For cognitive therapy to be successful, therapists must identify the key factors that contribute to their clients' problems. Effective cognitive case conceptualization necessarily precedes appropriate targeting and intervention selection. It requires the integration of the results of a comprehensive assessment into a strong conceptual foundation.
Solidly grounded in recent research, and focusing particular attention on important new theoretical developments, this book first offers a comprehensive overview of the contemporary cognitive model of therapy. It then lays out detailed, easy-to-follow procedures for assessing within a cognitive framework, developing effective individualized cognitive case conceptualizations, and implementing state-of-the-art interventions based on them. A step-by-step guide for concisely summarizing and representing the salient features of a client's presentation is included. Extensive case histories bring to life the entire process of cognitive therapy--assessment, conceptualization, and intervention--for several clients with a variety of complex clinical problems: panic disorder with agoraphobia, obsessive-compulsive disorder, and chronic or recurrent major depressive disorder.
Cognitive Case Conceptualization will become an indispensable desk reference for many experienced clinicians as well as trainees.
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Cognitive Case Conceptualization: A Guidebook for Practitioners is an excellent selection for the ready reference shelf of anyone who practices cognitive therapy. This book is brimming with up-to-date illustrations of cognitive therapy, and clear links to a rich and substantial empirical foundation. The process of cognitive therapy comes alive in Needleman's book, as realistic case examples, transcripts, figures, and discussions give readers a lucid view of what actually goes on within sessions and across the course of treatment. A real bonus is the generous appendix of blank forms which can be directly transported into the reader's own clinical practice, making these state-of-the-art methods immediately accessible. Denise D. Davis, Ph.D., Vanderbilt University
The first principle of psychotherapy is that technique is only the handmaiden of hypothesis. The servant must not be allowed to become the master. In an emerging era of empirically-validated approaches to treatment in which an emphasis is placed on the technology of change, Dr. Needleman's book stands as important contribution It reaffirms the central importance of having a clear, coherent and parsimonious conceptualization of the patient's difficulties to guide one's interventions. This is a well-organized, systematic and highly practical book. It steps beyond earlier efforts in this area by addressing the importance of the patient-therapist relationship, modes of thought and culturally-shared beliefs in the conceptualization process. It is a truly contemporary book and will be a useful companion to a range of cognitive and behavioral treatment manuals. No doubt this volume will prove valuable to both practicing clinicians and students of psychotherapy. Well done! Mark A. Reinecke, Ph.D., ABPP Center for Cognitive Therapy University of Chicago
Sound case conceptualization is an often neglected, but critically important foundation for all effective treatment. Dr. Needleman has done a superb job of presenting the elements of this process in a clear, comprehensive, and well written work. He guides the reader beyond the realm of the theoretical with detailed interventions and practical treatment strategies. This book is an excellent resource for clinicians and students of cognitive therapy. I strongly recommend it. Robert A. Gould, Ph.D. Massachusetts General Hospital and Harvard Medical School
With Cognitive Case Conceptualization, Needleman has produced one of those rare books that will actually influence what clinicians do with patients! Many books on cognitive and behavioral therapies read like manuals, paying little attention to the individual client. This manuscript integrates wonderfully the "what to do" with strategies to get to know the client. The result will be treatment plans based on good theory and science, and designed for the individual. Raymond DiGiuseppe, Ph.D. St. John's University and The Albert Ellis Institute
From the Forward . . .
With this book Needleman has placed himself in the forefront of cognitive therapists. It is a text that I will use in my classes, recommend to others, and quote from in my workshops. I recommend that it be translated from English into any of the languages of the countries in which cognitive theraphy has established itself . . . Without a doubt, this is the book that I wish I had written. Arthur Freeman, Ed.D., ABPP Philadelphia College of Osteopathic MedicineAbout the Author:
Lawrence D. Needleman received his Ph.D. from Virginia Polytechnic Institute and State University. Formerly a postdoctoral fellow and later a Clinical Associate at the Center for Cognitive Therapy, University of Pennsylvania, under the direction of Aaron T. Beck, he is currently a Clinical Assistant Professor of Psychiatry at Ohio State University, where he practices, supervises, and teaches cognitive therapy.
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