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Why do standard, evidence-based interventions fail to work for certain clients or in certain situations? What tools do cognitive-behavioral theory and therapy offer for managing difficult cases? This cutting-edge volume brings together an array of leading practitioners to address these and other critical questions that are often overlooked in the CBT literature. Each research-based chapter addresses a specific kind of "roadblock," exploring how and why it arises and suggesting effective, practical solutions. Topics include overcoming obstacles in the treatment of specific disorders, new directions in case conceptualization, working with emotional and metacognitive processes, and applications to couple and family therapy.

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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. His research focuses on individual differences in theory of emotion regulation. Dr. Leahy is Associate Editor of the International Journal of Cognitive Therapy and 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 the 2014 recipient of the Aaron T. Beck Award from the Academy of Cognitive Therapy.

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Contents

Part I. Case Conceptualization
1. Case Conceptualization in Preventing and Responding to Therapeutic Difficulties
Lawrence D. Needleman
2. Impediments to Effective Psychotherapy
Arthur Freeman and Roya Djalali McCloskey
3. Effective Homework
Michael A. Tompkins
Part II. Metacognition and Emotion
4. Anxiety Disorders, Metacognition, and Change
Adrian Wells
5. Emotional Schemas and Resistance
Robert L. Leahy
6. Avoidance of Emotion as an Obstacle to Progress
Stephen J. Holland
Part III. Specific Populations
7. Psychosis
Gillian Haddock and Ronald Siddle
8. Bipolar Disorder
Cory F. Newman
9. Posttraumatic Stress Disorder: A New Algorithm Treatment Model
Mervin R. Smucker, Brad K. Grunert, and Jo M. Weis
10. Binge-Eating and Other Eating Disorders
Nicole A. Schaffer
Part IV. Couples and Families
11. Couple Therapy
Norman B. Epstein and Donald H. Baucom
12. Family Therapy
Frank M. Dattilio
Part V. Psychotherapy Processes
13. Difficult-to-Treat Patients: The Approach from Dialectical Behavior Therapy
Christine Foertsch, Sharon Y. Manning, and Linda Dimeff
14. Obstacles or Opportunities?: A Relational Approach to Negotiating Alliance Ruptures
Christopher L. Stevens, J. Christopher Muran, and Jeremy D. Safran
15. Angry Patients: Strategies for Beginning Treatment
Raymond Chip Tafrate and Howard Kassinove
16. Medication Compliance with Difficult Patients
Lynn Marcinko
17. Conclusions
Robert L. Leahy
Index

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