An Introduction to Cognitive Behaviour Therapy: Skills and Applications

491 Pages·2011·4.69 MB·English

by  David Westbrook

An Introduction to Cognitive Behaviour
Therapy
Praise for the Book
‘If you can only buy one CBT book, this is the gem you are looking for. An Introduction to Cognitive
Behavioural Therapy offers a comprehensive and practical summary of CBT principles, methods and
treatment protocols. Experienced clinicians will appreciate the clinically sophisticated case examples which
are accompanied by succinct summaries of the conceptual and scientific principles encapsulated in them. At
the same time, this text is written so clearly that novice therapists will find it easy to understand and
immensely helpful in learning CBT.’ Christine A. Padesky, PhD, co-author of Collaborative Case
Conceptualization and Mind Over Mood
‘Cognitive-behavioural therapy has evolved into a large family of theories, models and therapeutic
strategies. This text is a very well organised, comprehensive and highly accessible introduction to CBT. The
authors’ proficient understanding of the breadth and complexity of CBT shines through, making this an
excellent overview of the current state of knowledge and practice.’
‘There is much to like about this book, but two features came through as particular strengths. First, the
text seeks to genuinely enable therapists’ understanding, providing “how to” guides, case examples and
route maps to learning. Second, the sections on therapist training and supervision provide a grounded and
excellent resource on how to get the most out of training and supervision. This book will help unlock CBT
therapists’ full potential to help their clients.’
Professor Willem Kuyken, Mood Disorders Centre
‘It is great to see an already outstanding book brought right up to date with the incorporation of new
information on difference, competence and access. Students, teachers and experienced practitioners alike
will do well to study this new edition in depth, particularly the enhanced case study material and student
exercises. As ever, for these authors, excellence begets excellence.’
David Richards, Professor of Mental Health Services Research, University of Exeter
‘This book provides an excellent, current and highly accessible introduction to the theory and core skills of
cognitive behavioural therapy (CBT). The authors’ extensive experience of therapy and teaching is evident
throughout the text. They offer a clear and comprehensive grounding in all aspects of the treatment and
invite active engagement with its content via the learning exercises presented at the end of each chapter.
The text is replete with rich case material, discussion and dialogues to illustrate and illuminate the CBT
techniques described. The content of the first edition has been updated to reflect developments in the theory
underpinning CBT and the evidence base of this widely practised, well validated and recommended
psychotherapy. It is an essential text for practitioners undertaking training in cognitive behavioural therapy,
but also offers rich insights for those who wish to learn more about the utility of this approach as a
treatment for depression and anxiety.’
Dr Hilary Mairs, School of Nursing, Midwifery and Social Work, University of Manchester
‘This is an excellent book, with well-written chapters and the emphasis being on understanding CBT rather
than solely on the application of it. It includes a helpful and easy to understand overview of the
development of CBT and the fundamental principles underlying it. Invaluable core skills required for
successful therapy are discussed and reassurance is provided for the learner practitioner to avoid feeling the
need to be an expert but instead to work as a team with the client to understand what is being experienced.
This includes a detailed consideration of the importance of the therapeutic relationship within CBT and
there is also a very useful discussion and advice regarding cultural differences and therapeutic boundaries.’
Rob Allison, Nursing, York University
An Introduction to
Cognitive Behaviour
Therapy
Skills and Applications
Second Edition
David Westbrook,
Helen Kennerley and Joan Kirk
© David Westbrook, Helen Kennerley and Joan Kirk 2007, 2011

First edition published 2007. Reprinted 2007 (twice), 2008 (twice), 2009 This second edition published
2011

Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted
under the Copyright, Designs and Patents Act, 1988, this publication may be reproduced, stored or
transmitted in any form, or by any means, only with the prior permission in writing of the publishers, or in
the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright
Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers.

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British Library Cataloguing in Publication data

A catalogue record for this book is available from the British Library

ISBN 978-1-84860-686-9
ISBN 978-1-84860-687-6 (pbk)

Typeset by C&M Digitals (P) Ltd., Chennai, India
Printed and bound in Great Britain by TJ International Ltd, Padstow, Cornwall
Printed on paper from sustainable resources
Contents
Companion Website
About the Authors
1 Basic Theory, Development and Current Status of CBT
2 Distinctive Characteristics of CBT
3 The Therapeutic Relationship
4 Assessment and Formulation
5 Measurement in CBT
6 Helping Clients Become Their Own Therapists
7 Socratic Method
8 Cognitive Techniques
9 Behavioural Experiments
10 Physical Techniques
11 The Course of Therapy
12 Depression
13 Anxiety Disorders
14 Anxiety Disorders: Specific Models and Treatment Protocols
15 Wider Applications of CBT
16 Alternative Methods of Delivery
17 Developments in CBT
18 Evaluating CBT Practice
19 Using Supervision in CBT
References
Index
Companion Website
Book purchasers can access a companion website featuring extracts from
streamed video role-plays that illustrate some of the key strategies described in
the book. This free material has been selected from the Oxford Cognitive
Therapy Centre’s pioneering online training materials, and book buyers are also
able to purchase discounted access to the full versions of these and other OCTC
online training modules via the book website.
Prompts for readers to watch the relevant role-play online are indicated in the
text by this icon:
When you see this icon, go to www.sagepub.co.uk/westbrook to view the
relevant free video extract.
This website is password-protected. It can be accessed by those of you who have
purchased this book when you set up a secure SAGE account through our
website. Just visit the page above to get started.
About the Authors
David Westbrook is a Consultant Clinical Psychologist, and Director of Oxford
Cognitive Therapy Centre (OCTC). Before training as a clinical psychologist he
was a psychiatric nurse, eventually becoming the nurse in charge of a specialist
behaviour therapy unit in London. This led on to an interest in cognitive therapy,
which has included training from many of the world’s leading CBT therapists.
He has been practicing CBT for over 25 years and currently works mostly in
OCTC, doing training, supervision and research; the rest of the time he works as
an NHS clinician, providing a service for patients with severe and complex
problems. He is BABCP-accredited as a therapist, supervisor and trainer.
Helen Kennerley is a Consultant Clinical Psychologist working in the NHS.
Most of her time is dedicated to the Oxford Cognitive Therapy Centre (OCTC),
where she is the Director of its Advanced Cognitive Therapy Studies course and
where she carries out CBT training and supervision. Her NHS clinical work is
predominantly with survivors of childhood trauma. She has practiced CBT for
over 25 years, having trained in Oxford and the US. She was a founder member
of OCTC and has written several popular cognitive therapy self-help books. In
2002 she was shortlisted for the BABCP award for most influential female
cognitive therapist in Britain. She is BABCP-accredited as a therapist, supervisor
and trainer.
Joan Kirk is a Consultant Clinical Psychologist and has been working clinically
for over 40 years, having trained in Liverpool, Edinburgh and Oxford. Her
original behavioural orientation gradually changed in the 1970s to a cognitive
behavioural position. She was keen to spread the word and so supervised and
taught enthusiastically, as well as doing research and writing. She was Head of
Adult Clinical Psychology Services in Oxford for many years, and from there
she developed the Oxford Cognitive Therapy Centre, and was its first Director.
She left the NHS in 2004, and now works independently. Joan is a Fellow of the
British Psychological Society, and a BABCP-accredited therapist.