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  • 11
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 25 (1995), S. 185-204 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Cognitive-behavioral therapy has been found effective in the treatment of depression. However, most guides to conducting cognitive-behavioral therapy focus on a session-by-session description of treatment issues. The present manuscript describes the first in a series of interrelated therapy modules to help guide the treatment of depression. The use of modules helps the therapist adapt the therapy to the unique needs of each individual client, emphasizing some elements while omitting others. Also, the use of modules can maximize the short-term application of psychotherapy, allowing therapists to select certain elements to be omitted or repeated as needed for a specific client. Procedures are described for assessing the severity of depression, evaluating the need for medications, and determining when hospitalization is needed. Also, recommendations are provided for monitoring suicide risk factors and preventing self-injury in depressed and suicidal clients.
    Type of Medium: Electronic Resource
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  • 12
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 25 (1995), S. 311-329 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Cognitive therapy has become a well established and widely used treatment for depression. However, most treatment guidelines describe a session-by-session focus that may not adequately conform with the individualized nature of individual psychotherapy used in most clinical settings. The present manuscript describes strategies for helping clients to reduce their cognitive biases by: (1) identifying their cognitive biases, (2) appreciating the relationship between cognitions, emotions, and behavior, (3) distancing themselves from their perspective, (4) developing realistic positive self-statements, (5) altering maladaptive thought processes, (6) shortening the temporal delay required to challenge their thoughts, and (7) learning to find positive elements in predominantly negative situations. These strategies for reducing cognitive biases can be incorporated into a comprehensive treatment plan that includes modules for the assessment of depression severity and suicide risk, enhancing social performance, and improving problem-solving skills. The modules are meant to be used in a flexible manner, allowing the therapist to address a variety of treatment goals while still responding to the unique needs of each client.
    Type of Medium: Electronic Resource
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  • 13
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 28 (1998), S. 289-305 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Cognitive-behavioral therapy can help many depressed clients learn more effective ways of coping with problems in their lives. However, for many clients with chronic or recurrent depression, it can be helpful to examine the biological, psychological, and social/cultural factors that may predispose a person toward depressive episodes. In order to address possible biological predispositions, it is important to assess for a positive family history of depression, evaluate family members' response to previous treatments, and refer for medications when needed. In order to address possible psychological predispositions, it is useful to evaluate long-standing personality styles, identify negative events from childhood, examine the client's relationship with his or her parents, evaluate the history of abuse, and identify early loss experiences. Cultural factors may play an influential role in the etiology of depression, and can be useful to incorporate into a broad treatment plan. However, cultural factors are difficult to modify through individual psychotherapy. Hence, they are unlikely to play a central role in cognitive-behavioral therapy for depression. Overall, therapists working with depressed clients should be prepared to confront a broad range of biological, psychological, and environmental factors that can create or perpetuate a client's risk for depression.
    Type of Medium: Electronic Resource
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  • 14
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 29 (1999), S. 369-382 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Cognitive-behavioral therapy can be effective for many clients who have obsessive-compulsive disorder. Despite its effectiveness, many treatment guidelines fail to describe cognitive-behavioral therapy procedures in adequate detail. The present paper will review the literature on cognitive-behavioral therapy for OCD in an attempt to provide concise, meaningful guidelines for the psychological treatment of this disorder. Cognitive-behavioral therapy includes four general components: initial preparation for therapy, development of applied coping skills, exposure with ritual prevention, and relapse prevention. The four general treatment components are described, and clinical examples are provided.
    Type of Medium: Electronic Resource
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  • 15
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 24 (1994), S. 223-243 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Despite the prevalence of personality disorders, only recently have they become the topic of extensive clinical research. Unfortunately, much of this research suffers from various assessment problems including poor interrater agreement, an overreliance on cross-sectional assessment, and inconsistencies across measures. The present review examines the strategies used to assess personality disorders. Three comprehensive tables are used to provide a quantitative review of existing studies. Although specific measures are examined, the focus remains on general strategies for assessment. Personality disorder assessment may be enhanced through the use of aggregation methods. Aggregating over raters can reduce the subjective biases inherent in any one person's perception. Aggregating data over time reduces the instability of personality assessment, while aggregating data across measures reduces the reliance on any one measure to assess personality disorders accurately. Thus, future research should be able to refine the strategies used to study personality disorders.
