Flexibility Within Fidelity


Book Description

Among mental health researchers, there is a consensus that empirically supported treatments (ESTs) have favorable outcomes and that the outcomes are typically better than other approaches. The majority of these are available as therapist manuals, brief books, or other extended volumes. However, among mental health service providers, there is often a view that these manuals and books can be formulaic and rigid, and likely insensitive to individual patient needs or presentations. With these conflicting perspectives in place, there is a need for accurate communication and reconciliation. Flexibility within Fidelity identifies how effective ESTs can be implemented with both integrity and flexibility. The book is comprised of chapters focusing on specific ESTs for identified problem areas amongst adults and children/adolescents, including anxiety disorders, PTSD, pain management, and depression among others. Chapter authors focus on the specific treatment components that are required to maintain fidelity and the features of the EST which can be applied with flexibility, promoting a personalized implementation. Written in an accessible style featuring in-depth clinical discussions, this book will equip mental health practitioners with the tools to implement ESTs across client presentations.




Flexible Applications of Cognitive Processing Therapy


Book Description

Flexible Applications of Cognitive Processing Therapy: Evidence-Based Treatment Methods provides a detailed roadmap on how to apply therapy to a wide-range of complex patients. Starting with an exploration of the development of CPT, the book then segues into a practical discussion on flexible adaptations of therapy. Dissemination and implementation of CPT is covered next, and the book concludes with directions for future research. It provides clinical guidance on treating PTSD with patients who express high levels of anger, shame, guilt, and other forms of emotionality, while also providing insight on research on the effectiveness of CPT on other comorbid disorders. The book also reviews the outcomes of clinical trials of CPT inside and outside the United States, including examining modifications and outcomes in a diverse array of patient populations.




How to Become a More Effective CBT Therapist


Book Description

How to Become a More Effective CBT Therapist explores effective ways for therapists to move beyond competence to “metacompetence”, remaining true to the core principles of CBT while adapting therapeutic techniques to address the everyday challenges of real-world clinical work. This innovative text explores how to: Work most effectively with fundamental therapeutic factors such as the working alliance and diversity; Tackle complexities such as co-morbidity, interpersonal dynamics and lack of progress in therapy; Adapt CBT when working with older people, individuals with long-term conditions (LTCs), intellectual disabilities, personality disorders and psychosis; Develop as a therapist through feedback, supervision, self-practice and training.




Flexibility in Engineering Design


Book Description

A guide to using the power of design flexibility to improve the performance of complex technological projects, for designers, managers, users, and analysts. Project teams can improve results by recognizing that the future is inevitably uncertain and that by creating flexible designs they can adapt to eventualities. This approach enables them to take advantage of new opportunities and avoid harmful losses. Designers of complex, long-lasting projects—such as communication networks, power plants, or hospitals—must learn to abandon fixed specifications and narrow forecasts. They need to avoid the “flaw of averages,” the conceptual pitfall that traps so many designs in underperformance. Failure to allow for changing circumstances risks leaving significant value untapped. This book is a guide for creating and implementing value-enhancing flexibility in design. It will be an essential resource for all participants in the development and operation of technological systems: designers, managers, financial analysts, investors, regulators, and academics. The book provides a high-level overview of why flexibility in design is needed to deliver significantly increased value. It describes in detail methods to identify, select, and implement useful flexibility. The book is unique in that it explicitly recognizes that future outcomes are uncertain. It thus presents forecasting, analysis, and evaluation tools especially suited to this reality. Appendixes provide expanded explanations of concepts and analytic tools.




Handbook of Training and Supervision in Cognitive Behavioral Therapy


Book Description

This book provides a scientific and practical guide for training and supervision in cognitive behavioral therapy (CBT). It builds on more general fundamentals of clinical supervision with a theory-driven approach backed by empirical support for training and supervising clinicians in the practice of CBT. The book dispels the myth of “do it, teach it” as it relates to supervision and addresses the importance of recognizing that one size does not fit all with CBT supervision. The volume synthesizes CBT research on supervision and links it to the practice of supervision. It reviews components of supervision that warrant consideration (e.g., therapeutic alliance, ethics), specific settings (e.g., medical setting, schools) and clients (e.g., culture, individual, group, disability, and high-risk). In addition, it addresses a neglected area of developing competency, including developmental models as well as measuring trainee and supervisor competency in the provision of clinical supervision. The book recommends future directions on how to integrate technology into supervision to enhance the quality of supervision and, ultimately, client outcome. Key areas of coverage include: Major constructs in CBT supervision and training. Supervising work with various clients, including individuals, children, adolescents, families, and couples. Supervision and high-risk cases. Teaching and supervision within a behavioral medicine context. Issues of diversity, technology, and ethics of supervision. The Handbook of Training and Supervision in Cognitive Behavioral Therapy is an essential resource for researchers, professors, and graduate students as well as clinicians, therapists, and other professionals in clinical and school psychology, pediatrics, social work, developmental psychology, behavioral therapy/rehabilitation, child and adolescent psychiatry, nursing, and special education.




