Download or read book Comparing Therapist Responsivity to Resistance Markers in Cognitive Behavioural Therapy and Motivational Interviewing Integrated with Cognitive Behavioural Therapy for Generalized Anxiety written by Kimberley Michelle Hara and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: While therapist supportive, rather than directive, strategies have been particularly indicated during client resistance, little systematic research has examined how therapists responsively navigate resistance (Aviram et al., 2016; Westra & Norouzian, 2018). In the context of Cognitive-Behavioural Therapy (CBT) for Generalized Anxiety Disorder (GAD; Westra et al., 2016), the present study examined (1) the degree to which therapist management of resistance differs between therapists trained in CBT integrated with Motivational Interviewing (MI-CBT; i.e., training centered on the responsive management of resistance) and therapists trained in CBT-alone, and (2) the impact of specific therapist behaviours differentiating therapy groups during resistance on client worry outcomes immediately posttreatment and 1-year posttreatment. An adapted version of the Client Resistance Code (Chamberlain et al., 1984; Westra et al., 2009) was used to identify episodes of client resistance to therapist direction, and specific moments of disagreement were rated for therapist behaviour (i.e., degree of interpersonal affiliation, control and hostility) using the Structural Analysis of Social Behavior (Benjamin, 1974). Therapists trained in MI integrated with CBT were found to exhibit significantly more affiliative and fewer hostile behaviours during disagreement episodes compared to those trained in CBT-alone. Increased therapist affiliation during disagreement episodes was also found to mediate client 1-year posttreatment outcomes, such that increased therapist affiliation as facilitated by MI-CBT vs. CBT-alone was associated with improved outcomes. Increased therapist hostility also mediated 1-year outcomes, demonstrating increased therapist hostility as facilitated by CBT-alone vs. MI-CBT was associated with poorer outcomes at 1-year posttreatment. This study highlights the value of training therapists in the responsive detection and management of client resistance, as well as the systematic integration of relational models, such as MI, with more action-oriented treatment approaches. Findings have significant capacity to improve clinical decision-making and therapist effectiveness, thereby improving the efficacy of CBT for GAD.

Download or read book Testing the Context Responsivity Hypothesis written by Adi Aviram and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite growing recognition of the importance of context-responsivity in psychotherapy, and recommendations to develop context-responsive models through identification of clinical markers to which therapists need to be responsive, the notion of context-responsivity in relation to key markers such as resistance remains largely understudied. The current study sought to examine therapist responsiveness during identified moments of resistance (i.e., client disagreement with therapist direction) in the context of cognitive-behavioural therapy (CBT) for generalized anxiety disorder (Westra et al., 2015). There were two ways in which context-responsivity was investigated. The first was to examine whether differences in therapist style (i.e., more supportive and less directive behaviour) in the presence of disagreement go on to predict proximal (i.e., level of subsequent resistance in the session following therapist management of resistance) and distal (i.e., pre-to-post worry reduction) therapy outcomes. To this end, the present study utilized the Manual for Rating Interpersonal Resistance (Westra et al., 2009) to identify moments of client disagreement with therapist direction. In turn, the Motivational Interviewing Treatment Integrity (MITI; Moyers et al., 2010) was used to rate therapist use of theoretically indicated motivational interviewing (MI) skills (e.g., level of empathy, collaboration, evocation, and support of client autonomy) during identified moments of disagreement. The second approach to investigating context-responsivity was through comparing variations in therapist MI adherence in the presence of disagreement, with variations in therapist general MI adherence during randomly selected moments in therapy, in order to examine whether the timing of therapist use of MI principles differentially impacts treatment outcomes. Results indicated that clients whose therapists displayed higher levels of MI relational conditions in the context of disagreement had substantially lower levels of subsequent resistance and post-treatment worry. Furthermore, while variations in therapist MI adherence in the context of disagreement were consistently and substantially related to CBT outcomes, variations in therapist general MI adherence were not. These findings provide support for the context-responsivity hypothesis, and serve to suggest that systematic incorporation of the client-centered relational conditions advanced in MI to the responsive management of resistance in CBT is a valuable clinical endeavor which should become a priority for clinical training.

