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Cognitive-Behavioral Group Therapy for Social Phobia : Basic Mechanisms and Clinical Strategies - Richard G. Heimberg

Cognitive-Behavioral Group Therapy for Social Phobia

Basic Mechanisms and Clinical Strategies

Hardcover

Published: 3rd July 2002
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This volume presents the first published manual for cognitive-behavioral group therapy for social phobia (CBGT), an empirically supported treatment approach that has been applied in clinical and research settings for over 20 years. Part I provides an up-to-date overview of the disorder, addressing such issues as classification, diagnosis, prevalence, and comorbidity. A comprehensive cognitive-behavioral model of social phobia is delineated, and assessment procedures are described in depth. Part II takes the clinician step by step through implementing each of the 12 sessions of CBGT. The authors demonstrate how to orient clients to the approach; implement in-session exposures, cognitive restructuring techniques, and homework assignments; and overcome stumbling blocks in treatment. Filled with helpful clinical pointers, case examples, and therapist-client dialogues, the book also includes handy sample handouts and forms.

"Heimberg and Becker have written the definitive treatise on understanding and treating social phobia from a cognitive-behavioral perspective. The first half of the book provides an authoritative synthesis of the relevant literature. The second half shows how to treat patients with social phobia using the authors' highly successful cognitive-behaviorally oriented group format. This book is a 'must have' for all clinicians and scholars who treat and study social phobia."--Murray B. Stein, MD, Department of Psychiatry, University of California, San Diego

"I have used unpublished versions of Heimberg and Becker's treatment program for over 15 years with great success, both in treatment research and in training clinical psychology practicum students. Now in published form, this book contains the best treatment manual I've ever read. The manual is replete with clinical examples that will be useful to the individual or group therapist working with people with social phobia. It may be used either in a set format for a structured program or to provide the background for flexible application in individual cases. Clinicians with prior training in cognitive-behavioral therapy should be able to readily apply the authors' clinical wisdom to clients with social phobia in their practices."--Dianne L. Chambless, PhD, Department of Psychology, University of North Carolina at Chapel Hill

"This excellent book provides a thoughtful and lucid guide to understanding and treating social phobia. Richard G. Heimberg and his colleagues have long been recognized for their groundbreaking empirical and clinical work on this disorder. Here, Drs. Heimberg and Becker nicely summarize the conceptual and empirical underpinnings of cognitive-behavioral models of social phobia and present a detailed description of cognitive-behavioral group therapy, the preeminent treatment for people impaired by severe social anxiety. The book also offers clinically astute observations about the therapeutic process of working with people who fear criticism and rejection. Clinicians and researchers alike will welcome this volume."--Lynn E. Alden, PhD, Department of Psychology, University of British Columbia, Canada

"For two decades, Richard Heimberg has been at the forefront of research on social phobia. The cognitive-behavioral group therapy developed by Heimberg and his colleagues has been validated in several randomized controlled trials, and is considered by many to be the gold standard psychological treatment. This excellent book provides clear and extremely detailed guidance in how to deliver the gold standard."--David M Clark, DPhil, Institute of Psychiatry, King's College London, UK

