Cognitive-Behavioral Therapy with Couples and

From a leading expert in cognitive-behavioral therapy and couple and family therapy, this comprehensive guide combines cutting-edge research and clinical wisdom. The author shows how therapeutic techniques originally designed for individuals have been successfully adapted for use with couples and families struggling with a wide range of relationship problems and stressful life transitions. Vivid clinical examples illustrate the process of conducting thorough assessments, implementing carefully planned cognitive and behavioral interventions, and overcoming roadblocks. The book highlights ways to enhance couple and family treatment by drawing on the latest knowledge about relationship dynamics, attachment, and neurobiology. Cultural diversity issues are woven throughout.

Frank M. Dattilio, PhD, ABPP, holds faculty positions with the Department of Psychiatry at Harvard Medical School and the University of Pennsylvania School of Medicine. He is also in the private practice of clinical and forensic psychology and marital and family therapy in Allentown, Pennsylvania. With more than 250 professional publications in the areas of couple and family problems, anxiety and behavioral disorders, and forensic and clinical psychology, Dr. Dattilio has presented extensively on CBT throughout the world. His works have been translated into more than 27 languages and are used in over 80 countries. He serves on the editorial boards of a number of professional journals, including the Journal of Marital and Family Therapy and Contemporary Family Therapy. Dr. Dattilio is a recipient of several awards for outstanding achievement in the fields of psychology and psychotherapy.

Introduction	p. 1
Overview of Contemporary Cognitive-Behavioral Therapy with Couples and Families	p. 1
Learning Theory Principles	p. 2
Cognitive Therapy Principles	p. 5
The Integrative Potential of Cognitive-Behavioral Therapy	p. 6
The Mechanics of Change with Couples and Families	p. 10
Cognitive Processes	p. 10
Attachment and Affect	p. 25
The Role of Behavioral Change	p. 48
The Schema Component in Cognitive-Behavioral Therapy	p. 54
The Concept of Schema	p. 54
Automatic Thoughts and Schemas	p. 57
Underlying Schemas and Cognitive Distortions	p. 60
Identifying Schemas from the Family of Origin and Their Impact on Couple and Family Relationships	p. 61
Cognitions and Transgenerational Schemas	p. 67
The Role of Neurobiological Processes	p. 77
The Role of the Amygdala	p. 81
Cognition versus Emotion	p. 85
Methods of Clinical Assessment	p. 88
Initial Joint Interviews	p. 89
Consultation with Previous Therapists and Other Mental Health Providers	p. 91
Inventories and Questionnaires	p. 93
Additional Psychological Testing and Appraisals	p. 96
Genograms	p. 97
Ongoing Assessment and Case Conceptualization throughout the Course of Therapy	p. 98
Specific Difficulties with the Assessment Process	p. 99
Behavioral Observations and Change	p. 101
Structured Family Interaction	p. 102
Assessment of Cognitions	p. 103
Individual Interviews	p. 105
Identification of Macro-Level Patterns and Core Relationship Issues	p. 106
Assessing Motivation to Change	p. 107
Feedback on the Assessment	p. 108
Identifying Automatic Thoughts and Core Beliefs	p. 108
Differentiating Core Beliefs from Schemas	p. 111
Negative Framing and How to Identify It	p. 112
Identifying and Labeling Cognitive Distortions	p. 113
Translating Thoughts, Emotions, and Behaviors in the Process of Conceptualization	p. 114
Attribution and Standards and Their Role in Assessment	p. 114
Targeting Maladaptive Behavioral Patterns	p. 115
Testing and Reinterpreting Automatic Thoughts	p. 115
Formulating a Plan of Treatment	p. 116
Cognitive-Behavioral Techniques	p. 118
Educating and Socializing Couples and Family Members about the Cognitive-Behavioral Model	p. 118
Identifying Automatic Thoughts and Associated Emotions and Behavior	p. 119
Addressing Schemas and Schema Restructuring	p. 120
Instituting Enactment through Reframing and Rehearsal	p. 122
Behavioral Techniques	p. 123
Addressing the Potential for Relapse	p. 156
Handling Roadblocks and Resistance to Change	p. 158
Partners' Negativity and Hopelessness about Change	p. 158
Differences in Agendas	p. 159
Anxiety about Changing Existing Patterns in the Relationship	p. 160
Relinquishing Perceived Power and Control	p. 161
Issues of Taking Responsibility for Change	p. 161
Roadblocks	p. 163
Special Topics	p. 173
Divorce	p. 173
Cultural Sensitivity	p. 178
Depression, Personality Disorder, and Other Mental Illnesses	p. 186
Extramarital Affairs	p. 187
Substance Abuse	p. 189
Domestic Abuse	p. 191
Contraindications and Limitations of the Cognitive-Behavioral Approach	p. 196
Couples and Families in Crisis	p. 198
Same-Sex Couples and Their Children	p. 199
Atypical Couple and Family Consultations	p. 200
Cotherapy with Couples and Families	p. 203
Multilevel Treatment	p. 203
Enhancements to Cognitive-Behavioral Therapy	p. 208
Acceptance-Based Techniques	p. 208
Mindfulness	p. 209
Case Examples	p. 212
The Retirement Trap	p. 212
Family of Gluttons	p. 225
Epilogue	p. 246
Questionnaires and Inventories for Couples and Families	p. 249
Dysfunctional Thought Record	p. 251
References	p. 253
Index	p. 273
Table of Contents provided by Ingram. All Rights Reserved.

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Cognitive-Behavioral Therapy with Couples and Families A Comprehensive Guide for Clinicians

Summary

Author Biography

Table of Contents

Supplemental Materials