Download or read book Integrated Motivational Interviewing and Cognitive Behavioral Therapy ICBT written by Joseph Hyde and published by John Wiley & Sons. This book was released on 2024-06-13 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical approach to clinical interventions applicable to a range of mental health diagnoses Integrated Motivational Interviewing and Cognitive Behavioral Therapy (ICBT) for Adults is a guide for practitioners looking for evidence-based clinical interventions that are portable across settings and diagnoses. Written in plain English and with an emphasis on step-by-step instructions, this valuable toolkit collects strategies and interventions that have been shown to be effective in substance use disorder, depression, anxiety, and beyond. This widely applicable treatment approach draws on motivational interviewing, cognitive behavioral therapy (CBT), motivational enhancement therapy, mindfulness, functional analysis, and other methods that are strongly supported in the literature. With content reflecting emerging research findings and evolving social contexts, this book is both timely and firmly rooted in science. After presenting a set of proven techniques for motivational interviewing and CBT, this book details a 16-session course designed to fit within conventional models of therapeutic practice. Each session covers a cognitive behavioral skill (e.g., assertiveness, handling cravings, suicidality) and builds upon the previous sessions, but they also work as standalone interventions and do not have to be followed in a particular order. The book also offers additional tools to promote intervention quality and clinical supervision. Worksheets, handouts, and other materials are included in photocopiable format, making this a valuable guide in all outpatient mental health settings. Learn the fundamentals of motivational interviewing, cognitive behavioral therapy, and other evidence-based treatment modalities Get practical clinical tools, including step-by-step session guides on cognitive behavioral skills relevant to a range of diagnoses Access self-assessments, clinical supervision tools, and other resources to enhance clinical effectiveness Incorporate emerging research, changing social contexts, and lessons learned from the COVID-19 pandemic into your practice Earlier editions of this guide focused on addressing substance use disorders and cooccurring disorders. This edition is applicable to those disorders but reflects that these clinical strategies are transdiagnostic.

Download or read book Integrating Motivational Interviewing and Cognitive Behavior Therapy in Clinical Practice written by Melanie M. Iarussi and published by Routledge. This book was released on 2019-11-12 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Motivational Interviewing and Cognitive Behavior Therapy in Clinical Practice shows counseling and other mental health professionals how the theoretical bases and evidence-based practices of motivational interviewing (MI) and cognitive behavior therapy (CBT) can be used together to maximize client outcomes. Chapters outline effective methods for integrating MI and CBT and show how these can be applied to clients in a diverse range of mental health, substance use and addiction, and correctional settings. Written in a clear and applicable style, the text features case studies, resources for skill development, and "Voices From the Field" sections, as well as chapters devoted to specific topics such as depression, anxiety, and more. Building on foundational frameworks for integrative practice, this is a valuable resource for counseling and psychotherapy practitioners looking to incorporate MI and CBT into their clinical practices.

Download or read book The Impact of Motivational Interviewing on Client Response to the Treatment Rationale Within Cognitive Behavioral Therapy for Generalized Anxiety written by Angela Leah Kertes and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Motivational Interviewing and CBT written by Sylvie Naar and published by Guilford Publications. This book was released on 2017-07-12 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT. User-friendly features include extensive sample dialogues, learning exercises for practitioners, and 35 reproducible client handouts that can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Motivational Interviewing, Fourth Edition: Helping People Change and Grow, by William R. Miller and Stephen Rollnick, and Building Motivational Interviewing Skills, Second Edition: A Practitioner Workbook, by David B. Rosengren. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Download or read book The Predictive Capacity of Self Reported Motivation Vs Observed Motivational Language in Cognitive Behavioural Therapy for Generalized Anxiety Disorder written by Lauren Elizabeth Poulin and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Client change motivation is considered a key factor in psychotherapy. Existing research on motivation has largely relied on self-report, which is prone to response bias and inconsistently related to treatment outcome. In contrast, early observed client in-session language may be a more valid measure of initial motivation. The present study investigated 85 clients undergoing cognitive behavioural therapy alone (CBT) or CBT infused with motivational interviewing (MI-CBT) for generalized anxiety disorder. The aims were: (1) to compare the predictive capacity of motivational language vs. self-reported motivation, and (2) to examine the influence of treatment condition on motivational language. Findings revealed motivational language explained up to 38% of outcome variance, even 1-year posttreatment. In contrast, self-reported motivation failed to predict outcome. Moreover, MI-CBT was associated with a decrease in detrimental motivational language compared to CBT alone. These findings support attending to motivational language in CBT and responding to these markers using MI.

