Jacqueline Corcoran
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780195375718
- eISBN:
- 9780199865529
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195375718.003.0005
- Subject:
- Social Work, Children and Families, Health and Mental Health
This chapter reviews the evidence basis for the treatment of anxiety disorders in children and adolescents. The most widely studied intervention for the anxiety disorders is CBT featuring exposure. ...
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This chapter reviews the evidence basis for the treatment of anxiety disorders in children and adolescents. The most widely studied intervention for the anxiety disorders is CBT featuring exposure. Antidepressant medication is also considered a viable intervention (indeed it is more effective for reducing anxiety than it is for helping with depression) although CBT is considered a first-line treatment. Combining psychosocial and pharmacological treatment may not be necessary to produce improvement. These interventions are evaluated against how well they address risk factors for the development of anxiety and adjustment for afflicted youth. Other recommendations for practice and research are explored.Less
This chapter reviews the evidence basis for the treatment of anxiety disorders in children and adolescents. The most widely studied intervention for the anxiety disorders is CBT featuring exposure. Antidepressant medication is also considered a viable intervention (indeed it is more effective for reducing anxiety than it is for helping with depression) although CBT is considered a first-line treatment. Combining psychosocial and pharmacological treatment may not be necessary to produce improvement. These interventions are evaluated against how well they address risk factors for the development of anxiety and adjustment for afflicted youth. Other recommendations for practice and research are explored.
Jacqueline Corcoran
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780195375718
- eISBN:
- 9780199865529
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195375718.003.0008
- Subject:
- Social Work, Children and Families, Health and Mental Health
Rates of diagnosable anorexia nervosa (AN) and bulimia nervosa (BN) are low in youth because DSM criteria is not typically applicable to adolescents. Therefore, the majority of teens seeking ...
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Rates of diagnosable anorexia nervosa (AN) and bulimia nervosa (BN) are low in youth because DSM criteria is not typically applicable to adolescents. Therefore, the majority of teens seeking treatment qualify for Eating Disorder Not Otherwise Specified. This chapter reviews the evidence basis for the treatment of eating disorders. The vast majority of studies on eating disorders pertain to adults, and there is a lack of study on AN, in general. The Maudsley Model of family therapy has received attention for adolescent AN but there is not yet convincing evidence that it is more effective than supportive therapy. Considering the adult literature, CBT, interpersonal therapy, and antidepressants may be helpful for bulimia symptoms in adolescence. More treatment outcome studies on adolescent eating disorders are needed before such manifestations develop into full-blown disorders and entrenched patterns of dysfunctional attitudes and behaviors result.Less
Rates of diagnosable anorexia nervosa (AN) and bulimia nervosa (BN) are low in youth because DSM criteria is not typically applicable to adolescents. Therefore, the majority of teens seeking treatment qualify for Eating Disorder Not Otherwise Specified. This chapter reviews the evidence basis for the treatment of eating disorders. The vast majority of studies on eating disorders pertain to adults, and there is a lack of study on AN, in general. The Maudsley Model of family therapy has received attention for adolescent AN but there is not yet convincing evidence that it is more effective than supportive therapy. Considering the adult literature, CBT, interpersonal therapy, and antidepressants may be helpful for bulimia symptoms in adolescence. More treatment outcome studies on adolescent eating disorders are needed before such manifestations develop into full-blown disorders and entrenched patterns of dysfunctional attitudes and behaviors result.
John A. Fairbank, Sharon R. Booth, and John F. Curry
- Published in print:
- 2002
- Published Online:
- January 2009
- ISBN:
- 9780195134575
- eISBN:
- 9780199864065
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195134575.003.0010
- Subject:
- Social Work, Health and Mental Health, Communities and Organizations
Many adolescents with substance-use disorder (SUD) have a history of trauma and symptoms of post-traumatic stress disorder (PTSD). Integrated cognitive behavior therapy (CBT) for co-occurring PTSD ...
