Cognitive-Behavioral Group Therapy for Social Phobia Basic Mechanisms and Clinical Strategies,9781572307704

Cognitive-Behavioral Group Therapy for Social Phobia Basic Mechanisms and Clinical Strategies

by ;
Edition: 1st
ISBN13: 9781572307704
ISBN10: 1572307706
Format: Hardcover
Pub. Date: 2002-07-03
Publisher(s): The Guilford Press
List Price: $58.67

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Summary

This volume presents the first published manual for cognitive-behavioral group therapy for social phobia (CBGT), an empirically supported treatment approach that has been applied in clinical and research settings for over 20 years. Part I provides an up-to-date overview of the disorder, addressing such issues as classification, diagnosis, prevalence, and comorbidity. A comprehensive cognitive-behavioral model of social phobia is delineated, and assessment procedures are described in depth. Part II takes the clinician step by step through implementing each of the 12 sessions of CBGT. The authors demonstrate how to orient clients to the approach; implement in-session exposures, cognitive restructuring techniques, and homework assignments; and overcome stumbling blocks in treatment. Filled with helpful clinical pointers, case examples, and therapist-client dialogues, the book also includes handy sample handouts and forms.

Author Biography

Richard G. Heimberg, PhD, is Professor and Director of the Clinical Psychology Training Program at Temple University, where he is also Director of the Adult Anxiety Clinic Robert E. Becker, PhD was an Associate Professor of Psychiatry at Albany Medical College and at the Medical College of Pennsylvania. Currently he is president of Psychological Services Group, Inc.

Table of Contents

I. UNDERSTANDING THE NATURE OF SOCIAL PHOBIA
The Diagnosis and Etiology of Social Phobia
3(26)
The Diagnosis of Social Phobia
4(14)
The Etiology of Social Phobia
18(11)
Subtypes of Social Phobia, Comorbidity, and Impairment
29(24)
Subtypes of Social Phobia
29(5)
Generalized Social Phobia and Avoidant Personality Disorder
34(6)
Comorbidity of Social Phobia with Other Psychiatric Disorders
40(7)
Personal Characteristics and Functional Impairment
47(6)
Cognitive Function in Social Phobia
53(20)
Negative Cognitive Content
53(5)
Errors of Judgment and Interpretation
58(15)
Dysfunctional Cognitive Processes in Social Phobia
73(20)
Attentional Bias toward Social Threat
74(12)
Memory Bias for Threatening Social Information
86(4)
Perspective Taking in Social Phobic Imagery and Recall
90(3)
A Cognitive-Behavioral Formulation of Social Phobia
93(14)
Ronald M. Rapee
Cynthia L. Turk
The Client
94(4)
Confronting Feared Social Situations
98(7)
After the Situation Concluded
105(1)
Comment
105(2)
Assessment of Social Phobia
107(22)
Cynthia L. Turk
Self-Report Assessment
108(7)
Clinician-Administered Measures
115(4)
Cognitive Assessment
119(4)
Behavioral Assessment Tests
123(1)
Adjunctive Measures
124(5)
II. COGNITIVE-BEHAVIORAL GROUP THERAPY FOR SOCIAL PHOBIA: A TREATMENT MANUAL
An Overview of Cognitive-Behavioral Group Therapy for Social Phobia
129(7)
The Treatment Orientation Interview
130(1)
Sessions 1 and 2
131(1)
Sessions 3 through 11
131(1)
Session 12
132(1)
Setting Up the Group
132(4)
The Treatment Orientation Interview
136(13)
Clients for Whom Cognitive-Behavioral Group Therapy May Not Be Appropriate
137(4)
Discussion of the Specifics of the Client's Social Phobia
141(1)
The Individualized Fear and Avoidance Hierarchy
142(1)
The Subjective Units of Discomfort Scale (SUDS)
143(1)
Contracting about Specific Targets for Treatment
143(3)
Introduction to Group Procedures
146(1)
The Advantages of Group Treatment
146(1)
Ground Rules
147(1)
Preparing the Client to Begin Group Treatment Sessions
148(1)
Session 1
149(27)
Introductions
150(1)
Ground Rules for Group Membership
151(3)
Sharing of Individual Problems and Goals
154(1)
Presentation of the Cognitive-Behavioral Model of Social Phobia
155(8)
Discussion of the Components of Treatment
163(1)
Assessment of Expectancy for Treatment Outcome
164(1)
Initial Training in Cognitive Restructuring
165(8)
Homework Assignment for Session 1: Monitoring and Recording Automatic Thoughts
173(3)
Session 2
176(23)
Assessment of Fear of Negative Evaluation
176(1)
Review of Session 1 Homework Assignment
177(1)
Identification of Thinking Errors in Automatic Thoughts
177(12)
Disputing Automatic Thoughts and Developing Rational Responses
189(6)
Homework Assignment for Session 2: Cognitive Restructuring Practice
195(2)
Preparation for Initiation of In-Session Exposures
197(2)
In-Session Exposures
199(28)
Rationale for In-Session Exposures
199(3)
Preparation for an In-Session Exposure
202(4)
Incorporating Feared Outcomes
206(2)
SUDS Recording
208(1)
First Exposures
209(1)
Choosing Role Players and Combined Exposures
210(1)
In-Session Exposures versus Social Skills Training
211(1)
Do In-Session Exposures Make Clients Anxious?
212(1)
Examples of Common In-Session Exposures
213(8)
In-Session Exposures for Specific Brief Behaviors
221(6)
Integrating Cognitive Restructuring Procedures with In-Session Exposures
227(43)
Before an In-Session Exposure
227(23)
During an In-Session Exposure: SUDS Ratings and Rational Responses
250(1)
After an In-Session Exposure: The Cognitive Debriefing
251(7)
Behavioral Experiments
258(3)
Cognitive Restructuring from Beginning to End
261(7)
Group Involvement in Cognitive Restructuring
268(2)
Homework Procedures
270(13)
Before Attempting a Homework Assignment
271(1)
The Behavioral Assignment
272(1)
After the Assignment Is Completed
273(3)
Summary of Homework Procedures
276(1)
Sample Homework Tasks
276(5)
Homework Review and Assignment
281(2)
Sessions 3--12: Putting It All Together and Troubleshooting Cognitive-Behavioral Group Therapy
283(20)
Reviewing Homework and Introducing In-Session Exposures in Session 3
284(1)
Partitioning Session Time
285(1)
Session 12: Consolidation of Gains and Looking to the Future
286(3)
Termination Issues
289(1)
Posttreatment Assessment
289(1)
Additional Sessions
290(1)
Session Planning in Cognitive-Behavioral Group Therapy
291(1)
Troubleshooting Cognitive-Behavioral Group Therapy
291(8)
Additional Source Materials for Cognitive-Behavioral Group Therapy
299(4)
References 303(24)
Index 327

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