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Practicing Positive CBT: From Reducing Distress to Building Success

ISBN: 978-1-119-95270-1
320 pages
October 2012, Wiley-Blackwell
Practicing Positive CBT: From Reducing Distress to Building Success (1119952700) cover image
Practicing Positive CBT: From Reducing Distress to Building Success reveals a new therapeutic approach that combines traditional CBT with Positive Psychology and Solution-Focused Brief Therapy. By shifting the focus of therapy from what is wrong with clients to what it right with them and from what is not working to what is, Positive CBT creates a more optimistic process that empowers clients and therapists to flourish.

  • Increases client motivation and collaboration; allows therapeutic outcomes to be achieved in shorter timeframes and in a more cost-effective way
  • Covers theory and applications, and provides a wide range of stories, exercises and case studies
  • The author has a uniquely broad knowledge and experience as a therapist and trainer of CBT, PP, and SFBT
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About the Author ix

Foreword x

Preface xii

Story: The Hundredth Monkey xiv

Acknowledgments xv

PART I THEORY 1

1 What is CBT? 3

Introduction 3

CBT Techniques 4

Empirical Evidence 5

2 What is Positive CBT? 7

Introduction 7

Shortcomings of the Problem-Solving Paradigm 8

Story 2.1: How to Not Be Unhappy 10

Towards a Strengths and Solutions Paradigm 10

Notes on Learning Theory 16

Story 2.2: I Can Choose 16

Changing Role of the Therapist 16

Differences Between Traditional CBT and Positive CBT – An Overview 17

Story 2.3: Looking for Problems? 17

3 Possibilities of Positive CBT 19

Introduction 19

What is Positive in Traditional CBT? 20

Possibilities of Positive CBT 31

4 Two Positive Sources 34

Introduction 34

Source 1: Positive Psychology 35

Story 4.1: The Power of Positive Emotions 41

Source 2: Solution-Focused Brief Therapy 41

Story 4.2: Do Something Different for a Change 42

Story 4.3: Working from the Future Back 49

Short Comparison Between Positive Psychology and Solution-Focused Brief Therapy 50

Empirical Evidence 50

Neuroscience 51

Story 4.4: The Drip System 55

The Body 59

PART II APPLICATIONS 61

5 Enhancing the Therapeutic Alliance 63

Introduction 63

Building a Positive Alliance 64

Offering Acknowledgment 65

Story 5.1: Acknowledging the Problem 66

Enhancing Hope 66

Story 5.2: The Archer 69

Story 5.3: The Power of Hope 70

Reinforcing Strengths and “What Works” 70

Enhancing Cooperation 72

Story 5.4: Misery I Love You! 74

Story 5.5: Everybody, Somebody, Anybody, and Nobody 76

6 Assessment 77

Introduction 77

Case Conceptualization 77

Assessing Goals 79

Story 6.1: Top Performers 86

Assessing Problems, Complaints, and Constraints 87

Assessing Strengths and Resources 88

Assessing Progress, Motivation, Hope, and Confi dence 90

Story 6.2: At the Car Wash 92

Assessing Motivation to Change 93

Positive Self-monitoring 93

Positive Functional Behavior Analysis 95

7 Changing the Viewing 99

Introduction 99

Acknowledging Feelings and the Past 99

Changing What the Client is Paying Attention to 101

Story 7.1: Finding the “Bright Spots” 102

Story 7.2: The Dog I Feed Most 110

Story 7.3: Shake it Off and Step Up 111

Focusing on What the Client Wants in the Future 114

Challenging Unhelpful Beliefs 115

Using a Spiritual Perspective 124

8 Changing the Doing 128

Introduction 128

Story 8.1: For a Change Do Something Different 128

Changing Repetitive Patterns 129

Story 8.2: Sail Away From the Safe Harbor 130

Noticing What the Client is Doing When Things are Going Better 131

Story 8.3: Chocolate-chip Cookies 133

9 Changing the Feeling 138

Introduction 138

Reducing Negative Emotions 138

Building Positive Emotions 140

Balancing Positive and Negative Emotions 145

Story 9.1: Consider a Sail-boat 147

Story 9.2: The Nun Study 148

Positive Emotions in the Medical Setting 148

10 Homework Assignments 152

Introduction 152

General Suggestions 153

Basic Homework Assignments 156

Self-monitoring 157

Behavioral Experiments 160

Routine Outcome Measurement 165

Story 10.1: Brilliant Insights 166

Refl ecting on the Session 170

11 Subsequent Sessions 173

Introduction 173

Progress 174

Behavior Maintenance 180

Failures 185

Story 11.1: Ten Million Dollars Lost 190

Concluding Therapy 190

12 Role of the Positive CBT Therapist 193

Introduction 193

Watering the Flowers 193

Role of the Positive CBT Therapist 194

Supertherapists 196

Easy and Fun 198

The Alliance Revisited 200

Microanalysis 200

Benefi ts for Therapists 203

PART III MORE APPLICATIONS 207

13 Positive CBT with Couples and Groups 209

Introduction 209

Positive CBT with Couples 210

Story 13.1: The Norway Feedback Project 213

Positive CBT with Groups 215

14 Positive CBT with Children and Families 219

Introduction 219

Positive CBT with Children 220

Story 14.1: Little Squid 222

Positive CBT with Families 232

Transcultural Positive CBT 236

15 Positive CBT in the Workplace 237

Introduction 237

Positive CBT in a Team 238

Story 15.1: We Can Learn From Geese 239

Positive CBT in an Organization 243

Story 15.2: Swarm Intelligence 245

Story 15.3: What You Give is What You Get 248

16 Positive CBT and the Future 250

Introduction 250

Research 250

Training 251

17 FAQ 255

Introduction 255

20 Questions and Answers 255

Epilog 264

Story: On the Other Side 264

Web Sites 265

Appendix A Protocols for the First Session 268

Appendix B Protocol for Finding Exceptions 270

Appendix C Protocol for Subsequent Sessions 272

Appendix D Positive FBA Interview 274

Appendix E Externalization of the Problem 275

Appendix F Interactional Matrix (Changing Perspectives) 276

Appendix G Questionnaire for the Referrer 278

Appendix H Exceptions Journal 279

Appendix I Session Rating Scale (SRS) 281

References 282

Author Index 294

Subject Index 298

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Fredrike Bannink is a clinical psychologist and Master of Dispute Resolution based in Amsterdam. She is an internationally recognized cognitive behavioral therapist and trainer, and co-founder and Chair of the Solution-Focused CBT Section of the Dutch Association for Behavioural and Cognitive Therapy. 

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“It was a refreshing read and highlighted the need for clinicians to regularly review their approach and push for positive psychological wellbeing for their clients and themselves beyond distress reducction.”  (Behavioural & Cognitive Psychotherapy, 1 June 2013)

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