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Many adolescents with substance-use disorder (SUD) have a history of trauma and symptoms of post-traumatic stress disorder (PTSD). Integrated cognitive behavior therapy (CBT) for co-occurring PTSD and SUD in adolescents is a phased intervention approach in which the same clinician or team of clinicians provides treatment for both disorders at the same time. This chapter discusses psychosocial conceptual models of the etiology of PTSD and the role of substance abuse, theory of change, target population, and CBT intervention parameters for integrated PTSD and SUD treatment programs.Less
Many adolescents with substance-use disorder (SUD) have a history of trauma and symptoms of post-traumatic stress disorder (PTSD). Integrated cognitive behavior therapy (CBT) for co-occurring PTSD and SUD in adolescents is a phased intervention approach in which the same clinician or team of clinicians provides treatment for both disorders at the same time. This chapter discusses psychosocial conceptual models of the etiology of PTSD and the role of substance abuse, theory of change, target population, and CBT intervention parameters for integrated PTSD and SUD treatment programs.
JACQUELINE CORCORAN and JANE HANVEY PHILLIPS
- Published in print:
- 2004
- Published Online:
- January 2009
- ISBN:
- 9780195154306
- eISBN:
- 9780199864287
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195154306.003.0008
- Subject:
- Social Work, Health and Mental Health
This chapter discusses how to apply the strengths- and skills-building model to the problem of depression with an emphasis on solution-focused and cognitive-behavioral therapies. The purpose is to ...
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This chapter discusses how to apply the strengths- and skills-building model to the problem of depression with an emphasis on solution-focused and cognitive-behavioral therapies. The purpose is to empower the client with a focus on what is going well and to take concrete steps to a depression-free future. Specific techniques from solution-focused therapy include the use of idiosyncratic language, normalizing, coping questions, orienting toward the future, exception-finding, externalizing, and scaling. Techniques from cognitive-behavioral therapy (CBT) include social skill training, feeling identification and management, and cognitive-restructuring. However, a strengths orientation pervades the application of CBT techniques to continue the positive and hopeful thrust of solution-focused therapy to the problem of depression.Less
This chapter discusses how to apply the strengths- and skills-building model to the problem of depression with an emphasis on solution-focused and cognitive-behavioral therapies. The purpose is to empower the client with a focus on what is going well and to take concrete steps to a depression-free future. Specific techniques from solution-focused therapy include the use of idiosyncratic language, normalizing, coping questions, orienting toward the future, exception-finding, externalizing, and scaling. Techniques from cognitive-behavioral therapy (CBT) include social skill training, feeling identification and management, and cognitive-restructuring. However, a strengths orientation pervades the application of CBT techniques to continue the positive and hopeful thrust of solution-focused therapy to the problem of depression.
Michael S. Kelly, Johnny S. Kim, and Cynthia Franklin
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195366297
- eISBN:
- 9780199864010
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195366297.003.0002
- Subject:
- Social Work, Children and Families
This chapter highlights the contributions made by solution-focused brief therapy (SFBT) pioneers Insoo Kim Berg and Steve de Shazer, as well as other school-based SFBT practitioners and scholars. It ...
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This chapter highlights the contributions made by solution-focused brief therapy (SFBT) pioneers Insoo Kim Berg and Steve de Shazer, as well as other school-based SFBT practitioners and scholars. It looks at the main facets of the SFBT approach, specifically the way solution-focused practitioners think about change, client capacities, and the nature of client resistance. It also contrasts the techniques of SFBT with other well-known treatment approaches used in schools, such as cognitive-behavioral therapy (CBT), to show how SFBT differs from other approaches that school social workers are already using.Less
This chapter highlights the contributions made by solution-focused brief therapy (SFBT) pioneers Insoo Kim Berg and Steve de Shazer, as well as other school-based SFBT practitioners and scholars. It looks at the main facets of the SFBT approach, specifically the way solution-focused practitioners think about change, client capacities, and the nature of client resistance. It also contrasts the techniques of SFBT with other well-known treatment approaches used in schools, such as cognitive-behavioral therapy (CBT), to show how SFBT differs from other approaches that school social workers are already using.
