Psychological Assessment and Case Conceptualization

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Format: DVD [Closed Captioned]
Availability: In Stock
Running Time: more than 60 minutes
Item #: 4310929
ISBN: 978-1-4338-1971-1
Copyright: 2015
APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
Description

In this first program in the Cognitive Behavioral Therapy Techniques and Strategies Series, Keith S. Dobson, Pamela A. Hays, and Amy Wenzel examine the initial phase of treatment in cognitive behavioral therapy.

The guest experts demonstrate how to effectively gather information to determine a diagnosis, how to foster the therapeutic alliance, as well as frequently used techniques such as collaborative empiricism and goal setting.

Following each demonstration clip, the three experts explore the context and background of the techniques shown and discuss variations on how they might be used.

Approach

Cognitive behavioral therapy (CBT) originated in behavioral theory and practice, which include classical and instrumental conditioning as well as other learning theories. In the mid-20th century, Albert Ellis and Aaron Beck combined cognitive and behavioral principles to produce what we currently think of as CBT.

How these different theories are combined may be grasped in the following observation of how their different techniques are applied: Behavioral techniques are used to decrease maladaptive behaviors and increase adaptive behaviors, and similarly, cognitive techniques are used to decrease maladaptive thoughts and increase adaptive ones.

CBT also recognizes and successfully uses the influence of thought on behavior and vice versa, as changing the way one acts can often be a powerful means to changing one's thinking and feeling, and a change of mind can lead to new and more effective habits.

A number of therapeutic approaches have been developed over the decades that fit under the umbrella of CBT. All these variations share a common empirical foundation and a focus on solving client problems in the here and now.

Although the three guest experts in the Cognitive Behavioral Therapy Techniques and Strategies series are all practitioners of CBT, they each have different styles and may emphasize different aspects of the approach in their practice. The guest expert's different styles may be identified in the series through their choice of techniques, the way similar techniques are used in different ways and in different situations, and in the guest experts' discussion about each other's work. These subtle variations and the lively exchanges they inspire among the guest experts show how rich, varied, and adaptable this approach can be.

How the guest experts use cognitive behavioral therapy:

Keith S. Dobson
Although he labels himself as a CBT therapist, Dr. Dobson is interested in the integration of "third wave" therapies into more traditional CBT. Regarding therapy training however, his approach is to encourage the education, use and a nascent sense of mastery with one's approach, before trying to incorporate diverse models or approaches into a beginning therapist's repertoire. The cultivation of a primary orientation helps to "ground" the beginning therapist, and to give them a perspective from which they can then conceptualize and evaluate other models. The training must incorporate didactic training, the use of observational methods (e.g. videos, master models), and direct supervised experience. As the therapeutic process is a key aspect of CBT, training in verbal and nonverbal communication, the therapy relationship and nonspecific aspects of therapy must be provided during training, in concert with more formal training in therapy methods and techniques.

Pamela A. Hays
Dr. Pamela A. Hays calls her approach culturally responsive cognitive behavioral therapy, in which CBT is dynamically adapted to fit each client's cultural identity and context. Dr. Hays believes that culturally responsive CBT begins long before the start of one's therapeutic work, with a commitment to the lifelong learning involved in recognizing and changing one's own knowledge gaps and biases regarding diverse groups. Dr. Hays uses the ADDRESSING framework to conceptualize and remind therapists of influences that include: Age and generational influences, Developmental disabilities and other Disabilities, Religion and spiritual orientation, Ethnic and racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, and Gender. Although this framework is not explicitly stated to clients, it informs the therapist's work by calling attention to possible influences on the client, the therapist, and the therapeutic relationship.

Amy Wenzel
A strong advocate for CBT, Dr. Amy Wenzel believes that at the heart of cognitive behavioral therapy is the cognitive case conceptualization, which is an intricate understanding of the beliefs and characteristic coping strategies that facilitate cognitive, emotional, and behavioral responses in any one situation. One important task of cognitive behavioral therapists is to implement the strategy of cognitive restructuring, which helps clients to identify, evaluate, and if necessary, modify situational thoughts and underlying beliefs that are associated with emotional distress. However, cognitive behavioral therapists maintain an equal focus on behavioral strategies, the implementation of which often produce fairly immediate reductions in emotional distress and serve as powerful agents of cognitive change. Cognitive behavioral therapists balance this focus on cognitive and behavioral change with attention to the therapeutic relationship, as well as strategies that promote acceptance.

About the Therapists

Keith S. Dobson, PhD, is a professor of clinical psychology at the University of Calgary. He has served in various roles there, including past director of clinical psychology and co-leader of the Hotchkiss Brain Institute Depression Research program, and current head of psychology. His research has focused on both cognitive models and mechanisms in depression and the treatment of depression, particularly using cognitive behavioral therapies.

Dr. Dobson's research has resulted in more than 150 published articles and chapters, nine books, and numerous conference and workshop presentations in many countries. Recent books include The Prevention of Anxiety and Depression (Dozois & Dobson, 2004), Risk Factors for Depression (Dobson & Dozois, 2008), Evidence-Based Practice of Cognitive–Behavioral Therapy (Dobson & Dobson, 2009) and the Handbook of Cognitive–Behavioral Therapy, 3rd Edition (Dobson, 2010).

In addition to his research in depression, he has written about developments in professional psychology and ethics, and has been actively involved in organized psychology in Canada, including a term as president of the Canadian Psychological Association. He was a member of the University of Calgary Research Ethics Board for many years, and is president of the Academy of Cognitive Therapy, as well as the president of the International Association for Cognitive Psychotherapy.

