Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction
- Part I Developmental cognitive theory and clinical practice
- Part II Engagement and assessment
- 5 Engagement and motivational interviewing
- 6 Cognitive case formulation
- Part III Client groups
- Part IV Applications in psychosocial adversity
- Part V Applications in specific child and adolescent psychiatric disorders
- Part VI CBT applications in preventive interventions
- Index
- References
6 - Cognitive case formulation
Published online by Cambridge University Press: 21 August 2009
Edited by
Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction
- Part I Developmental cognitive theory and clinical practice
- Part II Engagement and assessment
- 5 Engagement and motivational interviewing
- 6 Cognitive case formulation
- Part III Client groups
- Part IV Applications in psychosocial adversity
- Part V Applications in specific child and adolescent psychiatric disorders
- Part VI CBT applications in preventive interventions
- Index
- References
Summary
The field of cognitive behaviour therapy (CBT) for children and adolescents is rapidly evolving and is at an interesting stage of development. The majority of random controlled trials (RCTs) on CBT for a range of disorders have been behaviourally orientated rather than focusing on cognition. The more cognitive approaches to CBT have yet to be evaluated and are at the case study stage. In line with the developmental stage of the field, cognitive case formulation is not an area that has attracted much interest in child and adolescent CBT, and there is little literature on it. However, cognitive case formulation is currently the subject of an interesting debate in the adult CBT literature and this will be summarized here.
This chapter will describe the nature of cognitive case formulations, and the issues to be considered when carrying out cognitive case formulations with children and adolescents. It will discuss using newer approaches to cognition in CBT for children and adolescents and the role of the family in cognitive case formulations. The need for research in a range of areas will be outlined, including its role in the development of cognitive models for children and adolescents. Finally, a case example will be given which illustrates the use of a cognitive case formulation. The treatment based on this cognitive case formulation will then be contrasted with a more behaviourally orientated CBT case study.
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- Chapter
- Information
- Cognitive Behaviour Therapy for Children and Families , pp. 84 - 100Publisher: Cambridge University PressPrint publication year: 2004
References
and (2002). Cognitive behavioural therapy for children and adolescents with anxiety disorders: clinical research advances. International Review of Psychiatry, 14, 129–34CrossRefGoogle Scholar
, and (1996). Family treatment of childhood anxiety: a controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–42CrossRefGoogle ScholarPubMed
, , and (2001). Cognitive-behavioural treatment of anxiety disorders in children; long term (6 year) follow-up. Journal of Consulting and Clinical Psychology, 69, 135–41CrossRefGoogle Scholar
Butler, G. (1998). Clinical formulation. In A. S. Bellack and M. Henson (eds.), Comprehensive Clinical Psychology, Volume 6. ElsevierCrossRef
(1986). A cognitive approach to panic disorder. Behaviour Research and Therapy, 24, 461–70CrossRefGoogle Scholar
Clark, D. M. (1996). Panic disorder: from theory to therapy. In P. M. Salkovskis (ed.), Frontiers of Cognitive Therapy. New York: Guilford Press, pp. 318–44
, and (1998). The role of parental anxiety in the treatment of childhood anxiety. Journal of Consulting and Clinical Psychology, 66, 893–905CrossRefGoogle ScholarPubMed
Freeman, A. (1992). The development of treatment conceptualisations in cognitive therapy. In A. Freeman and F. M. Dattillio (eds.), Comprehensive Case Book of Cognitive Therapy. New York: PlenumCrossRef
and (1997). Cognitive vulnerability in children at risk for depression. Cognition and Emotion, 11, 619–35CrossRefGoogle Scholar
and (1994). Parent attributions for inattentive-overactive and oppositional-defiant child behaviours. Cognitive Therapy and Research, 18, 261–75CrossRefGoogle Scholar