Evidence-Based CBT for Anxiety and Depression in Children and Adolescents


Book Description

Evidence-Based CBT for Anxiety and Depression in Children and Adolescents “This should be on the bookshelf of everyone treating anxious and depressed children and adolescents. A cornucopia of theory and clinical good sense alike. I will be making sure that my trainees read it cover to cover.” Dr Samantha Cartwright-Hatton, Senior Clinical Research Fellow in Psychology, University of Sussex This is the first book to offer an explicitly competencies-based approach to the cognitive behavioral treatment of anxiety and depression in children and adolescents. Within it, an outstanding and influential set of experts in the field describe a comprehensive model of therapist competencies required for empirically supported cognitive behavioral treatment. They explore each of these competencies in great detail, and highlight effective ways of training them. As a result, the book not only supports the training, development, and assessment of competent clinicians who are implementing CBT, it is also invaluable for clinicians who wish to gain an understanding of the competencies they need to acquire or improve, and offers guidelines for how to achieve these, providing a benchmark against which they can assess themselves. Evidence-Based CBT for Anxiety and Depression in Children and Adolescents works to improve the quality of therapists working in this area, and, as a result, the quality of treatment that many young people receive.




The Therapeutic Relationship in Cognitive-Behavioral Therapy


Book Description

From leading cognitive-behavioral therapy (CBT) experts, this book describes ways to tailor empirically supported relationship factors that can strengthen collaboration, empiricism, and Socratic dialogue and improve outcomes. In an accessible style, it provides practical clinical recommendations accompanied by rich case examples and self-reflection exercises. The book shows how to use a strong case conceptualization to decide when to target relationship issues, what specific strategies to use (for example, expressing empathy or requesting client feedback), and how to navigate the therapist's own emotional responses in session. Special topics include enhancing the therapeutic relationship with couples, families, groups, and children and adolescents. Reproducible worksheets can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Doing CBT, Second Edition, by David F. Tolin, which lucidly explains the full range of CBT techniques, and Experiencing CBT from the Inside Out, by James Bennett-Levy, Richard Thwaites, Beverly Haarhoff, and Helen Perry, a unique self-practice/self-reflection workbook.




Flexible Applications of Cognitive Processing Therapy


Book Description

Flexible Applications of Cognitive Processing Therapy: Evidence-Based Treatment Methods provides a detailed roadmap on how to apply therapy to a wide-range of complex patients. Starting with an exploration of the development of CPT, the book then segues into a practical discussion on flexible adaptations of therapy. Dissemination and implementation of CPT is covered next, and the book concludes with directions for future research. It provides clinical guidance on treating PTSD with patients who express high levels of anger, shame, guilt, and other forms of emotionality, while also providing insight on research on the effectiveness of CPT on other comorbid disorders. The book also reviews the outcomes of clinical trials of CPT inside and outside the United States, including examining modifications and outcomes in a diverse array of patient populations. - Traces the history and development of cognitive processing therapy (CPT) - Outlines empirically-supported modifications to CPT - Looks at international applications of CPT in diverse patient populations - Discusses common challenges to therapy outcome and how to overcome them




Dissemination and Implementation of Evidence-based Practices in Child and Adolescent Mental Health


Book Description

Mental health disorders are common in youth, impacting up to 1 in 5 children and adolescents. Typically, mental health difficulties result in impaired functioning and lower quality of life for both youth and their families. Fortunately, there are psychosocial treatments for the mental health needs of youth that have earned the -evidence-based- label. However, these treatments are not widely available, and it is estimated that it can take up to 17 years for them to be transported into community settings. As a result, a new field of dissemination and implementation (DI) science has emerged to address this problem. Dissemination refers to the transfer of information about evidence-based practices to community settings, and implementation refers to active strategies to assist adoption of evidence-based practices in community settings. Dissemination and Implementation of Evidence-Based Practices in Child and Adolescent Mental Health is the first book to bring together the world's foremost experts in implementation science and evidence-based practices for youth to provide the latest findings around DI for children and adolescents. Chapters provide comprehensive coverage of the science of dissemination and implementation across contexts, disorders, and international perspectives. This volume will be an essential resource to implementation scientists and scholars, instructors in doctoral-level training programs, and graduate students, as well as policymakers, community mental health clinicians and administrators, school administrators, researchers, and other mental health professionals.




Deliberate Practice in Cognitive Behavioral Therapy


Book Description

This book presents deliberate practice exercises in which students and trainees rehearse fundamental cognitive-behavioral therapy (CBT) skills until they become natural and automatic.