Cognitive Therapy with Inpatients: Developing A Cognitive Milieu - Hardcover

Hardcover

ISBN 10: 0898628903 ISBN 13: 9780898628906

Publisher: The Guilford Press, 1993

Synopsis

Over the past decade, cognitive therapy principles originally developed for outpatients have been successfully adapted for use with more severely ill, hospitalized patients. Noted for its cogent theoretical formulations, replicable procedures, and documentation of outcome--all features that are highly desirable on inpatient units--cognitive therapy also has the advantage of a short-term format, a critical factor in the face of escalating health care costs. COGNITIVE THERAPY WITH INPATIENTS, the first volume to describe the development of a "cognitive milieu," is a practical manual that describes effective cognitive strategies and procedures for short-term psychiatric hospitalization.

The book begins with an overview of the basic concepts of cognitive therapy and hospital psychiatry. Detailed instructions are given for developing and maintaining different types of inpatient cognitive therapy units. Using a "step-by-step" approach, the authors demonstrate how the cognitive milieu can be adapted to fit the needs of a wide variety of treatment settings. Extensive illustrations, including actual dialogued of treatment interactions, are used to describe interventions. Pragmatic advice is given for application in individual, group, and family formats.

The volume also offers indepth coverage of the theoretical and practical issues involved in combining cognitive therapy with pharmacotherapy. Asserting that the fusion of these models enhances both forms of treatment--and stressing the importance of interdisciplinary teamwork in effective hospital care--the book describes methods of building effective treatment teams and devotes particular attention to the functions of psychiatric nurses. Techniques are identified for maximizing the chances of good outcome while minimizing the risk of relapse. In addition, special applications for treatment of adolescent inpatients, alcohol and substance abuse, eating disorders, geropsychiatry, and chronic patients are discussed.

Designed as a treatment guide for all professionals who work in hospital settings, this unique volume is a valuable resource for psychiatrists, psychologists, social workers, occupational therapists, and nurses. It also serves as a text for graduate courses in cognitive therapy, psychiatry residency training programs, psychology doctoral programs, and graduate programs in psychiatric nursing.
 

About this title

About the Author:

Jesse H. Wright, Norton Psychiatric Clinic , Louisville Ky. 

Aaron T. Beck, MD, is the founder of cognitive therapy, University Professor Emeritus of Psychiatry at the University of Pennsylvania, and President Emeritus of the Beck Institute for Cognitive Behavior Therapy. Dr. Beck is the recipient of numerous awards, including the Albert Lasker Clinical Medical Research Award, the American Psychological Association (APA) Lifetime Achievement Award, the American Psychiatric Association Distinguished Service Award, the Robert J. and Claire Pasarow Foundation Award for Research in Neuropsychiatry, and the Institute of Medicine's Sarnat International Prize in Mental Health and Gustav O. Lienhard Award.
 

Review:

"All of us who work in inpatient psychiatry have wondered how best to reorganize our units in response to ever-shortening lengths of stay and demands for increased efficiency and efficacy. This book provides an answer that I found complete and compelling. Cognitive theory and practice are the perfect complement to an inpatient medical model . The various chapters provide the rationale and nuts and bolts for creating a cognitively informed milieu and applying cognitive therapy to the special needs of different types of inpatients. My guess is that this book will become a powerful influence on inpatient psychiatry." --Allen Frances MD, Chair of Psychiatry, Duke University

"With the growing importance of short-term treatment, even for severely ill patients, this volume is an extremely rich, clinically valuable guide to the cognitive treatment of inpatients with diverse psychiatric conditions and to the development of a cognitive inpatient milieu. It draws on years of actual inpatient treatment experience and addresses such practical issues as how to conduct group or family cognitive therapy, cognitive treatment of general medical patients, elderly depressed alcoholic, eating disordered, and chronically ill patients. This book provides a guide for the roles of the therapist, physician, nurse, and occupational therapists. The case vignettes make it both extremely informative and easy to read. This volume provides a coherent, synthetic approach to inpatients using the cognitive model and techniques. It should be essential reading for all disciplines involved in inpatient care." --A. John Rush, MD, University of Texas Southwestern Medical Center at Dallas

"An excellent book which will be indispensable to anyone wishing to apply cognitive therapy in inpatient settings. The authors provide admirably clear accounts of how to create a cognitive milieu; train staff; identify suitable patients; monitor progress; and use the techniques of cognitive therapy with the wide range of populations and problems seen in inpatient psychiatry. Full of clinical illustrations and sound advice, this book offers a much needed and exciting new perspective for working with inpatients." --David M. Clark, D.Phil. Oxford University

"Cognitive therapy in inpatient psychiatry increasingly makes sense, given its demonstrated efficacy in outpatient clinical trials and beginning evidence of efficacy with inpatients, its comprehensibility to staff from a variety of disciplines, and its short-term, target-focused nature that fits well with the current movement toward decreased length of stay. This approach is likely to be increasingly used, and the present volume can serve as an extremely valuable handbook for the development of cognitive therapy inpatient programs. I now that I will rely on it heavily in training psychology interns and psychiatry residents." --Clive J. Robbins, Ph.D., Duke University Medical Center, in a review for Depression

"An excellent book which will be indispensable to anyone wishing to apply cognitive therapy in inpatient settings. The authors provide admirably clear accounts of how to create a cognitive milieu; train staff; identify suitable patients; monitor progress; and use the techniques of cognitive therapy with the wide range of populations and problems seen in inpatient psychiatry. Full of clinical illustrations and sound advice this book offers a much needed and exciting new perspective for working with inpatients." --David M. Clark, Oxford University
 

"Definitely an interesting book....Provides new clinical insights for those who work in hospital settings....Worthy of attention." (Psychotherapy and Psychosomatics 1992-11-27)

"Cognitive Therapy with Inpatients is a clearly written, comprehensive presentation of both the theoretical foundations and practical applications of this approach with more severely ill patients...Clinicians and family members alike will value the cogent presentations of theoretical issues along with clear examples of how CT can be applied within different modalities with a wide range of patient populations...In clear, practical terms the book then describes the use of CT with inpatients individual, group, and family modalities...The editors are not interested in merely putting forth a theoretical model. Rather, they've put together what is in effect a concise, highly accessible manual of cognitive therapy...The volume is, therefore, a valuable manual for clinicians interested in expanding their treatment strategies as well as family members who want to learn more about the development of hospital psychiatry and the efficacy of cognitive therapy....a valuable contribution to the treatment of severely ill people." (Innovations & Research 1992-11-27)

"Although cognitive therapy has been used extensively with outpatients, this book is the first programmatic description of its use in inpatient settings....The proliferation of inpatient cognitive therapy units speaks to the timeliness of this text. There is clearly a need to systematically develop and assess the psychotherapeutic interactions that form the basis of the inpatient milieu. These descriptions of inpatient cognitive therapy are a major advance toward this end." (Hospital and Community Psychiatry 1992-11-27)

About this edition

• Publisher: The Guilford Press
• Publication date: 1993
• ISBN 10: 0898628903
• ISBN 13: 9780898628906
• Binding: Hardcover
• Edition number: 1
• Number of pages: 445
• Editor: Wright Jesse H., Thase Michael E., Beck Aaron T., Ludgate John W.