This practical guide presents Leahy's multidimensional model of resistance in cognitive therapy. Richly illustrated with case examples and session vignettes, the book addresses a variety of ways that clients may resist basic therapeutic procedures: noncompliance with agenda setting and homework assignments, splitting transference with other therapists, inappropriate behavior, and premature termination. Underlying processes of resistance are explored, from the desire for validation to risk aversion and self-handicapping. Also highlighted are ways that the therapist's own responses may inadvertently impede change. Provided are innovative tools for getting treatment back on track, including targeted interventions, in-session "experiments," and questionnaires and graphic models to share with clients.

Despite the efforts of therapists and patients, many patients in cognitive-behavioral therapy - or any therapy - do not improve. This unique volume is designed to help the therapist better understand and work with patients who seem unable or unwilling to make needed changes. From renowned scientist-practitioner Robert L. Leahy, the book offers much-needed guidance for dealing with complex, often frustrating clinical situations. It enumerates the key dimensions of resistance in cognitive therapy, vividly illustrates different kinds of impasses, and provides practical tools and techniques for getting treatment back on track. Filled with case examples and session vignettes, this book yields vital insights into the art as well as the science of effective psychotherapy.

With a new foreword by Raymond DiGiuseppe, PhD, ScD, St. John's University "Albert Ellis has written many books on his favorite topic Rational Emotive Behavior Therapy. Although he writes on that topic very well, he often does not write about generic psychotherapy. REBT is an integrative form of psychotherapy. Following this model, psychotherapists can incorporate many diverse techniques and strategies to change clients' dysfunctional behaviors and emotions . Much of what Al identifies as good REBT in this book is just good psychotherapy. Because people so universally identify Al with REBT, people may generally overlook his wisdom as a clinician. Having worked with Al for more than thirty years, I have been fortunate enough to learn from him. Much of the knowledge I learned from Al and cherish the most is not necessarily about REBT theory. They concern wise ways of thinking about clinical problems. That is why, out of all Al's books, this is my favorite. This is Al Ellis, the clinician." -- From the Foreword by Raymond DiGiuseppe, PhD, ScD, Director of Professional Education, Albert Ellis Institute; Professor and Chair, Department of Psychology, St. John's University Now available in an affordable paperback, this edition takes a look at the underlying causes of resisting cognitive-emotional-behavioral change and the methods used to overcome them. Written in present-action language, Ellis gives an overview of the basic principles of Rational Emotive Behavior Therapy and Cognitive Behavior Therapy. Ellis charts the changes in the field that have taken place in the 20 years leading up to 2002, when this edition was originally published. The book also integrates recent therapies into REBT, including psychotherapy, solution-focused therapy, and recent findings of experimental psychology.

Dr. Robert L. Leahy has brough together leading cognitive-behavioral therapists from around the world to provide a rich compendium of tools and techniques that deals with roadblocks in treatment. He sees resistance as a window into the patients psyche that needs to be addressed with a collaborative ear. Each chapter addresses specific issues suggesting practical solutions which provide an abundance of specific strategies that can be used by both beginning and seasoned therapists alike.

Cognitive therapy, with its clear-cut measurable techniques, has been a welcome innovation in recent years. However, the very specificity that lends itself so well to research and training has minimized the role of the therapeutic relationship, making it difficult for therapists to respond flexibly to different clinical situations. What is needed is an approach that focuses on the underlying mechanisms of therapeutic change, not just on interventions. In this practical and original book, two highly respected clinician-researchers integrate findings from cognitive psychology, infant developmental research, emotion theory, and relational therapy to show how change takes place in the interpersonal context of the therapeutic relationship and involves experiencing the self in new ways, not just altering behavior or cognitions. Making use of extensive clinical transcripts accompanied by moment-to-moment analyses of the change process, the authors illustrate the subtle interaction of cognitive and interpersonal factors. They show how therapy unfolds at three different levels—in fluctuations in the patient's world, in the therapeutic relationship, and in the therapist's inner experience—and provide clear guidelines for when to focus on a particular level. The result is a superb integration of cognitive and interpersonal approaches that will have a major impact on theory and practice. A Jason Aronson Book

This book presents innovative tools for helping patients to understand their emotional schemas--such as the conviction that painful feelings are unbearable, shameful, or will last indefinitely--and develop new ways of accepting and coping with affective experience. Therapists can integrate emotional schema therapy into the treatment approaches they already use to add a vital new dimension to their work. Rich case material illustrates applications for a wide range of clinical problems; assessment guidelines and sample worksheets and forms further enhance the book's utility.

From a leading expert in cognitive-behavioral therapy and couple and family therapy, this comprehensive guide combines research and clinical wisdom. The author shows how therapeutic techniques originally designed for individuals have been successfully adapted for couples and families struggling with a wide range of relationship problems and stressful life transitions. Vivid clinical examples illustrate the process of conducting thorough assessments, implementing carefully planned cognitive and behavioral interventions, and overcoming roadblocks. Used as a practitioner resource and text worldwide, the book highlights ways to enhance treatment by drawing on current knowledge about relationship dynamics, attachment, and neurobiology. Cultural diversity issues are woven throughout. See also Dattilio's edited volume, Case Studies in Couple and Family Therapy, which features case presentations from distinguished practitioners plus commentary from Dattilio on how to integrate systemic and cognitive perspectives.

For the average clinician, individuals with borderline personality disorder (BPD) often represent the most challenging, seemingly insoluble cases. This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems. Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition, and DBT Skills Training Handouts and Worksheets, Second Edition. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.

In today's managed-care environment, therapeutic techniques must be proven to be effective to be reimbursable. This comprehensive volume is written by leaders in the field and collects classic and emerging evidence-based and cognitive behavioral therapy treatments therapists can use when working with children and adolescents. Step-by-step instruction is provided for implementing the treatment protocol covered. In addition, a special section is included on therapist self-care, including empirically supported studies. For child and play therapists, as well school psychologists and school social workers.

A revolutionary, personalized psychotherapy approach for the treatment of Axis II personality disorders, by renowned expert Dr. Theodore Millon Acknowledging the primacy of the whole person, Overcoming Resistant Personality Disorders: A Personalized Psychotherapy Approach takes into account all of the complexities of human nature--family influences, culture, neurobiological processes, unconscious memories, and so on--illustrating that no part of human nature should lie outside the scope of a clinician's regard. Part of a three-book series, this book provides you with a unique combination of conceptual background and step-by-step practical advice to guide your treatment of Axis II personality disorders. Detailed case studies are provided throughout the text to illustrate the strategies of personalized psychotherapy for: * The Needy/Dependent Prototype * The Sociable/Histrionic Prototype * The Confident/Narcissistic Prototype * The Nonconforming/Antisocial Prototype * The Assertive/Sadistic Prototype * The Conscientious/Compulsive Prototype * The Skeptical/Negativistic Prototype Destined to become an essential reference for trainees and professionals, this book makes a revolutionary call to return therapy to the natural reality of each patient's life, seamlessly guiding you in understanding the personality and treatment of the whole, unique, yet complex person.