Paul Biegler
- Published in print:
- 2011
- Published Online:
- August 2013
- ISBN:
- 9780262015493
- eISBN:
- 9780262295628
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262015493.003.0001
- Subject:
- Philosophy, Philosophy of Mind
Statistics show that depression is a major global health issue today. According to a description by William Styron, a writer who experienced depression first hand, “depression takes on the quality of ...
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Statistics show that depression is a major global health issue today. According to a description by William Styron, a writer who experienced depression first hand, “depression takes on the quality of physical pain. But it is not an immediately identifiable pain, like that of a broken limb.” This explains why a significant number of people, when faced with depression, seek relief via the health care system. Between 2004 and 2005, primary care physicians in Australia prescribed antidepressant medication (ADM) to more than 11 million patients, compared to only approximately 7.5 million between 1999 and 2000. This book introduces cognitive behavioral therapy (CBT) as an equally effective treatment for depression. It has been subject to extensive trials with outcomes shown to be as good as those achieved with ADM.Less
Statistics show that depression is a major global health issue today. According to a description by William Styron, a writer who experienced depression first hand, “depression takes on the quality of physical pain. But it is not an immediately identifiable pain, like that of a broken limb.” This explains why a significant number of people, when faced with depression, seek relief via the health care system. Between 2004 and 2005, primary care physicians in Australia prescribed antidepressant medication (ADM) to more than 11 million patients, compared to only approximately 7.5 million between 1999 and 2000. This book introduces cognitive behavioral therapy (CBT) as an equally effective treatment for depression. It has been subject to extensive trials with outcomes shown to be as good as those achieved with ADM.
Paul Biegler
- Published in print:
- 2011
- Published Online:
- August 2013
- ISBN:
- 9780262015493
- eISBN:
- 9780262295628
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262015493.003.0005
- Subject:
- Philosophy, Philosophy of Mind
This chapter focuses on how the impairment of autonomy in depressed patients can be addressed by two validated treatments, namely, cognitive behavior therapy (CBT) and antidepressant medication ...
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This chapter focuses on how the impairment of autonomy in depressed patients can be addressed by two validated treatments, namely, cognitive behavior therapy (CBT) and antidepressant medication (ADM). Both treatments deal with negative information-processing biases but in different ways. CBT counters negative biases by requiring the individual to understand the action of negative biases; ADM, on the other hand, requires no such comprehension. Negative affect, even when occurring in depression, retains utility in that it helps mark events of material significance. A person treated with CBT can better identify significant events and more accurately assess them through a residual appraisal function left by depression. Although ADM limits the amplitude of negative affective swings, CBT promotes the autonomy of the depressed person to a greater extent than does treatment with ADM alone.Less
This chapter focuses on how the impairment of autonomy in depressed patients can be addressed by two validated treatments, namely, cognitive behavior therapy (CBT) and antidepressant medication (ADM). Both treatments deal with negative information-processing biases but in different ways. CBT counters negative biases by requiring the individual to understand the action of negative biases; ADM, on the other hand, requires no such comprehension. Negative affect, even when occurring in depression, retains utility in that it helps mark events of material significance. A person treated with CBT can better identify significant events and more accurately assess them through a residual appraisal function left by depression. Although ADM limits the amplitude of negative affective swings, CBT promotes the autonomy of the depressed person to a greater extent than does treatment with ADM alone.
Paul Biegler
- Published in print:
- 2011
- Published Online:
- August 2013
- ISBN:
- 9780262015493
- eISBN:
- 9780262295628
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262015493.003.0006
- Subject:
- Philosophy, Philosophy of Mind
This chapter explains how psychotherapy creates awareness of the causal role of psychosocial stressors and of effective means of addressing them. Psychotherapy, particularly cognitive behavior ...