Download or read book Integrating Motivational Interviewing with CBT for Generalized Anxiety Disorder written by Heather Muir and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim: A randomized clinical trial demonstrated that responsively adding motivational interviewing (MI) to cognitive-behavioral therapy (CBT) for generalized anxiety disorder (GAD) outperformed CBT alone on long-term worry reduction (Westra et al., 2016). Consistent with MI's additive aim, this effect was mediated by less patient midtreatment resistance in the integrative treatment (Constantino et al., 2019). Insofar as GAD is marked by interpersonal styles of excessive nonassertiveness and over accommodation, I tested here whether MI-CBT also outperformed CBT, across acute treatment and long-term follow up, on reducing these characteristic interpersonal problems. Moreover, as patient resistance is an interpersonal event for which person-centered MI should, according to theory, be more helpful than directive CBT, I tested if resistance also mediated the expected effect of treatment on the long-term interpersonal outcomes. Method: Eighty-five patients with severe GAD were randomly assigned to 15 sessions of MI-CBT or CBT. Patients completed a measure of interpersonal problems repeatedly through treatment and 12 months of follow up. Independent observers rated patient resistance at a midtreatment session. Results: As expected, structural equation models revealed comparable reductions in nonassertiveness and over accommodation across acute MI-CBT and CBT. Also as predicted, MI-CBT vs. CBT promoted significantly greater reduction in over accommodation problems over long-term follow up; however, this differential effect was only marginally significant for nonassertiveness problems. Finally, as predicted, the treatment effect on the level of both interpersonal problems at 12-month follow up was mediated by less midtreatment resistance in MI-CBT vs. CBT. Discussion: Results support that the benefit of adding MI to CBT for GAD extends to long-term interpersonal change, and they implicate resistance management as a candidate mechanism of this additive effect.

Download or read book Motivational Cognitive Behavioural Therapy written by Cathy Atkinson and published by Routledge. This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This informative and straightforward book explores the emergence of motivational interviewing (MI) and cognitive behavioural therapy (CBT), with specific attention given to the increasing focus on the central importance of the therapeutic alliance in improving client outcomes. Comprising 30 short chapters divided into two parts - theory and practice - this entry in the popular "CBT Distinctive Features Series" covers the key features of MI-informed CBT, offering essential guidance for students and practitioners experienced in both MI and CBT, as well as practitioners from other theoretical orientations who require an accessible guide to this developing approach.

Download or read book Innovations in CBT for Childhood Anxiety OCD and PTSD written by Lara J. Farrell and published by Cambridge University Press. This book was released on 2019-04-25 with total page 779 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book collates the latest innovations in cognitive behavioral therapy for child and adolescent anxiety disorders, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD).

Download or read book Motivational Interviewing in the Treatment of Anxiety written by Henny A. Westra and published by Guilford Press. This book was released on 2012-05-30 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical book provides effective strategies for helping therapy clients with anxiety resolve ambivalence and increase their intrinsic motivation for change. The author shows how to infuse the spirit and methods of motivational interviewing (MI) into cognitive-behavioral therapy or any other anxiety-focused treatment. She describes specific ways to use MI as a pretreatment intervention or integrate it throughout the course of therapy whenever motivational impasses occur. Vivid clinical material--including a chapter-length case example of a client presenting with anxiety and depression--enhances the utility of this accessible guide. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

Download or read book Ambivalence as a Moderator of Treatment Outcomes in Motivational Interviewing and Cognitive Behavioural Therapy for Generalized Anxiety Disorder written by Melissa Lauren Button and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although there is a robust finding documenting the efficacy of Cognitive Behavioural Therapy (CBT) in treating anxiety, a significant proportion of clients fail to respond optimally to treatment. A major focus of psychotherapy research involves client-treatment matching, which examines client characteristics as potential predictors of treatment response. Client ambivalence has been identified as a key marker in psychotherapy with wide-ranging implications for engagement in therapy. Motivational Interviewing (MI) has strong empirical support for increasing client commitment for change through the resolution of ambivalence. Though it may be speculated that integrating MI into CBT may be more efficacious for clients high in ambivalence than CBT alone, the investigation of these critical client-treatment matching research questions has been hampered by inadequate measures of ambivalence. This study sought to examine this question in the context of CBT alone versus MI-CBT for 85 clients with severe generalized anxiety disorder (GAD). Rather than relying on self-report, the study used an observational measure (client in-session talk against change) to quantify ambivalence. Findings suggest MI-CBT resulted in better long-term worry outcomes than CBT alone for clients who were high in early ambivalence, whereas clients low in early ambivalence did better with CBT alone. In other words, client ambivalence significantly moderated treatment outcomes. In contrast, there was no moderation effect of ambivalence on interpersonal problems. Here, results revealed that regardless of their early ambivalence levels, clients who received MI-CBT reported significantly fewer interpersonal problems at long-term follow-up than clients receiving CBT alone. Client ambivalence seems to represent a key individual difference variable, and tailoring standard CBT protocols to incorporate MI may be particularly efficacious for clients who are highly ambivalent about change. The results also emphasize the potentially broader benefits of MI, in that, integrating MI into CBT may be an effective way of reducing interpersonal problems for all clients, regardless of their early ambivalence levels. Overall, these findings support the benefit of systematic training in identifying and flexibly responding to in-session markers of client change language, and suggest that treatment outcomes can be improved by training CBT therapists to incorporate the MI spirit during moments of ambivalence.