    Type of Medium: Electronic Resource
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  • 16
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 26 (1996), S. 337-360 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Cognitive-behavioral treatments are effective for many clients suffering from depression. These treatments include strategies designed to improve social functioning, reduce cognitive biases, enhance problem-solving skills, and improve self-control skills. The present manuscript describes cognitive-behavioral strategies designed to enhance the client's ability to cope with stressful life events. Several unproductive coping responses are described and should be discouraged. A range of productive coping responses are described and have been found effective in dealing with stressful life events. A conceptual model is presented to help understand the way in which stressful life events may precipitate depressive reactions and can be addressed in treatment.
    Type of Medium: Electronic Resource
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  • 17
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 27 (1997), S. 261-263 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Type of Medium: Electronic Resource
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  • 18
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 27 (1997), S. 283-301 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Clients with excessive dependency often seek treatment for an Axis I anxiety or mood disorder. Simply providing treatment for the Axis I disorder may fail to address the long-standing personality factors that may underlie the acute anxiety and depression. A four-stage model has been proposed for the treatment of excessive interpersonal dependency. This model describes strategic ways therapy content and style should change over the course of treatment. Despite the apparent utility of the four-stage treatment model, it may be difficult to apply in many sites that now emphasize short-term approaches to treatment. In many cases, therapy can be designed to address themes that are relevant to both dependency and the Axis I syndrome. Therapy can be focused around helping clients make improvements in stabilizing emotional reactions, enhancing views of the self, and improving social functioning. Treatment focused on stabilizing emotional reactions can help clients confront and develop tolerance for feelings of depression and anxiety. Treatment focused on enhancing views of the self can help clients improve their self-esteem, self-reinforcement and reduce self-criticism. Treatment focused on improving social functioning can enhance social skills, reduce social anxiety and challenge feelings of loneliness. In addition, treatment can focus on reducing specific aspects of interpersonal dependency and confronting developmental antecedents that may underlie the dependency.
    Type of Medium: Electronic Resource
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  • 19
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 29 (1999), S. 99-113 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Panic Disorder is a common, debilitating psychological problem which is often effectively treated through cognitive behavioral approaches. Cognitive-behavioral treatment incorporates education, relaxation training, cognitive therapy, behavioral exposure, and relapse prevention treatment strategies. A case illustration demonstrates how cognitive-behavioral treatment facilitated a client's ability to identify and confront situational precipitants to panic in a gradual and systematic manner. A therapeutic and collaborative relationship provided the foundation for treatment, while education helped the client to understand the vicious cycle between somatic symptoms, catastrophic thoughts, and anxiety. Passive relaxation training incorporated deep breathing, muscle relaxation, and positive imagery generated from the client's own experience. Cognitive restructuring involved identifying automatic thoughts related to panic, challenging dysfunctional beliefs associated with the client's depression and low self-esteem, and generating alternative ways of thinking. Behavioral exposure (e.g., imaginal exposure, behavioral rehearsal, in vivo techniques) helped the client gain a greater sense of mastery over panic attacks triggered by his fear of hypodermic needles. Over the course of treatment, the frequency and intensity of the client's panic attacks decreased. Furthermore, the client's sense of mastery over panic had beneficial effects on his mood and self-esteem. Treatment gains were maintained at one-year follow-up.
    Type of Medium: Electronic Resource
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  • 20
    Electronic Resource
    Electronic Resource
    Springer
    Journal of contemporary psychotherapy 25 (1995), S. 205-222 
    ISSN: 1573-3564
    Source: Springer Online Journal Archives 1860-2000
    Topics: Psychology
    Notes: Abstract Cognitive-behavioral approaches have been found effective in the treatment of depression. In order to maximize the efficiency and flexibility of cognitive-behavioral treatment, the therapist can use of a series of interrelated therapy modules focused on different aspects of treatment. The present manuscript describes the module for improving social functioning in depressed clients. Suggestions are provided for guiding therapy to help clients increase their social activity, reduce the interpersonal conflict in their lives, and learn to adjust to loss and change resulting from stressful life events. Therapy of depression may be facilitated when the present module is used in combination with other modules focused on the assessment of depression severity and suicide risk (see Part I in this Journal), reducing cognitive biases in depressed clients, and enhancing problem-solving skills in clients.
    Type of Medium: Electronic Resource
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