Table Of ContentSCIENCE AND PRACTICE
IN COGNITIVE THERAPY
Also from Robert L. Leahy
Cognitive Therapy Techniques, Second Edition:
A Practitioner’s Guide
Robert L. Leahy
Emotion Regulation in Psychotherapy: A Practitioner’s Guide
Robert L. Leahy, Dennis Tirch, and Lisa A. Napolitano
Emotional Schema Therapy
Robert L. Leahy
Overcoming Resistance in Cognitive Therapy
Robert L. Leahy
Psychological Treatment of Bipolar Disorder
Edited by Sheri L. Johnson and Robert L. Leahy
Roadblocks in Cognitive-Behavioral Therapy:
Transforming Challenges into Opportunities for Change
Edited by Robert L. Leahy
Treatment Plans and Interventions
for Bulimia and Binge-Eating Disorder
Rene D. Zweig and Robert L. Leahy
Treatment Plans and Interventions for Depression
and Anxiety Disorders, Second Edition
Robert L. Leahy, Stephen J. F. Holland, and Lata K. McGinn
S
cience
P
and ractice
c
in ognitive
t
heraPy
Foundations, Mechanisms,
and Applications
edited by
ROBERT L. LEAHY
The Guilford Press
New York London
Copyright © 2018 The Guilford Press
A Division of Guilford Publications, Inc.
370 Seventh Avenue, Suite 1200, New York, NY 10001
www.guilford.com
All rights reserved
No part of this book may be reproduced, translated, stored in a retrieval
system, or transmitted, in any form or by any means, electronic, mechanical,
photocopying, microfilming, recording, or otherwise, without written
permission from the publisher.
Printed in the United States of America
This book is printed on acid-free paper.
Last digit is print number: 9 8 7 6 5 4 3 2 1
The authors have checked with sources believed to be reliable in their efforts to
provide information that is complete and generally in accord with the standards of
practice that are accepted at the time of publication. However, in view of the pos-
sibility of human error or changes in behavioral, mental health, or medical sciences,
neither the authors, nor the editor and publisher, nor any other party who has been
involved in the preparation or publication of this work warrants that the informa-
tion contained herein is in every respect accurate or complete, and they are not
responsible for any errors or omissions or the results obtained from the use of such
information. Readers are encouraged to confirm the information contained in this
book with other sources.
Library of Congress Cataloging-in-Publication Data
Names: Leahy, Robert L., editor.
Title: Science and practice in cognitive therapy : foundations, mechanisms,
and applications / edited by Robert L. Leahy.
Description: New York : The Guilford Press, [2018] | Includes bibliographical
references and index.
Identifiers: LCCN 2017050354 | ISBN 9781462533381 (hardback : alk. paper)
Subjects: | MESH: Cognitive Therapy
Classification: LCC RC489.C63 | NLM WM 425.5.C6 | DDC 616.89/1425—dc23
LC record available at https://lccn.loc.gov/2017050354
About the Editor
Robert L. Leahy, PhD, is Director of the American Institute for Cognitive
Therapy in New York and Clinical Professor of Psychology in the Depart-
ment of Psychiatry at Weill Cornell Medical College. His research focuses
on individual differences in emotion regulation. Dr. Leahy is Associate Edi-
tor of the International Journal of Cognitive Therapy and is past president
of the Association for Behavioral and Cognitive Therapies, the International
Association for Cognitive Psychotherapy, and the Academy of Cognitive
Therapy. He is a recipient of the Aaron T. Beck Award from the Academy
of Cognitive Therapy. Dr. Leahy has published numerous books, includ-
ing Cognitive Therapy Techniques, Second Edition; Treatment Plans and
Interventions for Depression and Anxiety Disorders, Second Edition; and
Emotion Regulation in Psychotherapy. He is Editor of Guilford’s Treat-
ment Plans and Interventions for Evidence-Based Psychotherapy series.
