Developmental Cognitive Behavioral Therapy with Adults

214 Pages·2007·2.07 MB·English

by  Janet M. Zarb

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New York London
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Routledge Routledge
Taylor & Francis Group Taylor & Francis Group
270 Madison Avenue 2 Park Square
New York, NY 10016 Milton Park, Abingdon
Oxon OX14 4RN
© 2007 by Taylor & Francis Group, LLC
Routledge is an imprint of Taylor & Francis Group, an Informa business
Printed in the United States of America on acid‑free paper
10 9 8 7 6 5 4 3 2 1
International Standard Book Number‑10: 0‑415‑95600‑5 (Softcover)
International Standard Book Number‑13: 978‑0‑415‑95600‑0 (Softcover)
No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic,
mechanical, or other means, now known or hereafter invented, including photocopying, microfilming,
and recording, or in any information storage or retrieval system, without written permission from the
publishers.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are
used only for identification and explanation without intent to infringe.
Library of Congress Cataloging‑in‑Publication Data
Zarb, Janet M.
Developmental cognitive behavioral therapy with adults / Janet Zarb.
p. ; cm.
ISBN‑13: 978‑0‑415‑95600‑0 (pb : alk. paper)
ISBN‑10: 0‑415‑95600‑5 (pb : alk. paper)
1. Cognitive therapy. 2. Developmental disabilities. 3. Developmental psychology.
I. Title.
[DNLM: 1. Cognitive Therapy‑‑methods. 2. Adult‑‑psychology. 3. Human
Development. 4. Psychopathology. WM 425.5.C6 Z36d 2007]
RC489.C63Z37 2007
616.89’14‑‑dc22 2006038314
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the Routledge Web site at
http://www.routledge‑ny.com
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DeDication
To George

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contents
Chapter 1 Introducing the Developmental Cognitive
Behavioral Therapy Approach 1
Chapter 2 Developmental Cognitive Behavioral Therapy
Assessment Strategies 19
Chapter 3 Developmental Cognitive Behavioral Therapy
Intervention Strategies 47
Chapter 4 Maladaptive Developmental Patterns Affecting
Occupational Functioning 87
Chapter 5 Maladaptive Developmental Patterns Affecting
Social Relationships 125
Chapter 6 Maladaptive Developmental Patterns Affecting
Intimate Partner and Family Functioning 147
References 191
Index 199
ii
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1
introDucing the Developmental
cognitive Behavioral therapy approach
The aim of this book is to introduce a new psychotherapy approach that
combines conventional cognitive therapy with a lifespan developmen-
tal psychopathology perspective. The major focus will be on treatment
of adult role difficulties contributing to mental health problems. This
approach examines the relationship between depression, anxiety, per-
sonality disorders, and other psychological problems and the client’s
difficulties in performing expected adult roles and tasks. It adopts a
developmental psychopathology framework that considers behav-
ioral and emotional problems in relation to normative sequences and
achievements for particular ages and stages across the life cycle. This
new approach will be referred to as Developmental Cognitive Behavorial
Therapy, or Developmental CBT.
The initial phase of Developmental CBT adopts the most studied
and commonly used CBT model developed by Aaron Beck and his col-
leagues and expanded by other therapists over the past forty years (e.g.,
Beck, 1976; Beck & Emery, 1985; Beck & Freeman, 1990; Beck et al.,
1979; Beck, J., 1995; Meichenbaum, 1994; Padesky, 1994; Young, Beck, &
Weinberger, 1993). This model is also frequently referred to as cognitive
therapy (CT). The primary difference between the new Developmental
CBT approach espoused in this book and traditional CBT approaches is
the addition of a developmental phase of assessment and treatment that
focuses on the client’s inadequate resolution of normative psychosocial
developmental tasks and transitions of earlier life stages. This approach
evolved from a common observation by the author and other clinicians
that a substantial proportion of people seeking therapy are experienc-

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