Stories and Analogies in Cognitive Behaviour Therapy

410 Pages·2010·1.54 MB·English

by  Paul Blenkiron

STORIES AND ANALOGIES
IN COGNITIVE BEHAVIOUR
THERAPY

STORIES AND ANALOGIES
IN COGNITIVE BEHAVIOUR
THERAPY
PAUL BLENKIRON
A John Wiley & Sons, Ltd., Publication
This edition fi rst published 2010
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Library of Congress Cataloging-in-Publication Data
Blenkiron, Paul.
Stories and analogies in cognitive behaviour therapy / Paul Blenkiron.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-470-05895-4 (cloth) – ISBN 978-0-470-05896-1 (pbk.) 1. Cognitive therapy. I. Title.
[DNLM: 1. Cognitive Therapy–methods. 2. Anxiety Disorders–therapy. 3. Personality Disorders–
therapy. WM 425.5.C6 B647s 2010]
RC489.C63B56 2010
616.89′1425–dc22
2009033761
A catalogue record for this book is available from the British Library.
Set in 10/11.5pt Sabon by Toppan Best-set Premedia Limited
Printed in Singapore
1 2010
Dedication
To my family

Contents
List of Figures, Tables and Boxes xi
About the Author xv
Foreword by Chris Williams xvii
Preface xix
Acknowledgements xxiii
PART I: ONCE UPON A TIME: GETTING STARTED 1
Chapter 1: What Is Cognitive Behaviour Therapy? 3
Introduction 3
What Is Psychotherapy? 5
What Is Cognitive Behaviour Therapy? 5
CBT: Ten Essential Ingredients 8
Ten Common Myths about CBT 25
Summary 31
Chapter 2: Stories, Analogies and Metaphors 35
Introduction 35
Tools for Communication 35
Stories from the Wider World 42
Story-telling across the Psychotherapies 47
Summary 54
Chapter 3: Using Stories in CBT 57
Introduction 57
Uses for Stories and Metaphors 58
Abuses and Limitations 66
viii Contents
The Evidence Base 68
Drawing it All Together 73
Summary 78
PART II: DEVELOPING THE PLOT: STORIES FOR
SPECIFIC DISORDERS 81
Chapter 4: Depression 83
Introduction 83
Defi nition 84
Stories and Analogies 85
Step 1: Putting it into Words 85
Step 2: Accepting Help 87
CBT for Depression 89
Step 3: Doing More – Activities and Goals 91
Three Layers of Thinking 94
Step 4: Removing the Critical Voice 101
Step 5: Develop a Kinder Self-Talk 103
Step 6: Preparing for the Future 106
Summary 109
Chapter 5: Anxiety, Panic and Phobias 111
Introduction 111
What Is Anxiety? 112
How Do We Learn? 120
Assessing Anxiety 122
Generalized Anxiety Disorder 122
Panic Disorder 130
Catastrophic Misinterpretation 133
Selective Attention 133
Hypervigilance 134
Safety Behaviours 135
Phobias 137
Graded Exposure 139
Social Anxiety 145
Summary 149
Chapter 6: Obsessions, Compulsions and Post-Traumatic Stress 151
Introduction 151
Obsessive Compulsive Disorder 151