(1994). Treating anxiety disorders in children: results of a randomised clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–10CrossRefGoogle Scholar
, and (2001). Comorbidity in childhood anxiety disorder and treatment outcome. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 787–94CrossRefGoogle ScholarPubMed
, , et al. (1997). Therapy for youth with anxiety disorders: a second randomised clinical trial. Journal of Consulting and Clinical Psychology, 65, 366–80CrossRefGoogle Scholar
and (2000). Evolving formulations: sharing complex information with clients. Behavioural and Cognitive Psychotherapy, 28, 307–10CrossRefGoogle Scholar
, , et al. (1998). Cognitive-behavioural treatment of panic disorder with agoraphobia in adolescents: a controlled evaluation. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 395–403CrossRefGoogle Scholar
and (1998). Cognitive-behavioural treatment of school phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 404–11CrossRefGoogle Scholar
March, J. S. and Mulle, K. (1998). OCD in Children and Adolescents. A Cognitive-Behavioural Treatment Manual. New York: Guilford Press
Meichenbaum, D. (1977). Cognitive-Behaviour Modification: An Integrative Approach. New York: Plenum
, et al. (1999). Cognitive-behavioural group treatments in childhood anxiety disorders: the role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1223–9CrossRefGoogle Scholar
, , and (2003). Cognitive-behavioural therapy for children with anxiety disorders in a clinical setting: no additional effect of a cognitive parent training. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1270–8CrossRefGoogle Scholar
(1995). Cognitive behavioural treatment of panic disorder with agoraphobia in adolescents: a multiple baseline design analysis. Behavioural Therapy, 26, 517–31CrossRefGoogle Scholar
Ollendick, T. H. and King, N. J. (2000). Empirically supported treatments for children and adolescents. In P. C. Kendall (ed.), Child and Adolescent Therapy: Cognitive-Behavioural Procedures. New York: Guilford Press
Persons, J. B. (1989). Cognitive Therapy in Practice. A Case Formulation Approach. New York: Norton
(1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy. American Psychologist, 46, 99–106CrossRefGoogle Scholar
Persons, J. B. and Davidson, J. (2001). Cognitive-behavioural case formulation. In K. Dobson (ed.), Handbook of Cognitive-Behavioural Therapies, 2nd edn. New York: Guilford Press
and (2001). Developmental issues in cognitive therapy for childhood anxiety disorders. Journal of Cognitive Psychotherapy: An International Quarterly, 15, 165–82Google Scholar
(1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793–802CrossRefGoogle ScholarPubMed
(1999). Understanding and treating obsessive-compulsive disorder. Behaviour Research and Therapy, 37, 29–52CrossRefGoogle ScholarPubMed
and (1986). Morbid preoccupations, health anxiety and reassurance: a cognitive behavioural approach to hypochondriasis. Behaviour Research and Therapy, 24, 597–602CrossRefGoogle ScholarPubMed
and (1996). Treating adolescent obsessive-compulsive disorder: applications of the cognitive theory. Behaviour Research and Therapy, 36, 93–97CrossRefGoogle Scholar
, and et al. (1999). Treating anxiety disorders in children with group cognitive-behavioural therapy: a randomised clinical trial. Journal of Consulting and Clinical Psychology, 67, 995–1003CrossRefGoogle Scholar
, and (2000). The treatment of childhood social phobia: the effectiveness of a social skills training based cognitive-behavioural intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry, 41, 713–26CrossRefGoogle ScholarPubMed
and (2002). New developments in cognitive-behavioural case formulation. Epidemiological, systemic and social context: an integrative approach. Behavioural and Cognitive Psychotherapy, 30, 311–28CrossRefGoogle Scholar
and (1998). Depressed and non-depressed mothers with problematic preschoolers: attributions for child behaviours. British Journal of Clinical Psychology, 37, 358–98CrossRefGoogle ScholarPubMed
, and (1997). Mind maps: an aid to effective formulation. Behavioural and Cognitive Psychotherapy, 25, 261–7CrossRefGoogle Scholar
, , and (2002). Changes in symptoms of OCD and appraisal of responsibility during cognitive behavioural treatment: a pilot study. Behavioural and Cognitive Psychotherapy, 30, 69–78CrossRefGoogle Scholar
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