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Overcoming Resistance in Cognitive Therapy [Kindle Edition]

Robert L. Leahy
5.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

This practical guide presents Leahy's multidimensional model of resistance in cognitive therapy. Richly illustrated with case examples and session vignettes, the book addresses a variety of ways that clients may resist basic therapeutic procedures: noncompliance with agenda setting and homework assignments, splitting transference with other therapists, inappropriate behavior, and premature termination. Underlying processes of resistance are explored, from the desire for validation to risk aversion and self-handicapping. Also highlighted are ways that the therapist's own responses may inadvertently impede change. Provided are innovative tools for getting treatment back on track, including targeted interventions, in-session "experiments," and questionnaires and graphic models to share with clients.


Editorial Reviews

Review

"This book fills a major gap in the cognitive therapy literature, one that may often account for failure to attain therapeutic goals. The author, while committed to a cognitive model, shows a willingness to mine other therapeutic traditions for ideas that cognitive therapists can use. He has developed a well-thought-through typology of types of resistance, and provides a richness of clinical example and precise formulations of actions the therapist can take to help the patient overcome each type. This book will be an excellent text in courses in all the therapeutic disciplines. It will be especially useful for students in such professions as social work, who will encounter many clients who are induced by environmental and socialization influences to erect barriers to change."--Charles Garvin, PhD, School of Social Work, University of Michigan

"For any cognitive-behavioral clinician who has ever asked, 'Why am I having such a difficult time helping my client change?', Leahy has provided an engaging, thought-provoking, integrative text that addresses this question most effectively. The text will appeal to therapists at all levels of experience, offering interesting variations on conceptual themes about why clients think and act in ways that maintain their problematic status quo in life, and in therapy. The book also succeeds in guiding therapists to assess and manage their own unwitting contributions to their clients' resistance, and thus become more adept in helping clients to progress."-Cory F. Newman, PhD, ABPP, Director, Center for Cognitive Therapy, University of Pennsylvania School of Medicine

"Every so often, a clinical text is written that offers an innovative, rich perspective on a previously neglected problem of immense clinical importance. This volume achieves such heights. A 'must read' for any clinician who has been challenged by resistance in the therapy session, the volume is full of practical insight and treatment suggestions presented in a scholarly, thoughtful, and yet pragmatic fashion. Leahy addresses a significant gap in the cognitive-behavioral literature, integrating his clinical experience with psychoanalytic, behavioral, developmental, social, and cognitive theory and research on the topic. Whether a novice or expert in cognitive therapy, the reader will find this a stimulating and thought-provoking text with immediate application to the therapy session. It will be a valuable resource for graduate courses or professional workshops on cognitive therapy."-David A. Clark, PhD, Department of Psychology, University of New Brunswick, Canada

"This volume fills an important gap. In his inimitable style, Robert Leahy addresses a topic that has been neglected by cognitive-behavioral therapists: how to work effectively with the client who is reluctant to embrace the many technical interventions the therapy offers. The book is easy to read and immediately useful to all cognitive-behavioral therapists, from students to experienced clinicians. This book will serve as an excellent supplementary text for graduate courses in cognitive-behavioral therapy. It is thought-provoking and rich, with dozens of clinical examples of effective work by an experienced and masterful therapist."-Jacqueline B. Persons, PhD, San Francisco Bay Area Center for Cognitive Therapy, and University of California, Berkeley


"I was very impressed....I found it easy to assimilate Leahy's conceptualization of resistance into the cognitive paradigm....Reading this text offers providers a rich opportunity to learn about their own schemas and how they affect relationships with patients. The text has something to offer any provider who conducts cognitive therapy—not just for depression, but for any problem. In addition, Part 3 is an excellent resource for clinical supervision of students, interns, and residents. I plan to use Leahy's Therapist's Schema Questionnaire to help cognitive therapy students recognize their own schemas and manage them to optimize therapeutic change....I enthusiastically praise Overcoming Resistance in Cognitive Therapy as a pioneering attempt to improve upon cognitive therapy. The author of this text is an undisputed superstar in the cognitive-behavioral, scientific community. The concepts discussed in this book are truly visionary."--Psychiatry: Interpersonal and Biological Processes
(Psychiatry: Interpersonal and Biological Processes 2003-07-18)

"This is an excellent book that will be profitably read and studied by both beginning and experienced therapists with some sophistication in cognitive-behavioral therapy and by practitioners of other approaches that like to keep informed on innovations in the field of psychotherapy."--American Journal of Psychotherapy
(American Journal of Psychotherapy 2003-07-18)

"The book is especially relevant to cognitive therapists who can assess and revise their own attempts to reduce resistance and recognize the limits of the cognitive model, but it remains applicable to any therapists who have worked with clients who do not respond to therapy. ....Information is [presented] in an organized, concise, and reader-friendly manner, which makes this book a particularly useful resource for graduate courses in addition to a clinical tool to be used in practice."--Contemporary Psychology
(Contemporary Psychology 2003-07-18)

"A superb book that outlines clinical strategies for the detection and amelioration of the barriers, or resistances, to engagement in cognitive therapy in order to reach those patients who are otherwise unlikely to fully benefit from standardized interventions....The text contains a wealth of ideas and illustrative case material to help the (cognitive) therapist navigate patient and therapist-patient resistances. It is destined to be a standard reference within the case conceptualization approach and is relevant for everyone practicing cognitive therapy."--Journal of Nervous and Mental Disease
(Journal of Nervous and Mental Disease 2003-07-18)