v
Contributors
Lyn Y. Abramson, PhD, Department of Psychology, University of Wisconsin–
Madison, Madison, Wisconsin
Lauren B. Alloy, PhD, Department of Psychology, Temple University, Philadelphia,
Pennsylvania
Arnoud Arntz, PhD, Department of Clinical Psychology, University of Amsterdam,
Amsterdam, The Netherlands
Aaron T. Beck, MD, Beck Institute for Cognitive Therapy, Bala Cynwyd,
Pennsylvania; Department of Psychiatry (Emeritus), University of Pennsylvania
Perelman School of Medicine, Philadelphia, Pennsylvania
Judith S. Beck, PhD, Beck Institute for Cognitive Therapy, Bala Cynwyd, Pennsylvania
Taylor A. Burke, MA, Department of Psychology, Temple University, Philadelphia,
Pennsylvania
Joseph K. Carpenter, MA, Department of Psychological and Brain Sciences,
Boston University, Boston, Massachusetts
David A. Clark, PhD, Department of Psychology (Emeritus), University of New
Brunswick, Fredericton, New Brunswick, Canada
Michelle Hanna Collins, MEd, Student Affairs Office, Moravian College,
Bethlehem, Pennsylvania
Joshua Curtiss, MA, Department of Psychological and Brain Sciences,
Boston University, Boston, Massachusetts
Frank M. Dattilio, PhD, ABPP, Department of Psychiatry, University of Pennsylvania
Perelman School of Medicine, Philadelphia, Pennsylvania; Harvard Medical
School, Boston, Massachusetts
Denise D. Davis, PhD, Department of Psychological Studies, Vanderbilt University,
Nashville, Tennessee
Robert J. DeRubeis, PhD, Department of Psychology, University of Pennsylvania,
Philadelphia, Pennsylvania
Keith S. Dobson, PhD, Department of Psychology, University of Calgary,
Calgary, Alberta, Canada
vii
viii Contributors
Norman B. Epstein, PhD, Department of Family Science, School of Public Health,
University of Maryland, College Park, College Park, Maryland
Amanda M. Ferguson, MA, Graduate Department of Psychological Clinical Science,
University of Toronto Scarborough, Ontario, Canada
Nicole B. Gumport, BA, Department of Psychology, University of California,
Berkeley, Berkeley, California
Allison G. Harvey, PhD, Department of Psychology, University of California,
Berkeley, Berkeley, California
Stefan G. Hofmann, PhD, Department of Psychological and Brain Sciences,
Boston University, Boston, Massachusetts
Steven D. Hollon, PhD, Department of Psychology, Vanderbilt University, Nashville,
Tennessee
Emily A. Holmes, PhD, Department of Clinical Neuroscience, Karolinska Institute,
Stockholm, Sweden
Sheri L. Johnson, PhD, Department of Psychology, University of California, Berkeley,
Berkeley, California
Robert L. Leahy, PhD, American Institute for Cognitive Therapy, New York,
New York
Bruce S. Liese, PhD, Department of Family Medicine, University of Kansas
Medical Center, and Department of Psychology, The University of Kansas,
Lawrence, Kansas
Anthony P. Morrison, PhD, Division of Psychology and Mental Health, University of
Manchester, Manchester, United Kingdom
Elizabeth K. Murphy, Division of Psychology and Mental Health, University of
Manchester, Manchester, United Kingdom
Cory F. Newman, PhD, Center for Cognitive Therapy and Department of
Psychiatry, University of Pennsylvania Perelman School of Medicine,
Philadelphia, Pennsylvania
Jared O’Garro-Moore, MA, Department of Psychology, Temple University,
Philadelphia, Pennsylvania
Andrew D. Peckham, PhD, Behavioral Health Partial Hospital Program,
McLean Hospital, Belmont, Massachusetts
Julia C. Poole, MSc, Department of Psychology, University of Calgary,
Calgary, Alberta, Canada
Fritz Renner, PhD, Medical Research Council, Cognition and Brain Sciences Unit,
Cambridge, United Kingdom
Patricia A. Resick, PhD, Department of Psychiatry and Behavioral Sciences,
Duke University Medical Center, Durham, North Carolina
Rachael I. Rosner, PhD, Independent Scholar, Boston, Massachusetts
Zindel V. Segal, PhD, Graduate Department of Psychological Clinical Science,
University of Toronto Scarborough, Scarborough, Ontario, Canada
Debbie Sookman, PhD, Obsessive Compulsive Disorder Clinic, Department of
Psychology, McGill University Health Center, and Department of Psychiatry,
McGill University, Montreal, Quebec, Canada
Jessica C. Tripp, MS, Department of Psychology, The University of Memphis,
Memphis, Tennessee
Preface
W
hen I was a young graduate student many years ago, the only
model that interested me was the psychodynamic model. It appealed to me
because it seemed to have depth, it promised to free people from the trau-
mas and ghosts of the past, and it offered an approach to the bigger ques-
tions of love, war, and even the complexities of civilization. But as I began
reading more about the lack of evidence of its effectiveness, I became disil-
lusioned and turned away from what I thought was the magic key. Then
I discovered the work of Aaron T. Beck, the visionary and pioneer whose
work has influenced all of the contributors to this volume. That work has
changed my life.
What Beck did was turn depression—and then anxiety, anger, and
even personality disorder—on its head. Rather than digging for the buried
treasures of the unconscious, Beck’s cognitive model allowed us to access
thoughts and images that were often right out in the open. It was as if the
secret to treating depression and other disorders were hidden in plain sight.
His work on depression provided both a model of what activated, main-
tained, and escalated negative moods and a treatment model that guided us
in directly addressing each of the major symptoms of depression. Ever the
objective scientist, he, together with colleagues, demonstrated the effective-
ness of this approach and gave rise to a new field—cognitive therapy.
The contributors to this volume were all influenced by Beck’s work,
and it is a testimony to the cognitive model that it has expanded its concep-
tualization and treatment protocols for the past 45 years. It is not a doctri-
naire model, and Beck himself has continued to expand it by integrating the
cognitive model with contemporary neuroscience, evolutionary theory, and
socialization research. In the chapters that follow, the reader will be taken
on a journey from Beck’s current work (on schizophrenia) to an overview
ix
