About the Book
Deliberate practice exercises help students and trainees rehearse fundamental cognitive-behavioral therapy (CBT) skills to develop basic competence and hone their own personal therapeutic style.
Each book in the Essentials of Deliberate Practice series contain customized exercises consisting of role-playing scenarios in which two trainees act as a client and a therapist, switching back and forth under the guidance of a supervisor. The trainee playing the therapist improvises appropriate and authentic responses to a series of client statements organized into three difficulty levels-beginner, intermediate, and advanced-that reflect common problems and concerns encountered by CBT practitioners.
The first exercises each focus on a single skill, such as establishing goals for treatment assigning and reviewing between-session exercises working with various client cognitions, behaviors, and emotions and addressing relationship ruptures and client resistance. These are followed by two comprehensive exercises-an annotated transcript and free-form mock therapy sessions-in which trainees integrate these essential skills into a single CBT session.
Step-by-step instructions guide participants through the exercises, identify criteria for mastering each skill, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.
Table of Contents:
Series Preface
Tony Rousmaniere and Alexandre Vaz
Acknowledgments
Part I. Overview and Instructions
Chapter . Introduction and Overview of Deliberate Practice and Cognitive Behavioral Therapy
Chapter 2. Instructions for the Cognitive Behavioral Therapy Deliberate Practice Exercises
Part II. Deliberate Practice Exercises for Cognitive Behavioral Therapy Skills
Exercises for Beginner Cognitive Behavioral Therapy Skills
Exercise . Explaining the Treatment Rationale for Cognitive Behavioral Therapy
Exercise 2. Establishing Goals
Exercise 3. Negotiating a Session Agenda
Exercise 4. Assigning and Reviewing Between-Session Activities
Exercises for Intermediate Cognitive Behavioral Therapy Skills
Exercise 5. Working With Cognitions
Exercise . Working With Behaviors
Exercise 7. Working With Emotions
Exercises for Advanced Cognitive Behavioral Therapy Skills
Exercise 8. Adherence Flexibility
Exercise 9. Responding to Therapeutic Alliance Ruptures
Exercise . Responding to Client Resistance
Comprehensive Exercises
Exercise . Annotated Cognitive Behavioral Therapy Practice Session Transcripts
Exercise 2. Mock Cognitive Behavioral Therapy Sessions
Part III. Strategies for Enhancing the Deliberate Practice Exercises
Chapter 3. How to Get the Most Out of Deliberate Practice: Additional Guidance for Trainers and Trainees
Appendix A. Difficulty Assessments and Adjustments
Appendix B. Deliberate Practice Diary Form
Appendix C. Sample Cognitive Behavioral Therapy Syllabus With Embedded Deliberate Practice Exercises
References
Index
About the Authors
About the Series Editors
About the Author :
James F. Boswell, PhD, is an associate professor of clinical psychology at the University at Albany, State University of New York. He is also an associate of the Center for the Elimination of Minority Health Disparities. He received his PhD in clinical psychology from The Pennsylvania State University. Dr. Boswell has received the Early Career Award from the American Psychological Foundation/American Psychological Association (APA) Division 29, the Outstanding Early Career Achievement Award from the Society for Psychotherapy Research, the David Shakow Early Career Award for Distinguished Scientific Contributions to Clinical Psychology, the Dissertation and Marvin R. Goldfried New Researcher Awards from the Society for the Exploration of Psychotherapy Integration, and a Rising Star designation from the Association for Psychological Science. He is also a Fellow of the APA and serves as president of the North American Society for Psychotherapy Research. Dr. Boswell has published extensively in the areas of psychotherapy process and outcome, measurement-based care, and practice-oriented research. His work has been funded by the Patient Centered Outcomes Research Institute, National Institute of Mental Health, Robert Wood Johnson Foundation, and APA. He is also a member of the Advisory Committee to the APA Mental and Behavioral Health Data Registry. In addition, he served as a technical expert panelist on the government-sponsored white paper prepared for the U.S. Department of Health and Human Service and the Office of the Assistant Secretary for Planning and Evaluation on Strategies for Measuring the Quality of Psychotherapy. Dr. Boswell is on the editorial board of the Journal of Consulting and Clinical Psychology, Behaviour Research and Therapy, Behavior Therapy, Psychotherapy Research, Psychotherapy, and the Journal of Clinical Psychology.
Michael J. Constantino, PhD, received his BA in psychology from SUNY Buffalo, and his MS and PhD from The Pennsylvania State University. He completed a predoctoral clinical internship at SUNY Upstate Medical University and a postdoctoral fellowship at the Stanford University Medical Center. Dr. Constantino is now professor of psychological and brain sciences at the University of Massachusetts Amherst, where he directs the Psychotherapy Research Lab and serves as graduate program director. His professional and research interests center on patient, therapist, and dyadic factors in psychosocial treatments pantheoretical principles of clinical change and measurement-based care. He has published more than 5 articles and chapters in leading journals and books in the field, and he has received extramural grant and contract support for his research, including from the Patient-Centered Outcomes Research Institute, National Institute of Mental Health, Robert Wood Johnson Foundation, and APA. He is also coeditor of the book Principles of Change: How Psychotherapists Implement Research Findings in Practice (Oxford University Press) and the in-preparation Handbook of Psychotherapy, to be published by APA. Dr. Constantino has received several early- and mid-career research awards, including from the International Society for Psychotherapy Research, the Society for the Advancement of Psychotherapy (APA Division 29), and the Society for the Exploration of Psychotherapy Integration. Dr. Constantino is also an APA Fellow. Among other professional positions, he is associate editor for Psychotherapy and past-president of both APA Division 29 and the North American Society for Psychotherapy Research.
Review :
Deliberate practice, as presented by Boswell and Constantino, takes training to a new level by providing an actual tool for developing the various components of competent CBT. This accessible book should be considered a basic resource for training clinics, supervisors, and instructors. Seasoned therapists will also find this book useful in refining skills or recalibrating to avoid amp ldquo therapist drift. amp rdquo This is a most welcomed advancement. - Christopher R. Martell, PhD, ABPP, Clinic Director and Lecturer, Psychological Services Center, Department of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA, United States Practice makes perfect! Clinical training typically lacks opportunities for students to rehearse specific skills repeatedly until they become second nature. Deliberate Practice in Cognitive Behavioral Therapy aims to fill this gap so that trainees can put into action what they learn in their classes, workshops, readings, and clinical placements. This book is filled with practical exercises to develop skills across core components of CBT. It will absolutely change the way I train my own students. - Martin M. Antony, PhD, Professor of Psychology, Department of Psychology, Ryerson University, Toronto, ON, Canada, and coauthor of the Shyness and Social Anxiety Workbook and The Anti-Anxiety Program This volume is sure to become a staple on every clinician amp rsquo s bookshelf. The authors integrate cutting edge science on expertise with specific and engaging exercises focused on key clinical skills. This book represents a major advance in clinical training by providing tools to empower clinicians and supervisors to amp ldquo up their game amp rdquo and improve client outcomes. - Henny Westra, PhD, Department of Psychology, York University, Toronto, ON, Canada This important clinical book makes a valuable contribution to the CBT practice literature it skillfully conveys how treatment processes are nested within an in-session relational process. - Nikolaos Kazantzis, PhD, Founder and Director of the Cognitive Behavior Therapy Research Unit, Melbourne, Australia, and faculty member of the Beck Institute for Cognitive Behavior Therapy and Research