"Leahy's work will be a much valued and practical addition to the bookshelf of CBT practitioners, and should be applauded for helping to establish resistance as an important area of inquiry on the CBT landscape."--The Clinical Psychologist
(The Clinical Psychologist 2003-07-18)

About the Author

Robert L. Leahy, PhD, is Director of the American Institute for Cognitive Therapy in New York and Clinical Professor of Psychology in the Department of Psychiatry at Weill Cornell Medical College in New York. He is the author or editor of numerous books on cognitive therapy and psychological processes. Dr. Leahy is past president of the Association for Behavioral and Cognitive Therapies, the International Association for Cognitive Psychotherapy, and the Academy of Cognitive Therapy. He is a recipient of the Aaron T. Beck Award for Sustained and Enduring Contributions to Cognitive Therapy.

Product Details

  • File Size: 5304 KB
  • Print Length: 309 pages
  • Publisher: The Guilford Press; 1 edition (April 19, 2012)
  • Sold by: Amazon Digital Services, Inc.
  • Language: English
  • ASIN: B007W4E6T8
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  • Amazon Best Sellers Rank: #1,183,993 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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6 of 7 people found the following review helpful
5.0 out of 5 stars Deeper understanding upon CBT November 26, 2003
Format:Hardcover
This book has outlined important resistence in using CBT for our clients. For experienced clinican, this book can remind us of the complexity of the therapy, and also other significant factors from the client, and ourselves, of course, in influenzing the outcome and process of the CBT. This book needs reading and re-reading to deeper introspection for our daily practice.
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1 of 1 people found the following review helpful
5.0 out of 5 stars A book that can't be judged by its cover July 7, 2014
Format:Hardcover
Purchased so years ago, this text became of enormous when expanding my CB-T skill-sets. The powerful centrifugal core of this text places responsibility as the facilitator of change processes, thereby framing "resistance" as at least a bidirectional concept. The pre-scientific era, circa 1880 to 1984, considered to clients (payer) lack of change, as their RESISTANCE to mature, leaving the therapist (payee) free of responsibility.

This textbook became a major reference frame providing information, and continentally useful source, that was unexpected when purchased. All ways appreciating when a book become greater then expected, this gets a FIVE stare ratting.
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More About the Author

I guess I was destined to become a psychologist---given the experiences that I had. My parents were divorced when I was an infant--my father was an alcoholic and he was unable to support us. We moved back to New Haven Connecticut, lived with my Italian grandparents, and then moved to an Irish working-class housing project. We were poor, but we always had kids to play with and we learned the values of honesty, perseverance, fairness, and keeping your eye on the prize. When I wasn't playing basketball, I was reading everything. My mom told me that she couldn't afford to send me to college, but I insisted I would get a scholarship. Fast forward--- I got my undergraduate degree and PhD at Yale. Later I did my postdoctoral training with Aaron Beck, the founder of cognitive therapy.
I have been interested in helping people overcome depression, anxiety, substance abuse, and relationship issues. Someone asked me, "Don't you get depressed talking to depressed people?", and I respond, "There's nothing more rewarding than helping people overcome depression". I've written and edited fifteen other books for psychologists-- books on depression, anxiety, bipolar disorder, personality disorders, etc. I lecture throughout the world and I am excited that several of my books have been adapted as training texts at leading schools. The great appeal of cognitive and behavioral therapy is that it actually works. People get better. There is hope--even if you feel hopeless.
I have also been fortunate to be able to play a role in professional organizations that promote cognitive therapy. I am the President of the International Association of Cognitive Therapy, President-elect of the Academy of Cognitive Therapy and I serve on a number of international and national committees, boards, and journals. My colleagues and I are helping to coordinate the training of cognitive therapists in Beijing, China, and at The American Institute for Cognitive Therapy we are training psychiatrists and psychologists in cognitive therapy in the New York area. I began working on the popular audience book, The Worry Cure, a few years ago. I decided to write an "honest" and "informed" book---one that drew on the best work by the top people worldwide. I have identified seven steps to overcome worry-- each step reflecting not only my own ideas but the work of leading experts. I am honored that many of them in USA, Canada and the UK have told me personally how much they appreciate the work reflected in this book. I owe a great deal of gratitude to the leading researchers throughout the world who really made this book possible. The Worry Cure tries to provide you with a serious understanding about the nature of worry--- the intolerance of uncertainty, the over-valuation of thinking, the avoidance of emotion, procrastination, the sense of urgency, and the maladaptive beliefs underlying your worry. I try to provide you with a full-range of self-help tools--- realizing that no one of them will work for everyone. A number of our patients at our clinic use the Worry Cure as part of their self-help--and they find it reassuring to know that they can now understand why their worry has persisted and how they can reverse this detrimental process.
The Worry Cure was named by Self Magazine as one of the top eight self-help books of all time. I was stunned when I read that--- my colleague Rene showed me the story in the magazine. But I have been fortunate to have been able to learn from my patients about the nature of their worry and what helps them--and to be able to write something that can make a difference.
My friend, Bill, said to me when I was writing this, "Bob, if you help one person overcome their anxiety it would be worth it." It's like the wise saying, "You save the world one life at a time".

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