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by Frank M. Dattilio & Christine A. Padesky
by Frank M. Dattilio & Christine A. Padesky

Cognitive Therapy with Couples

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• 1990  150pp paperback   ISBN: 9780943158495
• Also available in 8 other languages (U.S. customers only)
This practical book will be invaluable for therapists who are interested in applying cognitive therapy techniques to their work with couples.  Although there has been an explosion of research and development in cognitive therapy over the past decade, very little has previously been written that provides an integrated cognitive therapy approach to working with distressed couples.   

This book provides step-by-step guidance on applying cognitive therapy techniques in your work with dysfunctional couples.  This is a unique, structured, and active therapeutic approach.

Clinical assessment materials include surveys and questionnaires.  Also presents communications training and problem-solving strategies.  Discusses special problems such as infidelity, cultural issues, alternative lifestyles, and ending relationships.

companion presentation of the techniques outlined in this book is available in DVD format at: Cognitive Therapy With Couples: The Initial Phase of Treatment (DVD Video)

"The application of cognitive therapy to the treatment of relationship dysfunction in this book provides one of the most extensive descriptions of a cognitively based intervention for couples and, I hope, will stimulate much-needed outcome research on cognitive therapy with couples...this is a useful addition to the clinical literature.  It describes intervention for relationship dysfunction from the perspective of a system of therapy that has been influential in the treatment of individuals.  The utility of this system in the treatment of dyads is well worth examining... publication of this book brings us a step closer to the empirical evaluation of cognitive therapy with couples and in doing so contributes to the link between science and practice."
     -Contemporary Psychology

"One of those little books that is worth its weight in gold.  In fact, it reminded me of Virginia Satir's Conjoint Family Therapy...packed with profound, easy-to-read and understand material... It presents a framework, details theory and puts it into practice, offers frequent case examples that clearly illustrate the strategies and techniques, and offers helpful mechanisms which assist in the conducting of the therapeutic process...  The authors provide not only a 'How to' perspective, but one which includes 'Why to' insights."
     -Journal of Marriage and Family Therapy

"...fills an important gap in the current approaches available to treat couples.  This highly readable and practical volume will enable the reader to begin using this approach immediately as an adjunctive and singular approach.  The use of this approach along with behavioral and affective models will lead to greater integration as well as tailoring of treatment to the specific couples rather than the couple to the treatment."
   -Gerald R. Weeks, PhD, Marriage Council of Philadelphia

"This book is complete - with theory, technique and examples for the practice of Cognitive Therapy With Couples written with an expert knowledge of method and practical experience in its application."
     -Harry J. Aponte, ACSW

"I enjoyed this book.  It contains practical, current and very much needed information for the couple's therapist."
     -Cloe Madanes, Family Therapy Institute of Washington DC

Table of Contents
1. Overview of Cognitive Therapy
        Historical Development
        Philosophy and Theory
2. Cognitive Therapy with Couples
        Brief History and Overview
        Beliefs About the Relationship
            Alternative Versus Distorted Beliefs
            Unrealistic Expectations
            Causal Attributions and Misattributions
3. Assessment
        Conjoint Interviews
        Written Inventories and Questionnaires
        Individual Interviews
        Establishing a Treatment Contract
        Identifying Problem Areas
        Identifying Couples Automatic Thoughts
        Using Automatic Thoughts to Uncover Underlying Beliefs (Schemas)
        Identity from Family of Origin
        Clinician's Intake Evaluation for Couples
4. Techniques and Procedures
        Educating Couples to the Cognitive Model
        Identifying Cognitive Distortions and Labeling Them
        Faulty Information Processing
        Negative Framing
        Teaching Couples to Identify Automatic Thoughts
        Linking Emotions with Automatic Thoughts
        The Use of Imagery and Role Play Techniques
        Dispelling Automatic Thoughts and Reframing/Testing Automatic Thoughts
            Rating the Alternative Explanation or Alternative Response
            The Use of Downward Arrow
            The Use of Evidence in Correcting Distorted Thinking
            Weighing the Evidence and Testing Predictions
            Practicing Alternative Explanations
            Reframing - Considering the Negatives in a Positive Light   
        Increasing Positives in the Relationship
        Communication Training and Problem Solving
            Teaching Communication Skills
            Common Difficulties That Impede Communication Skills Acquisition
            Problem Solving
5. The Structure of Cognitive Therapy with Couples
        Course and Frequency of Therapy Sessions
        Individual Versus Conjoint Sessions
        Setting Agendas
        Homework Assignments
        Follow-Up Booster Sessions
6. Special Issues in Couple Therapy
        Crises Situations
        Anger and Violence Situations
        When One Wants Out and the Other Doesn't
        When Is It Time to End the Relationship?
        Other Psychiatric Disorders in the Couple
        Cultural Issues
        Gay and Lesbian Couples
7. Case Vignette: Zack and Carli
8. Concluding Remarks

About the Authors

Frank M. Dattilio, PhD
, received his doctorate in Psychological Studies from Temple University and completed a clinical post-doctoral fellowship through the Center for Cognitive Therapy at the University of Pennsylvania School of Medicine.  He is a licensed psychologist and is listed in the National Register of Health Service Providers in Psychology.  A Clinical Member and Approved Supervisor of the American Association of Marriage and Family Therapy, he is also an Adjunct Assistant Professor of Education at Lehigh University, as well as Clinical Associate in Psychiatry (Psychology) at the Center for Cognitive Therapy, University of Pennsylvania.  His areas of specialization include individual, marital, and family therapy, and he has authored and co-authored numerous professional articles and chapters on the treatment of behavior disorders, anxiety, and marital discord.  Dr. Dattilio has lectured in both the U.S. and Europe and is an editor or co-editor of multiple books and articles.

Christine A. Padesky, PhD
, received her doctorate in clinical psychology from UCLA and is Founder and Director of the Center for Cognitive Therapy, Newport Beach, California.  She is a licensed psychologist and listed in the National Register of Health Service Providers in Psychology.  She is also an Assistant Clinical Professor in the Department of Psychiatry and Human Behavior at the University of California, Irvine.  Dr. Padesky has been cited as one of the leading Cognitive Therapy instructors in both the United States and abroad.  In addition to being founding editor of the International Cognitive Therapy Newsletter, she has written articles and book chapters on depression, anxiety disorders, personality disorders, and cognitive therapy with women.  Dr. Padesky is one of the co-authors with Aaron T. Beck, MD, of Cognitive Therapy of Personality Disorders (Guilford, 1990) and numerous other titles.

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