigation. Journal of Psychotherapy Integration, 6(4), Beck, J. D. (1995). Cognitive Therapy: Basics and Beyond. Chapter 1: Introduction 3. Initial interview, case conceptualization, cognitive assessment and treatment planning Persons, J., & Davidson, J. (2001). Cognitive Behavioral Case Formulation. In K. Dobson (Ed.), Therapy Handbook of Cognitive Behavioral Therapies (pp ). London: Guilford. Beck, J. D. (1995). Cognitive Therapy: Basics and Beyond. Chapter 2: Cognitive Conceptualization Blankstein, K., & Segal, Z. (2001). Cognitive Assessment: Issues and Methods. In K. Dobson (Ed.), Therapy Handbook of Cognitive Behavioral Therapies. London: Guilford. 4. Cognitive Restructuring: Treatment Examples I Beck, J. (1995). Chapter 6: Identifying Automatic Thoughts, Cognitive Therapy: Basics and Beyond. New York:Guilford Press. Beck, J. (1995). Chapter 7: Identifying Emotion, Cognitive Therapy: Basics and Beyond. Young, J. E., Beck, A. T., & Weinberg, A. (1993). Depression. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp ). New York: Guilford Press. Craske, M. G., & Barlow, D. H. (1993). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp. 1-48).

4 Page Cognitive Restructuring: Treatment Examples II Beck, J. (1995). Chapter 8: Evaluating Automatic Thoughts, Cognitive Therapy: Basics and Beyond. Beck, J. (1995). Chapter 9: Responding to Automatic Thoughts, Cognitive Therapy: Basics and Beyond. Calhoun, K. S., & Resick, P. A. (1993). Post Traumatic Stress Disorder. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp ). Craske, M. G., & Barlow, D. H. (1993). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp. 1-48). 6. Exposure -- Treatment Examples I Craske, M. G., & Barlow, D. H. (1993). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp. 1-48). Calhoun, K. S., & Resick, P. A. (1993). Post Traumatic Stress Disorder. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp ). Kimble, M., Riggs, D., & Keane, T. (1998). Cognitive behavioral treatment for complicated cases of post-traumatic stress disorder. In N. Tarrier, A. Wells, & G. Haddock (Eds.), Treating Complex cases: The cognitive behavior therapy approach (pp ). 7. Exposure -- Treatment Examples II Beck, J. (1995). Chapter 12: Additional Cognitive and Behavioral Techniques, Cognitive Therapy: Basics and Beyond. Riggs, D., & Foa, E. B. (1993). Obsessive Compulsive Disorder. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp ). Hope, D. A., & Heimberg, R. G. (1993). Social phobia and social anxiety. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp ). 8. Scheduling of Activities: Severe depression and suicidality Beck, J. (1995). Chapter 12: Additional Cognitive and Behavioral Techniques, Cognitive Therapy: Basics and Beyound. Beck, J. (1995). Chapter 14: Homework, Cognitive Therapy: Basics and Beyound. New York: Guilford Press. Rudd, M.D., Joiner, T.E., & Rajab, M.H. (2001). Chapter 3: Overview of the treatment process. From: Treating suicidal behavior, New York, Guilford Press.

5 Page Resistance in CBT: Treating OCD Davis. D and S. Hollon (1999). Reframing resistance and noncompliance in cognitive therapy. Journal of Psychotherapy Integration 9(1): Dowd, T. E. (1999). Why don't people change? What stops them from changing? An integrative comment on the special issue on resistance. Journal of Psychotherapy Integration 9(1): Eagle, M. (1999). Why don't people change? A psychoanalytic petspective. Journal of Psychotherapy Integration 9(1): Prochaska, J. O. and M. Prochaska J (1999). Why don't continents move? Why don't people change? Journal of Psychotherapy Integration 9(1): Wachtel, P. L. (1999). Resistance as a problem for practice and theory. Journal of Psychotherapy Integration 9(1): Tolerance, Containment, and Commitment: Treating Personality Disorders Cecero, J. J. and J. E. Young (2001). Case of Silvia: A schema focused approach. Journal of Psychotherapy Integration 11(2): Caro, I., A. Nezu, et al. (2001). Advances in cognitive psychotherapies: A comparison of models ( A symposium). Journal of Psychotherapy Integration 11(2): Lihenan, M., & Kehler, C. (1993). Borderline personality disorder. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step-by-step treatment manual. (pp ). 11. Termination and Beyond: Termination and treatment effectiveness Beck, J. D. (1995). Cognitive Therapy: Basics and Beyond. Chapter 15: Termination and relapse prevention. Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66(1), Farchaus-Stein, K., & Markus, H. R. (1996). The role of self in behavioral change. Journal of Psychotherapy Integration, 6(4), Hollon, S. (1996). The efficacy and effectiveness of psychotherapy relative to medication. American Psychologist, 51(10), Reading for the Self-change project Watson & Tharp (1997). Self-directed behavior: Self-modification for personal adjustment. Brooks/Cole, Pacific Grove, CA.