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Roadblocks in Cognitive-Behavioral Therapy: Transforming Challenges into Opportunities for Change Hardcover – October 6, 2003

ISBN-13: 978-1572309203 ISBN-10: 1572309202 Edition: 1st

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Product Details

  • Hardcover: 364 pages
  • Publisher: The Guilford Press; 1 edition (October 6, 2003)
  • Language: English
  • ISBN-10: 1572309202
  • ISBN-13: 978-1572309203
  • Product Dimensions: 1.2 x 6 x 9.3 inches
  • Shipping Weight: 1.4 pounds
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Best Sellers Rank: #2,080,501 in Books (See Top 100 in Books)

Editorial Reviews


"Dr. Robert L. Leahy has brought together leading cognitive-behavioral therapists from around the world to provide a rich compendium of tools and techniques that deals with roadblocks in treatment. He sees resistance as a window into the patient's psyche that needs to be addressed with a collaborative ear. Each chapter addresses specific issues suggesting practical solutions which provide an abundance of specific strategies that can be used by both beginning and seasoned therapists alike."--Muriel Prince Warren, DSW, ACSW

"Roadblocks in Cognitive-Behavioral Therapy provides a rich and multifaceted exploration of the many obstacles that can arise in the treatment process. It does a marvelous job of explaining why and how roadblocks occur in therapy with diverse individuals, as well as couples and families, and provides a coherent set of principles for turning obstacles into what Leahy calls windows of opportunity. Filled with clinical wisdom and specific strategies, this volume should be of use to both beginning and experienced clinicians. It could well become a mainstay of professional training programs at all levels."--Steven D. Hollon, Department of Psychology, Vanderbilt University

"Leahy, one of cognitive therapy's most prolific and creative writers, has brought together leading therapists in the field to address the important issue of impasses and disruptions in therapeutic progress. With coverage of such areas as case conceptualization, the relationship of cognition to emotion, and the therapeutic relationship, the volume provides a wealth of insights and practical solutions to clinical difficulties. I highly recommend this book and I am sure that, like me, others readers will learn much from it."--Paul Gilbert, FBPsS, Mental Health Research Unit, Kingsway Hospital, Derby, UK

"This book will suffer a lot of abuse from being pulled from your office shelf again and again to be pored over for ideas and inspiration. Leahy has pulled together some of the greatest CBT minds to share their thoughts, feelings, and strategies for working with some of our most difficult-to-treat disorders and populations. Whether a neophyte or a veteran therapist, the reader will find new ways to understand obstacles and overcome resistance in its many guises."--Peter J. Bieling, PhD, St. Joseph's Hospital, Hamilton, Ontario, Canada; Department of Psychiatry and Behavioral Neurosciences, McMaster University

"Leahy has packed this volume with clinical wisdom and insightful practical advice....The table of contents reads like a full course gourmet meal."--Bulletin of the Menninger Clinic
(Bulletin of the Menninger Clinic 2006-07-23)

"[This book] addresses concerns and challenges that are common to all clinical approaches. Its emphasis on clinical application and overcoming treatment challenges coupled with its easy readability make it a useful addition to the clinical libraries of established clinicians and trainees alike."--Psychotherapy
(Psychotherapy 2006-07-23)

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.

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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Most Helpful Customer Reviews

11 of 14 people found the following review helpful By Wong Chi Kin on December 21, 2003
Format: Hardcover
There are many CBT books, but rare ones for discussing the resistence problem in using CBT. In this book, the reader can find various contributions from prominent figures, like Freeman, Wells, Leahy and more, in discussing the difficulties in using CBT with solutions offered. It needs reading and re-reading to capture the content, while the points there are valid and very useful to experienced CBT clinican.
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3 of 3 people found the following review helpful By Nancy E. Deren on March 16, 2008
Format: Paperback Verified Purchase
Leahy describes a variety of ways to turn obstacles and resistance into "windows of opportunity." A wide range of issues is addressed. Two of my favorite chapters were on emotional schemas and on dealing with angry clients. There are numerous examples of how to use resistance to go deeper in the therapeutic process.
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1 of 2 people found the following review helpful By Giovanni K. Pergher on June 21, 2011
Format: Paperback Verified Purchase
This book is excelent for those therapists who deal with dificult clients! I found many pratical answers for managing dificult situations with my resistent clients
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