[Katharina_Manassis]_Cognitive_Behavioral_Therapy
.pdfCognitive Behavioral
Therapy with
CHILDREN
Cognitive Behavioral
Therapy with
CHILDREN
A Guide for the Community Practitioner
Katharina Manassis
New York London
Routledge |
Routledge |
Taylor & Francis Group |
Taylor & Francis Group |
270 Madison Avenue |
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New York, NY 10016 |
Milton Park, Abingdon |
|
Oxon OX14 4RN |
© 2009 by Taylor & Francis Group, LLC
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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-13: 978-0-415-99670-9 (Softcover)
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Library of Congress Cataloging-in-Publication Data
Manassis, Katharina.
Cognitive behavioral therapy with children : a guide for the community practitioner
/Katharina Manassis. p. ; cm.
Includes bibliographical references and index. ISBN 978-0-415-99670-9 (pbk. : alk. paper) 1. Cognitive therapy for children. I. Title.
[DNLM: 1. Cognitive Therapy--methods. 2. Child. 3. Community Health Services--methods. 4. Evidence-Based Practice. WS 350.6 M2675c 2009]
RJ505.C63M33 2009 |
|
616.89’1425--dc22 |
2008054211 |
Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com
and the Routledge Web site at http://www.routledge.com
This book is dedicated to those I have taught, to those who have taught me, and to Julia and Martin, my own children.
Contents
Preface |
xiii |
Acknowledgments |
xxi |
Author |
xxiii |
1. Why the Gap between Efficacy and Effectiveness? |
1 |
What Is Known |
1 |
Putting It into Practice |
3 |
Client Factors |
4 |
Children One Might Include with Caution |
5 |
Therapist Factors |
7 |
Organizational Factors |
8 |
Unknowns in CBT |
10 |
Getting Started Worksheet |
12 |
Clinical Challenge |
13 |
References |
13 |
2. Leveling the Playing Field |
15 |
What Is Known |
15 |
Putting It into Practice |
17 |
Assessing the Main Problem |
17 |
Assessing the Child in Context |
21 |
The Ideal Candidates for CBT |
23 |
When CBT Is Part of the Solution |
24 |
Testing the Waters: Cognitive Readiness for CBT |
26 |
When Individual Treatment Is Preferable to Group Treatment |
27 |
When CBT Is Not Helpful |
29 |
vii
viii |
Contents |
|
|
Assessment Worksheet |
30 |
|
Clinical Challenge |
32 |
|
References |
32 |
3. Priorities and Timing of Therapy |
35 |
|
|
What Is Known |
35 |
|
Putting It into Practice |
37 |
|
The Case of Carrie |
37 |
|
The Case of Roger |
40 |
|
Additional Considerations |
41 |
|
CBT and Other Psychotherapies |
42 |
|
CBT and Psychotropic Medications |
44 |
|
When a Full Course of CBT Is Not Possible |
46 |
|
Timing Worksheet |
48 |
|
Clinical Challenge |
50 |
|
References |
50 |
4. |
Treatment Expectations |
53 |
|
What Is Known |
53 |
|
Putting It into Practice |
55 |
|
Goals |
55 |
|
Time Frame |
56 |
|
Roles |
57 |
|
Progress in Therapy |
58 |
|
What Happens When the Therapy Is Over? |
60 |
|
Common Misconceptions about CBT |
60 |
|
Mrs. Smith’s Treatment Expectations |
61 |
|
Expectations Worksheet |
64 |
|
Clinical Challenge |
66 |
|
References |
66 |
5. |
Using Manuals Appropriately |
69 |
|
What Is Known |
69 |
|
Anxiety-Focused Manuals |
71 |
|
Depression-Focused Manuals |
71 |
|
Manuals Focused on Externalizing Problems |
71 |
|
Putting It into Practice |
71 |
|
Manual Selection |
73 |
|
Adherence |
74 |
|
Modifications That May Help |
76 |
|
Modifications That Are Inadvisable |
78 |
|
Manuals and the Therapeutic Relationship |
79 |
|
Contents |
ix |
|
Cultural Difference and Manualized Therapy |
81 |
|
When There Is No Manual That Fits Exactly |
|
|
(Modular Approaches) |
82 |
|
How Do You Know Which Modules to Use? |
83 |
|
Using Manuals Worksheet |
85 |
|
Clinical Challenge |
87 |
|
References |
87 |
6. |
How Child CBT Differs from Adult CBT |
89 |
|
What Is Known |
89 |
|
Putting It into Practice |
90 |
|
The Therapy Experience from a Child’s Point of View |
90 |
|
Cognitive Differences between Children and Adults |
92 |
|
Getting Children to Use What They Learn (Encouragement |
|
|
and Motivation) |
94 |
|
Working with Children Worksheet |
98 |
|
Clinical Challenge |
100 |
|
References |
100 |
7. |
Working with Challenging Children |
103 |
|
What Is Known |
103 |
|
Putting It into Practice |
106 |
|
The Disruptive Child |
106 |
|
Engaging the Withdrawn Child: Depression |
107 |
|
Engaging the Withdrawn Child: Anxiety |
109 |
|
The Realistically Challenged Child |
111 |
|
Challenging Child Worksheet |
114 |
|
Clinical Challenge |
115 |
|
References |
115 |
8. |
Working with Challenging Families |
117 |
|
What Is Known |
117 |
|
Putting It into Practice |
118 |
|
How Does Family Functioning Relate to Child CBT? |
119 |
|
Where Does CBT Fit in Relation to Family Functioning? |
120 |
|
Common Family Dilemmas in CBT |
121 |
|
Common Compromises When Working with Families |
127 |
|
“Pearls for Parents” of Children in CBT |
127 |
|
Challenging Families Worksheet |
133 |
|
Clinical Challenge |
135 |
|
References |
135 |