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1 1 Course: Theory and Practice of Cognitive Behavior Therapy: # Instructor: G. Terence Wilson, Ph.D. Spring credits Goals: The goals of this course are to provide: (1) coverage of the theoretical foundations of contemporary cognitive behavior therapy (CBT); (2) an analysis of the development and evaluation of evidence-based CBT treatments; and (3) a focus on core therapeutic issues in the clinical practice and implementation of cognitive behavior therapy for adult disorders. Examination: Take-home final examination, consisting of short essay questions. Recommended Text: Barlow, D. H. (2008). Clinical handbook of psychological disorders. 4th.Ed. New York: Guilford Press.

2 2 Course Outline and Reading Assignments Week 1 History and Current Status Bandura, A. (2004). Swimming against the mainstream: The early years from chilly tributary to transformative mainstream. Behaviour Research and Therapy, 42, Rachman, S. & Wilson, G. T. (2008). Commentary. Behaviour Research and Therapy, 46, Clark, D., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009). Improving access to psychological therapy: Initial evaluation of two UK demonstration sites. Behaviour Research and Therapy, 47, Baker, T., McFall, R., & Shoham, V. (2009). Current status and future prospects of clinical psychology: Toward a scientifically principled approach to mental and behavioral health care. Psychological Science in the Public Interest, 9, Weeks 2 and 3 Assessment: Principles and Procedures DeRubeis, R. J., Cohen, Z. D., Forand, N. R., Fournier, J. C., Gelfand, L. A., & Lorenzo- Luaces, L. (2014). The personalized advantage index: Translating research on prediction into individualized treatment recommendations. A demonstration. PLoS ONE, 2014;9 (1) : e83875 DOI: /journal.pone

3 3 Wilson, G. T. (1996). Manual-based treatments: The clinical application of research findings. Behaviour Research and Therapy, 34, Week 4 Principles of Behavior Change Anxiety Disorders Bouton, M. E. (2000). A learning theory perspective on lapse, relapse, and the maintenance of behavior change. Health Psychology, 19, Craske, M. G. et al. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46, Meuret, A. E, Seidel, A., Rosenfield, B., Hofmann, S. G., & Rosenfield, D. (2012). Does fear reactivity during exposure predict panic symptom reduction? Journal of Consulting and Clinical Psychology, 80, Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5-S27. Week 5 Panic Disorder Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder. JAMA, 83, Craske, M. G. & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders, 4th Ed., (pp. 1-64). New York: Guilford Press.

4 4 Gallagher, M. W., Payne, L. A., White, K. S., Shear, K. M., Woods, S. W., Gorman, J. M. & Barlow, D. H. (2013). Mechanisms of change in cognitive behavioral therapy for panic disorder: The unique effects of self-efficacy and anxiety sensitivity. Behaviour Research and Therapy, 51, Goldstein, A. J., debeurs, E., Chambless, D. L., & Wilson, K. A. (2000). EMDR for panic disorder with agoraphobia: Comparison with waiting list and credible attentionplacebo control condition. Journal of Consulting and Clinical Psychology, 68, DVD: David Clark and the Treatment of Panic Disorder Week 6 Social Anxiety Disorder NICE. (2013). Social anxiety disorder: Recognition, assessment and treatment (clinical guideline 159)., London, UK: National Institute for Clinical Excellence. Leichsenring, F., Salzer, S., Beutel, M. E., et al. (2013). Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: A multicenter randomized controlled trial. American Journal of Psychiatry, 170, Stangier, U., Schramm, E., Heidenreich, T., Berger, M., & Clark, D. M. (2011). Cognitive therapy vs interpersonal psychotherapy in social anxiety disorder: A randomized controlled trial. Archives of General Psychiatry, 68, Week 7 Posttraumatic Stress Disorder

5 5 Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P., Turner, S., & Yule, W. (2010). Do all psychological treatments really work the same in posttraumatic stress disorder? Clinical Psychology Review, 30, Ehlers, A., Grey, N., Wild, J., Stott, R., Liness, S., Deale, A., Handley, R., et al. (2013). Implementation of cognitive therapy for PTSD in routine clinical care: Effectiveness and moderators of outcome in a consecutive sample. Behaviour Research and Therapy, 51, Foa, E. B., Hembree, E. A., Cahill, S. P., Rauch. S. A. M., Riggs, D. S., Feeny, N. C. & Yadin, E. (2005). Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: Outcome at academic and community clinics. Journal of Consulting and Clinical Psychology, 73:5, Foa, E. B., Gillihan, S. J., & Bryant, R. A. (2013). Challenges and successes in dissemination of evidence-based treatments for posttraumatic stress: Lessons learned from prolonged exposure therapy for PTSD. Psychological Science in the Public Interest Supplement, 14(2), Recommended Treatment Protocols: Foa, E., & Hembree, E. (2007). Prolonged exposure therapy for PTSD, New York: Oxford University Press. Zayfert, C., & Becker, C. B. (2007). Cognitive-behavioral therapy for PTSD: A case formulation approach. New York: Guilford Press. Weeks 8-9