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This chapter explains how psychotherapy creates awareness of the causal role of psychosocial stressors and of effective means of addressing them. Psychotherapy, particularly cognitive behavior therapy (CBT), promotes autonomy in depression by creating this awareness, making it the superior approach as compared with antidepressant medication (ADM). The goal of CBT is not to simply explain causal stressors; it also proposes strategies that can be applied in their management so that important interests may be protected. ADM, on the other hand, theoretically promotes the autonomy of a depressed person’s response to stressful life events, but does not impart material understanding. Therefore, it promotes autonomy in depression to a lesser extent than does CBT. To build the case for CBT, however, it must first be explained how it addresses the psychosocial stressors that trigger depression.Less
This chapter explains how psychotherapy creates awareness of the causal role of psychosocial stressors and of effective means of addressing them. Psychotherapy, particularly cognitive behavior therapy (CBT), promotes autonomy in depression by creating this awareness, making it the superior approach as compared with antidepressant medication (ADM). The goal of CBT is not to simply explain causal stressors; it also proposes strategies that can be applied in their management so that important interests may be protected. ADM, on the other hand, theoretically promotes the autonomy of a depressed person’s response to stressful life events, but does not impart material understanding. Therefore, it promotes autonomy in depression to a lesser extent than does CBT. To build the case for CBT, however, it must first be explained how it addresses the psychosocial stressors that trigger depression.
Paul Biegler
- Published in print:
- 2011
- Published Online:
- August 2013
- ISBN:
- 9780262015493
- eISBN:
- 9780262295628
- Item type:
- chapter
- Publisher:
- The MIT Press
- DOI:
- 10.7551/mitpress/9780262015493.003.0007
- Subject:
- Philosophy, Philosophy of Mind
This chapter proposes that physicians have a moral obligation to administer cognitive behavior therapy (CBT) to depressed patients by arguing that CBT has a superior capacity in promoting autonomy in ...
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This chapter proposes that physicians have a moral obligation to administer cognitive behavior therapy (CBT) to depressed patients by arguing that CBT has a superior capacity in promoting autonomy in depression. In making this argument, two claims must first be validated; first, it must be demonstrated that the promotion of autonomy is a legitimate, if not the principal, goal of treating depression and, second, it must be established that, even if antidepressant medication (ADM) helps in promoting autonomy in depression, physicians have a duty to do more than prescribe ADM to depressed patients. The first claim utilizes the “parity of reasoning” to show that promoting autonomy in depression is consistent with existing medical practice, while the second is substantiated by an appeal to the principle of proportionality to show that promotion if autonomy through CBT is directly proportional to the threat to autonomy depression poses for sufferers.Less
This chapter proposes that physicians have a moral obligation to administer cognitive behavior therapy (CBT) to depressed patients by arguing that CBT has a superior capacity in promoting autonomy in depression. In making this argument, two claims must first be validated; first, it must be demonstrated that the promotion of autonomy is a legitimate, if not the principal, goal of treating depression and, second, it must be established that, even if antidepressant medication (ADM) helps in promoting autonomy in depression, physicians have a duty to do more than prescribe ADM to depressed patients. The first claim utilizes the “parity of reasoning” to show that promoting autonomy in depression is consistent with existing medical practice, while the second is substantiated by an appeal to the principle of proportionality to show that promotion if autonomy through CBT is directly proportional to the threat to autonomy depression poses for sufferers.
Nancy P. Kropf and Sherry M. Cummings
- Published in print:
- 2017
- Published Online:
- May 2017
- ISBN:
- 9780190214623
- eISBN:
- 9780190682248
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780190214623.003.0003
- Subject:
- Social Work, Research and Evaluation
Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral ...
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Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.Less
Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.
