Description
Book SynopsisFrom pioneering treatment developers, this book describes recovery-oriented cognitive therapy (CT-R). This evidence-based approach empowers people given a serious mental health diagnosis such as schizophrenia to build a better life in their chosen community. CT-R provides innovative strategies to help individuals shift from a patient mode to an adaptive mode of living and take positive steps to pursue valued aspirations. Vivid case vignettes and sample dialogues illustrate ways to access the adaptive mode with people experiencing negative symptoms, delusions, hallucinations, communication difficulties, self-harming or aggressive behavior, and other challenges. In a convenient large-size format, the book includes reproducible handouts and forms. Purchasers get access to a companion website where they can download and print the reproducible materials, plus two online-only tip sheets relevant to COVID-19 and telehealth, and find a link to related videos.
See also Cogn
Trade Review
"Aaron Beck is one of the few heroic figures in the history of psychiatry; his CBT has helped more people than any other of the many psychotherapies developed in the past two centuries. Together with his highly talented team, Beck has set and met a most difficult new challenge--developing a special version of CBT for those who suffer from the most severe psychiatric disorders. This volume presents CT-R, a brilliant hybrid of standard CBT with techniques derived from the recovery movement. Beck is a great clinician who fills every page with profound wisdom, vast experience, technical savvy, practical common sense, and the empathic realization that we are all more simply human than otherwise. This is the go-to book for all who are dedicated to serving the people who most need our help, and CT-R will surely soon become part of the standard of their care."--Allen Frances, MD, Professor Emeritus and former Chair, Department of Psychiatry and Behavioral Sciences, Duke University
"Optimism is one of the hallmarks of cognitive therapy, yet when it comes to schizophrenia and other psychotic disorders, pessimism has persisted in many treatment settings. One of the first rays of sunlight came when Beck et al. published their previous book on schizophrenia. Now Beck and his colleagues move us further to positive change in both our treatment approaches and our conceptualization of what is possible for our patients. It is clear that the authors have spent many years listening to people with serious mental illness and learning from them about optimal ways to enable their path to recovery. For professionals who work with those suffering from serious mental illness, this book is invaluable. I expect it will become a standard text in graduate courses and residency curriculums dealing with therapeutic interventions. It will certainly be a primary resource for all of us involved in clinical research on psychotic disorders."--Elaine F. Walker, PhD, Charles Howard Candler Professor of Psychology and Neuroscience, Emory University
"This groundbreaking work offers the hope of recovery for individuals with serious mental health challenges. Through a decade-long collaboration with Dr. Beck and his team, as the commissioner of a large behavioral health system, I have seen firsthand the power and positive impact of CT-R, including for individuals who were living on the streets or experiencing very long stays in inpatient settings. This book provides a roadmap for service providers, program administrators, researchers, and policymakers who strive to ensure that each person has the opportunity to embark upon the road to recovery. Readers will understand and appreciate the gratitude shared by many of us for this highly innovative therapeutic approach."--Arthur C. Evans, Jr., PhD, former Commissioner, Philadelphia Department of Behavioral Health and Intellectual disAbility Services
"Beck and his team have done the heavy lifting to refine a treatment that targets the challenges that so often interfere with a person’s ability to recover and stay well, including negative as well as positive symptoms. CT-R offers a way to guide patients not only to re-engage with their treatment, but also to re-engage with life in general. With the approach described in this book, Beck et al. demonstrate the importance of compassion and optimism in drawing out patients’ strengths and prioritizing their values and dreams."--Dilip V. Jeste, MD, Distinguished Professor of Psychiatry and Neurosciences, University of California, San Diego
"This is the first book to re-envision the core work of psychotherapy from the perspective of the recovery movement. Beck and his team not only shift from a traditional cognitive therapy focus on symptoms to a focus on aspirations and adaptation, but also provide practical tools for assisting people to identify and pursue their life goals. CT-R is a strength-based, life-affirming approach that draws on people's inner stores of resilience to deal effectively with life’s challenges. This concrete guide, illustrated with case examples, will be of value to both experienced practitioners and trainees. Psychotherapists who have yearned for ways to embrace recovery-oriented care in practice finally have a trusted, highly experienced, and wise guide."--Larry Davidson, PhD, Professor of Psychiatry and Director, Program for Recovery and Community Health, Yale University-
Table of ContentsI. CT-R Model of Transformation and Empowerment
1. Introduction to Recovery-Oriented Cognitive Therapy
2. Mapping Recovery: Developing a Plan for Transformative Action
3. Accessing and Energizing the Adaptive Mode
4. Developing the Adaptive Mode: Aspirations
5. Actualizing the Adaptive Mode: Positive Action
6. Strengthening the Adaptive Mode
II. Empowerment for Common Challenges
7. Empowering When Negative Symptoms Are the Challenge
8. Empowering When Delusions Are the Challenge
9. Empowering When Hallucinations Are the Challenge
10. Empowering When Communication Is the Challenge
11. Empowering When Trauma, Self-Injury, Aggressive Behavior, or Substance Use Is the Challenge
III.CT-R Contexts
12. Individual CT-R for the Sole Provider
13. The CT-R Inpatient Service
14. CT-R Group Therapy
15. Families as Facilitators of Empowerment
Appendices
- A. CT-R Terminology
- B. Blank Recovery Map
- C. Recovery Map How-To Guide
- D. Suggestions for Activities to Access the Adaptive Mode
- E. Blank Activity Schedule
- F. Blank Chart for Breaking Aspirations into Steps
- G. Interventions for Individuals Experiencing Negative Symptoms
- H. CT-R Benchmarks