Download or read book Cognitive Behavioural Processes Across Psychological Disorders written by Allison G. Harvey and published by Oxford University Press, USA. This book was released on 2004 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: Readership: Academics, clinical psychologists and psychiatrists, cognitive behavioural therapists, and undergraduate and postgraduate students in clinical psychology

Download or read book The Responsive Psychotherapist written by Jeanne C Watson, PhD and published by . This book was released on 2021-04-13 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines how psychotherapists can be appropriately responsive to clients' unique needs across a variety of therapeutic approaches by saying or doing the right thing at the right time. It reviews important broad concepts like attuning to clients' needs, examining the therapeutic relationship, clinicians as attachment figures, and repairing ruptures. Chapters review responsiveness in specific types of therapy, reviewing strategies for responding to specific client markers, cultural diversity considerations, guidance for training and supervision, and directions for future research.

Download or read book Using Homework Assignments in Cognitive Behavior Therapy written by Nikolaos Kazantzis and published by Routledge. This book was released on 2005-12-05 with total page 770 pages. Available in PDF, EPUB and Kindle. Book excerpt: Homework is a central feature of Cognitive-Behavioral Therapy (CBT), given its educational emphasis. This new text is a comprehensive guide for administering assignments. The first part of the text offers essential introductory material, a comprehensive review of the theoretical and empirical support for the use of homework, models for practice, and systems for evaluating client compliance and therapist competence in administering assignments. Part two focuses on the role of homework in cognitive therapy, demonstrating successful methods of integration and discussing solutions to common barriers. Rather than offering one-size-fits-all, pre-designed tasks, this book illustrates application of a model with detailed case study and recommendations for adjusting administration methods for particular problems and specific client populations. Over the last nine chapters, homework administration is described within cognitive and behavioral therapy for anxiety and depression, chronic pain, delusions and hallucinations, obsessions and compulsions, marital and sexual problems, personality disorders, children and adolescents, group and family therapy, and older adults. Readers are provided with a full range of knowledge to successfully incorporate individualized homework assignments into their practice to maximize the proven long-term benefits of CBT.

Download or read book The Clinical Handbook of Mindfulness integrated Cognitive Behavior Therapy written by Bruno A. Cayoun and published by John Wiley & Sons. This book was released on 2018-11-12 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide to MiCBT for therapists working in clinical settings The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy offers therapists working in clinical settings a practical set of evidence-based techniques derived from mindfulness (vipassana) training and the principles of Cognitive Behavior Therapy. The increasing popularity of Mindfulness-integrated Cognitive Behavior Therapy (MiCBT) is principally attributed to its transdiagnostic applications. It offers novel tools that address a broad range of psychological disorders both acute and chronic, including those with complex comorbidities, and helps prevent relapse. The authoritative guide to this unique approach includes: A clear explanation of MiCBT’s origins and development, structure and content, scientific underpinnings and supporting empirical evidence A comprehensive guide to the 10-session MiCBT program for groups and individual clients that includes worksheets and handouts for each session and suggestions to overcome common difficulties A presentation of the research and practical experience of the authors, noted experts in the field of MiCBT Written for mental health therapists working with groups and individual clients, The Clinical Handbook of Mindfulness-integrated Cognitive Behavior Therapy offers an effective guide for implementing the principles of MiCBT within their professional practice.

Download or read book The Handbook of Behavior Change written by Martin S. Hagger and published by Cambridge University Press. This book was released on 2020-07-15 with total page 730 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social problems in many domains, including health, education, social relationships, and the workplace, have their origins in human behavior. The documented links between behavior and social problems have compelled governments and organizations to prioritize and mobilize efforts to develop effective, evidence-based means to promote adaptive behavior change. In recognition of this impetus, The Handbook of Behavior Change provides comprehensive coverage of contemporary theory, research, and practice on behavior change. It summarizes current evidence-based approaches to behavior change in chapters authored by leading theorists, researchers, and practitioners from multiple disciplines, including psychology, sociology, behavioral science, economics, philosophy, and implementation science. It is the go-to resource for researchers, students, practitioners, and policy makers looking for current knowledge on behavior change and guidance on how to develop effective interventions to change behavior.