Deliberate Practice in Cognitive Behavioral Therapyby Boswell, James F.; Constantino, Michael J.
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Each book in the Essentials of Deliberate Practice series contain customized exercises consisting of role-playing scenarios in which two trainees act as a client and a therapist, switching back and forth under the guidance of a supervisor. The trainee playing the therapist improvises appropriate and authentic responses to a series of client statements organized into three difficulty levels—beginner, intermediate, and advanced—that reflect common problems and concerns encountered by CBT practitioners.
The first 10 exercises each focus on a single skill, such as establishing goals for treatment; assigning and reviewing between-session exercises; working with various client cognitions, behaviors, and emotions; and addressing relationship ruptures and client resistance. These are followed by two comprehensive exercises—an annotated transcript and free-form mock therapy sessions—in which trainees integrate these essential skills into a single CBT session.
Step-by-step instructions guide participants through the exercises, identify criteria for mastering each skill, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.
Michael J. Constantino, PhD, received his BA in psychology from SUNY Buffalo, and his MS and PhD from The Pennsylvania State University. He completed a predoctoral clinical internship at SUNY Upstate Medical University and a postdoctoral fellowship at the Stanford University Medical Center. Dr. Constantino is now professor of psychological and brain sciences at the University of Massachusetts Amherst, where he directs the Psychotherapy Research Lab and serves as graduate program director. His professional and research interests center on patient, therapist, and dyadic factors in psychosocial treatments; pantheoretical principles of clinical change; and measurement-based care. He has published more than 150 articles and chapters in leading journals and books in the field, and he has received extramural grant and contract support for his research, including from the Patient-Centered Outcomes Research Institute, National Institute of Mental Health, Robert Wood Johnson Foundation, and APA. He is also coeditor of the book Principles of Change: How Psychotherapists Implement Research Findings in Practice (Oxford University Press) and the in-preparation Handbook of Psychotherapy, to be published by APA. Dr. Constantino has received several early- and mid-career research awards, including from the International Society for Psychotherapy Research, the Society for the Advancement of Psychotherapy (APA Division 29), and the Society for the Exploration of Psychotherapy Integration. Dr. Constantino is also an APA Fellow. Among other professional positions, he is associate editor for Psychotherapy and past-president of both APA Division 29 and the North American Society for Psychotherapy Research.
Table of Contents
Tony Rousmaniere and Alexandre Vaz
Part I. Overview and Instructions
Chapter 1. Introduction and Overview of Deliberate Practice and Cognitive Behavioral Therapy
Chapter 2. Instructions for the Cognitive Behavioral Therapy Deliberate Practice Exercises
Part II. Deliberate Practice Exercises for Cognitive Behavioral Therapy Skills
Exercises for Beginner Cognitive Behavioral Therapy Skills
Exercise 1. Explaining the Treatment Rationale for Cognitive Behavioral Therapy
Exercise 2. Establishing Goals
Exercise 3. Negotiating a Session Agenda
Exercise 4. Assigning and Reviewing Between-Session Activities
Exercises for Intermediate Cognitive Behavioral Therapy Skills
Exercise 5. Working With Cognitions
Exercise 6. Working With Behaviors
Exercise 7. Working With Emotions
Exercises for Advanced Cognitive Behavioral Therapy Skills
Exercise 8. Adherence Flexibility
Exercise 9. Responding to Therapeutic Alliance Ruptures
Exercise 10. Responding to Client Resistance
Exercise 11. Annotated Cognitive Behavioral Therapy Practice Session Transcripts
Exercise 12. Mock Cognitive Behavioral Therapy Sessions
Part III. Strategies for Enhancing the Deliberate Practice Exercises
Chapter 3. How to Get the Most Out of Deliberate Practice: Additional Guidance for Trainers and Trainees
Appendix A. Difficulty Assessments and Adjustments
Appendix B. Deliberate Practice Diary Form
Appendix C. Sample Cognitive Behavioral Therapy Syllabus With Embedded Deliberate Practice Exercises
About the Authors
About the Series Editors
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