Understanding the Nature of Social Phobia
The Diagnosis and Etiology of Social Phobiap. 3
The Diagnosis of Social Phobiap. 4
The Etiology of Social Phobiap. 18
Subtypes of Social Phobia, Comorbidity, and Impairmentp. 29
Subtypes of Social Phobiap. 29
Generalized Social Phobia and Avoidant Personality Disorderp. 34
Comorbidity of Social Phobia with Other Psychiatric Disordersp. 40
Personal Characteristics and Functional Impairmentp. 47
Cognitive Function in Social Phobiap. 53
Negative Cognitive Contentp. 53
Errors of Judgment and Interpretationp. 58
Dysfunctional Cognitive Processes in Social Phobiap. 73
Attentional Bias toward Social Threatp. 74
Memory Bias for Threatening Social Informationp. 86
Perspective Taking in Social Phobic Imagery and Recallp. 90
A Cognitive-Behavioral Formulation of Social Phobiap. 93
The Clientp. 94
Confronting Feared Social Situationsp. 98
After the Situation Concludedp. 105
Commentp. 105
Assessment of Social Phobiap. 107
Self-Report Assessmentp. 108
Clinician-Administered Measuresp. 115
Cognitive Assessmentp. 119
Behavioral Assessment Testsp. 123
Adjunctive Measuresp. 124
Cognitive-Behavioral Group Therapy for Social Phobia: a Treatment Manual
An Overview of Cognitive-Behavioral Group Therapy for Social Phobiap. 129
The Treatment Orientation Interviewp. 130
Sessions 1 and 2p. 131
Sessions 3 through 11p. 131
Session 12p. 132
Setting Up the Groupp. 132
The Treatment Orientation Interviewp. 136
Clients for Whom Cognitive-Behavioral Group Therapy May Not Be Appropriatep. 137
Discussion of the Specifics of the Client's Social Phobiap. 141
The Individualized Fear and Avoidance Hierarchyp. 142
The Subjective Units of Discomfort Scale (SUDS)p. 143
Contracting about Specific Targets for Treatmentp. 143
Introduction to Group Proceduresp. 146
The Advantages of Group Treatmentp. 146
Ground Rulesp. 147
Preparing the Client to Begin Group Treatment Sessionsp. 148
Session 1p. 149
Introductionsp. 150
Ground Rules for Group Membershipp. 151
Sharing of Individual Problems and Goalsp. 154
Presentation of the Cognitive-Behavioral Model of Social Phobiap. 155
Discussion of the Components of Treatmentp. 163
Assessment of Expectancy for Treatment Outcomep. 164
Initial Training in Cognitive Restructuringp. 165
Homework Assignment for Session 1: Monitoring and Recording Automatic Thoughtsp. 173
Session 2p. 176
Assessment of Fear of Negative Evaluationp. 176
Review of Session 1 Homework Assignmentp. 177
Identification of Thinking Errors in Automatic Thoughtsp. 177
Disputing Automatic Thoughts and Developing Rational Responsesp. 189
Homework Assignment for Session 2: Cognitive Restructuring Practicep. 195
Preparation for Initiation of In-Session Exposuresp. 197
In-Session Exposuresp. 199
Rationale for In-Session Exposuresp. 199
Preparation for an In-Session Exposurep. 202
Incorporating Feared Outcomesp. 206
SUDS Recordingp. 208
First Exposuresp. 209
Choosing Role Players and Combined Exposuresp. 210
In-Session Exposure versus Social Skills Trainingp. 211
Do In-Session Exposures Make Clients Anxious?p. 212
Examples of Common In-Session Exposuresp. 213
In-Session Exposures for Specific Brief Behaviorsp. 221
Integrating Cognitive Restructuring Procedures with In-Session Exposuresp. 227
Before an In-Session Exposurep. 227
During an In-Session Exposure: SUDS Ratings and Rational Responsesp. 250
After an In-Session Exposure: The Cognitive Debriefingp. 251
Behavioral Experimentsp. 258
Cognitive Restructuring from Beginning to Endp. 261
Group Involvement in Cognitive Restructuringp. 268
Homework Proceduresp. 270
Before Attempting a Homework Assignmentp. 271
The Behavioral Assignmentp. 272
After the Assignment Is Completedp. 273
Summary of Homework Proceduresp. 276
Sample Homework Tasksp. 276
Homework Review and Assignmentp. 281
Sessions 3-12: Putting It All Together and Troubleshooting Cognitive-Behavioral Group Therapyp. 283
Reviewing Homework and Introducing In-Session Exposures in Session 3p. 284
Partitioning Session Timep. 285
Session 12: Consolidation of Gains and Looking to the Futurep. 286
Termination Issuesp. 289
Posttreatment Assessmentp. 289
Additional Sessionsp. 290
Session Planning in Cognitive-Behavioral Group Therapyp. 291
Troubleshooting Cognitive-Behavioral Group Therapyp. 291
Additional Source Materials for Cognitive-Behavioral Group Therapyp. 299
Referencesp. 303
Indexp. 327
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9781572307704
ISBN-10: 1572307706
Series: Treatment Manuals for Practitioners
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 334
Published: 3rd July 2002
Publisher: Guilford Publications
Country of Publication: US
Dimensions (cm): 24.1 x 15.9  x 2.54
Weight (kg): 0.74