Cognitive Therapy for Challenging Problems by Judith S. Beck

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Cognitive Therapy for Challenging Problems by Judith S. Beck

Cognitive Therapy for Challenging Problems What to Do When the Basics Don’t Work (Judith S. Beck Ph.D., 1st Edition)

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About Cognitive Therapy for Challenging Problems by Judith S. Beck

As I was writing Cognitive Therapy: Basics and Beyond, I knew a “standard” cognitive therapy text could not cover the multiplicity of difficulties presented by many patients. Some patients just fail to progress when therapists use standard treatment. Some patients do not seem to grasp or are unable to implement standard therapeutic techniques. Some patients seem to be unwilling to engage sufficiently in treatment. Others seem to cling to their long-standing distorted beliefs about themselves, other people, and their worlds. Treatment must be varied for these patients. But how does a therapist know when and how to alter treatment?
When experienced cognitive therapists encounter a challenging therapeutic problem, they seem to understand intuitively what they need to do. After repeated requests for a book that deals with these kinds of problems, I began to more closely observe the moment-to-moment decisions I make during therapy sessions. What may appear to be an intuitive process of decision making is actually based on a continuous ongoing conceptualization of patients, their diagnosis, and their experience of the therapy session. In addition to observing my own work, I have also been very fortunate to be able to observe and closely analyze therapy sessions conducted by my father, Aaron T. Beck, MD, as well as those conducted by my colleagues and supervisees.
This book reflects what I have learned since the publication of Cognitive Therapy: Basics and Beyond. That book presents step-by-step methods for using cognitive therapy with patients who exhibit straight forward cases of depression and anxiety and is an important precursor to this book, which is designed to help therapists figure out what to do when the basics do not seem to work.

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