Among other awards, he has been given the Canadian Psychological Association's Award for Distinguished Contributions to the Profession of Psychology.

Pamela A. Hays holds a PhD in clinical psychology from the University of Hawaii, a BA in psychology from New Mexico State University, and a certificate in French from La Sorbonne in Paris, France.

From 1987 through 1988, she served as a National Institute of Mental Health postdoctoral fellow at the University of Rochester School of Medicine. From 1989 through 2000, she worked as core faculty member of the graduate psychology program at Antioch University in Seattle, then in 2000, returned to her hometown community in rural Alaska where she has since worked in community and tribal mental health and private practice.

Past research includes work with Tunisian women in North Africa, and Vietnamese, Lao, and Cambodian people in the US. She is author of Creating Well Being: Four Steps to a Happier Healthier Life (APA Life Tools); Addressing Cultural Complexities in Practice: Assessment, Diagnosis, and Therapy (APA); and Connecting Across Cultures: The Helper's Toolkit (SAGE). She is also coeditor with Gayle Iwamasa of Culturally Responsive Cognitive-Behavioral Therapy (APA).

She currently works as a licensed psychologist in private practice in Soldotna, Alaska, and teaches workshops internationally.

Amy Wenzel, PhD, ABPP, is owner of Wenzel Consulting, LLC; Clinical Assistant Professor at the University of Pennsylvania, School of Medicine, an Affiliate of the Postpartum Stress Center; and a certified trainer/consultant with the Academy of Cognitive Therapy. She is an internationally recognized expert on cognitive therapy and regularly provides in-person workshops and webinars through her appointments on the speakers' faculties of the Beck Institute for Cognitive Behavior Therapy and Cross-Country Education.

Dr. Wenzel has authored or edited 16 books and approximately 100 journal articles and book chapters on diverse topics such as cognitive processes in psychopathology, perinatal distress, suicide prevention, and interpersonal relationships. Her recent books include Cognitive Behavioral Therapy for Perinatal Distress (Routledge; 2015), Strategic Decision Making in Cognitive Behavioral Therapy (APA; 2013), and Group Cognitive Therapy for Addictions (Guilford; 2012, with B. S. Liese, A. T. Beck, and D. G. Friedman-Wheeler).

Her research has been funded by the American Foundation for Suicide Prevention, the Brain and Behavior Research Foundation (formerly known as the National Alliance for Research on Schizophrenia and Depression), and the National Institute of Mental Health. She is certified by the American Board of Professional Psychology in the specialty area of Cognitive and Behavioral Psychology, and she has held leadership positions in the Association for Behavioral and Cognitive Therapies.

Suggested Readings
  • Dobson, D. J. G., & Dobson, K. S. (2009). Evidence-based practice of cognitive behavior therapy. New York, NY: Guilford Press.
  • Dobson, K. S. (Editor). (2010). Handbook of cognitive-behavioral therapies (3rd ed.). New York: Guilford.
  • Dobson, K. S. (2011). Cognitive therapy. Washington, DC: American Psychological Association.
  • Hays, P. A. (2014). Creating well-being: Four steps to a happier, healthier life. Washington, DC: American Psychological Association.
  • Hays, P. A. (2013). Connecting across cultures: The helper's toolkit. Thousand Oaks, CA: Sage.
  • Hays, P. A. (2009). Integrating evidence-based practice, cognitive-behavior therapy, and multicultural therapy: Ten steps for culturally competent practice. Professional Psychology: Research and Practice, 40, 354-360.
  • Hays, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis and therapy (2nd ed). Washington, DC: American Psychological Association.
  • Hays, P. A, & Iwamasa, G. Y (Eds.). (2006). Culturally responsive cognitive behavioral therapy: Assessment, practice, and supervision. Washington, DC: American Psychological Association.
  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: Guilford.
  • Hofmann, S. G. (2012). An introduction to modern CBT: Psychological solutions to mental health problems. Malden, MA: Wiley-Blackwell.
  • Kuyken, W., Padesky, C. A., & Dudley, R. (2009). Collaborative case conceptualization: Working effectively with clients in cognitive-behavioral therapy. New York: Guilford.
  • Persons, J. B. (2008). The case formulation approach to cognitive-behavior therapy. New York: Guilford.
  • Wenzel, A. (2013). Strategic clinical decision making in cognitive behavioral therapy. Washington, DC: American Psychological Association.
  • Wright, J. H., Basco, M. R., & Thase, M. E. (2006). Learning cognitive-behavior therapy: An illustrated guide. Washington, DC: American Psychiatric Publishing.

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Additional Tabs

The Cognitive Behavioral Therapy Techniques and Strategies Series is divided into six strategically focused programs that roughly parallel the chronology of cognitive behavioral therapy from the earliest sessions, through the middle, and onto the final session.

Each program is structured around demonstration clips that feature Keith S. Dobson, Pamela A. Hays, and Amy Wenzel implementing the most effective strategies that are typically used in cognitive behavioral therapy. Highlighted throughout are culturally responsive techniques as well as ways to adapt strategies to different cultural contexts.

Designed for clinical training and continuing education, this series has been created to provide psychology students and seasoned practitioners with an expert introduction to the range of techniques and strategies in cognitive behavioral therapy.

Other Titles in the Series

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These videos are intended for practicing professionals in the mental health and health professions and for graduate students in training for these professions.