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Treatment for Chronic Depression ISBN-13: 978-1572305274
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This volume describes the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), a research-based approach designed to motivate depressed clients to change and to help them develop needed problem-solving and relationship skills. Integrating elements of cognitive-behavioral and interpersonal therapy, this approach has been shown to be as effective as medication treatment in a recent 12-site national study. Even more significant, a combination of CBASP and pharmacotherapy produced a response rate of 85%--unprecedented for any large-scale randomized clinical trial of its kind--and demonstrated for the first time the superiority of combination treatment to either psychotherapy or pharmacotherapy alone. Filled with detailed case examples, this volume presents clear, step-by-step guidelines for using CBASP to maximize the power of the client-therapist bond and to modify problematic thoughts and behaviors. Also discussed are ways to measure treatment outcomes; issues in research, training, and supervision; and managing common crises and problems in treatment. I. CBASP and the Psychopathology of the Patient1. A Therapist's Problems with a Chronically Depressed Patient2. Introduction to Chronically Depressed Patients and the CBASP Program3. Understanding the Psychopathology of Chronically Depressed Patients4. Course Patterns, Comorbidity, and Psychological CharacteristicsII. CBASP Method and Procedures5. Strategies to Enhance Motivation for Change6. Elicitation Phase of Situational7. Remediation Phase of Situational Analysis8. Using the Therapist Patient Relationship to Modify Behavior 9. Measuring Skill Acquisition and Generalized Treatment EffectsIII. History and Development of CBASP10. CBASP's Emergence on the National Scene11. Training CBASP Psychotherapists12. Comparison of CBASP to Beck's Cognitive Therapy and Klerman's Interpersonal Psychotherapy Models 13. Resolving Common Patient Problems and CrisesAppendices:A. Therapist Prompts for Administering Situational Analysis (PASA).B. Rating Scales for Adherence Monitoring and for Evaluating the Quality of the Interpersonal Relationship.C. Rating the Presence of Optimal CBASP Psychotherapist Qualities and Abilities. 300 Pages


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