Metacognitive Therapy for Anxiety and Depression
This groundbreaking book explains the "whats" and "how-tos" of metacognitive therapy (MCT), an innovative form of cognitive-behavioral therapy with a growing empirical evidence base. MCT developer Adrian Wells shows that much psychological distress results from how a person responds to negative thoughts and beliefs-for example, by ruminating or worrying-rather than the content of those thoughts. He presents practical techniques and specific protocols for addressing metacognitive processes to effectively treat generalized anxiety disorder, obsessive-compulsive disorder, posttraumatic stress dis
1 online resource (629 pages)
9781606238165, 1606238167
779140277
Cover; Title Page; Copyright; About The Author; Preface; Acknowledgments; Contents; Chapter 1
Theory and Nature of Metacognitive Therapy; The Nature of Metacognition; Two Ways of Experiencing: Modes; The Metacognitive Model of Psychological Disorder; The CAS; Consequences of the CAS; Positive and Negative Metacognitive Beliefs; Summary of the Metacognitive Model; A Reformulated A-B-C Model; A Note on Process- versus Content-Focused Therapies; Conclusion; Chapter 2
Assessment; Operationalizing the A-M-C Model; Behavioral Assessment Tests in Anxiety; Questionnaire Measures; Rating Scales. A Seven-Step Assessment PlanConclusion; Chapter 3
Foundation Metacognitive Therapy Skills; Identifying and Shifting Levels; Detecting the CAS; Using a Metacognitive-Focused Socratic Dialogue; Metacognitively Focused Verbal Reattribution; Metacognitively Delivered Exposure; Conclusion; Chapter 4
Attention Training Techniques; Overview of the ATT; Rationale for the ATT; Credibility Check; Self-Attention Rating; Basic Instructions for the ATT; Patient Feedback; Homework; Troubleshooting; Outline of the First ATT Session; Case Example; Situational Attentional Refocusing; Conclusion. Chapter 5
Detached Mindfulness TechniquesAims of DM; Elements of DM; An Information-Processing Model of DM; DM and Other Forms of Mindfulness; Ten Techniques; Reinforcing DM Using Socratic Dialogue; Homework; Application of DM in MCT; Conclusion; Chapter 6
Generalized Anxiety Disorder; The Ubiquity of Worry; Is Worry Controllable?; The Metacognitive Model of GAD; The Model in Action; Structure of Treatment; Case Conceptualization; Socialization; Bridging from Socialization to Metacognitive Modification; Questioning Uncontrollability Beliefs; Detached Mindfulness and Worry Postponement. Challenging Uncontrollability BeliefsChallenging Danger Metacognitions; Behavioral Experiments; Challenging Positive Metacognitive Beliefs; New Plans for Processing; Relapse Prevention; GAD Treatment Plan; Chapter 7
Posttraumatic Stress Disorder; CAS in PTSD; Metacognitive Beliefs; The Metacognitive Model of PTSD; The Model in Action; Structure of Treatment; Case Conceptualization; Socialization; Presenting the Treatment Rationale; Detached Mindfulness and Rumination/Worry Postponement; Application of DM and Rumination/Worry Postponement; Generalization Training. Eliminating Other Maladaptive Copying StrategiesAttention Modification; Residual Avoidance; New Plans for Processing; Relapse Prevention; PTSD Treatment Plan; Chapter 8
Obsessive
Compulsive Disorder; Overview of MCT: Object Level versus Meta Level; Two Types of Metacognitive Change; The CAS in OCD; Metacognitive Beliefs; Stop Signals; The Metacognitive Model of OCD; The Model in Action; Structure of Treatment; Case Conceptualization; Socialization; Presenting the Treatment Rationale; Engagement: Normalizing and Destigmatizing; Detached Mindfulness; Increasing Compliance with ERP and ERC
Challenging Specific Metacognitive Beliefs about Thoughts