6 6 Depression DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., O Reardon, J. P., Lovett, M. L., Gladis, M. M., Brown, L. L., & Gallop, R. (2005). Cognitive therapy vs. medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62, Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O Reardon, J. P., Lovett, M. L., Young, P. R., Haman, K. L., Freeman, B. B., & Gallop, R. (2005). Prevention of relapse following cognitive therapy versus medications in moderate to severe depression. Archives of General Psychiatry, 62, Driessen, E., Van, H. L., Don, F. J., et al. ((2013). The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: A randomized clinical trial. American Journal of Psychiatry, 170, Cuijpers, P., Hollon, S. D., van Straten, A., Bockting, C., Berking, M., & Andersson, G. (2013).Does cognitive behavior therapy have an enduring effect that is superior to keeping patients on continuation pharmacotherapy? A meta-analysis. BMJ Open 2013:e doi: /bmjopen Craighead, W. E., & Dunlop, B. W. (2013). Combination psychotherapy and antidepressant medication treatment for depression: For whom, when, and how. Annual Review of Psychology, 65. Doi: /annualrev.psych

7 7 Siddique, J., Chung, J. Y., Brown, C. H., & Miranda, J. (2012). Comparative effectiveness of medication versus cognitive-behavioral therapy in a randomized controlled trial of low-income young minority women with depression. Journal of Consulting and Clinical Psychology, 80, Week 10 Depression Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., Atkins. D. C., Dunner, D. L., & Jacobson, N. S. (2006). Behavioral activation, cognitive therapy and anti-depressant medication in the acute treatment of major depression. Journal of Consulting and Clinical Psychology, 74, Moradveisi, L., Huibers, M. J. H., Renner, F., Arasteh, M., & Arntz, A. (2013). Behavioural activation v. antidepressant medication for treating depression in Iran: Randomised trial. The British Journal of Psychiatry, 202, Karlin, B. E., Brown, G. B., Trockel, M., Cunning, D., Zeiss, A. M., & Taylor, C. B. (2012). National dissemination of cognitive behavioral therapy for depression in the Department off Veterans Affairs health care system: Therapist an patient-level outcomes. Journal of Consulting and Clinical Psychology, 80, McGrath, C. L., Kelley, M. E., Holtzheimer, P. E., Dunlop, B. W., Craighead, W. E., Franco, A. R., et al. (2013). Toward a neuroimaging treatment selection biomarker for major depressive disorder. JAMA Psychiatry, 70:8,

8 8 Segal, Z. V., Teasdale, J. D., & Williams, M. (2004). Mindfulness-based cognitive therapy: Theoretical rationale and empirical status. In S.C. Hayes, V.M. Follette, & M.M. Linehan (Eds.) (Pp ). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press. (on reserve) Treatment Manual: Martell, C., Dimidjian, S., & Herman-Dunn, R. (2010). Behavioral activation for depression. New York: Guilford Press. Week 11 Clinical Issues: Resistance and Motivation to Change Wilson, G. T. & Schlam, T. (2004). The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clinical Psychology Review, 24, Vitousek, K., Watson, S., & Wilson, G. T. (1998). Enhancing motivation for change in treatment-resistant eating disorders. Clinical Psychology Review, 18, Week 12 Moderators of Change Carter, J. D., Luty, S. E., McKenzie, J. M., Mujlder, R. T., Frampton, C. M., & Joyce, P. R. (2011). Patient predictors of response to cognitive behavior therapy and interpersonal psychotherapy in a randomized clinical trial for depression. Jounal of Affective Disorders, 128,

9 9 Fournier, J. C., DeRubeis, R. J., Shelton, R. C., Hollon, S. D., Amsterdam, J. D., Gallop, R. (2009). Prediction of response to medication and cognitive therapy in the treatment of moderate to severe depression. Journal of Consulting and Clinical Psychology, 77:4, Kraemer, H., Frank, E. & Kupfer, D. (2006). Moderators of treatment outcomes: Clinical, research, and policy importance. JAMA, 296, \ Watzke, B., Rüddel, H., Jürgensen, R., Koch, U., Kriston, L., Grothgar, B., & Shulz, H. (2012). Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine health care: Randomised controlled trial. Behaviour Research and Therapy, 50, Week 13 Mechanisms of Change Ilardi, S. S. & Craighead, W. E. (1994). The role of nonspecific factors in cognitivebehavior therapy for depression. Clinical Psychology: Science & Practice, 1, Kraemer, H., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, Murphy, R., Cooper, Z., Hollon, S. D., & Fairburn, C. G. (2009). How do psychological treatments work? Investigating mediators of change. Behaviour Research and Therapy, Week 14

10 10 Efficacy and Effectiveness of Manual-Based CBT Crits-Christoph, P., Wilson, G. T., & Hollon, S. (2005). Empirically supported psychotherapies: Commentary on Westen et al. Psychological Bulletin, 131, Weisz, J. R., Weersing, V. R., & Henggeler, S. W. (2005). Jousting with straw men: Comment on Westen, Novotny, and Thompson-Brenner (2004). Psychological Bulletin, 131, Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin,130, Week 15 Effectiveness and Generalizability Stirman, S. W., DeRubeis, R. J., Crits-Christoph, P., & Brody, P. E. (2003). Are samples in randomized controlled trials of psychotherapy representative of community outpatients? Journal of Consulting and Clinical Psychology, 71, Wade, W. A., Treat, T. A., & Stuart, G. L. (1998). Transporting an empirically supported treatment for panic disorder to a service clinic setting: A benchmarking strategy. Journal of Consulting and Clinical Psychology, 66,

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