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Index
Cover Half Title Page Title Page Copyright Dedication About the Authors Acknowledgments Contents Part I. Background on Posttraumatic Stress Disorder and Cognitive Processing Therapy
1. The Origins of Cognitive Processing Therapy
The Origins of CPT Theoretical Influences Early Development of CPT Dissemination of CPT A Biological Model of PTSD and CPT A Change in Name and a Note on Terminology
2. Research on CPT
Randomized Controlled Trials Secondary Conditions and Potential Moderators of Treatment Program Evaluation/Effectiveness Studies
Part II. Setting the Stage Clinically
3. Treatment Considerations
For Which Clients Is CPT Appropriate? When Should the CPT Protocol Begin? Choosing a Format for CPT Pretreatment Assessment Case Conceptualization
4. Preparing to Deliver CPT
Introducing CPT Socratic Dialogue Therapist Readiness Therapist Issues: Therapist Errors and Stuck Points
Part III. CPT Manual
5. Overview of PTSD and CPT: Session 1
Goals for Session 1 Procedures for Session 1 Setting the Agenda Discussing the Symptoms of and a Functional Model of PTSD Describing Cognitive Theory Discussing the Role of Emotions Reviewing the Index Trauma Describing the Therapy Giving the First Practice Assignment Checking the Client's Reactions to the Session
6. Finding Stuck Points: Sessions 2 and 3
Goals for Sessions 2 and 3 Session 2: Examining the Impact of Trauma Procedures for Session 2 Reviewing the Client's Scoreson the Self-Report Measures Having the Client Read the Impact Statement, and Identifying Stuck Points Addressing Nonadherence with the Impact Statement and Other Practice Assignments Examining Connections among Events, Thoughts, and Feelings Introducing the ABC Worksheet Describing and Discussing Stuck Points More Fully Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment Session 3: Working with Events, Thoughts, and Feelings Goals for Session 3 Procedures for Session 3 Reviewing the Client's Scores on the Self-Report Measures Reviewing the Client's Completion of Practice Assignments Reviewing ABC Worksheets and Using These to Examine Events, Thoughts, and Emotions Using Trauma-Related ABC Worksheet(s) to Begin Challenging Assimilated Cognitions Giving the Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment
7. Processing the Index Event: Sessions 4 and 5
Goals for Sessions 4 and 5 Session 4: Examining the Index Event Procedures for Session 4 Reviewing the Client's ABC Worksheets Cognitive Processing: Addressing Assimilated Stuck Points Differentiating among Intention, Responsibility, and the Unforeseeable Introducing the Challenging Questions Worksheet Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment Session 5: Using the Challenging Questions Worksheet Procedures for Session 5 Reviewing the Client's Challenging Questions Worksheets Introducing the Patterns of Problematic Thinking Worksheet Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment
8. Learning to Self-Challenge: Sessions 6 and 7
Goals for Sessions 6 and 7 Session 6: Patterns of Problematic Thinking Worksheet and Introduction to Challenging Beliefs Worksheet Procedures for Session 6 Conducting a Midprotocol Assessment of Treatment Response Reviewing the Patterns of Problematic Thinking Worksheet Introducing the Challenging Beliefs Worksheet with a Trauma Example Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment Session 7: Challenging Beliefs Worksheets and Introduction to Modules Procedures for Session 7 Reviewing the Client's Challenging Beliefs Worksheets Providing an Overview of the Five Themes Introducing the Safety Theme Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment
9. Trauma Themes—Safety, Trust, and Power/Control: Sessions 8–10
Goals for Sessions 8, 9, and 10 Session 8: Processing Safety and Introducing Trust Procedures for Session 8 Reviewing the Client's Challenging Beliefs Worksheets Introducing the Trust Theme Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment Session 9: Processing Trust and Introducing Power/Control Procedures for Session 9 Reviewing the Client's Challenging Beliefs Worksheets Introducing the Power/Control Theme Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment Session 10: Processing Power/Control and Introducing Esteem Procedures for Session 10 Reviewing the Client's Trust Star Worksheet and Challenging Beliefs Worksheets Introducing the Esteem Theme Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment
10. Esteem, Intimacy, and Facing the Future: Session 11, Session 12, and Aftercare
Goals for Sessions 11 and 12 Session 11: Review of Esteem and Introducing Intimacy Procedures for Session 11 Reviewing the Client's Challenging Beliefs Worksheets Reviewing the Assignments on Giving and Receiving Compliments/Behavioral Activation Discussing Therapy Termination Introducing the Intimacy Theme Giving the New Practice Assignment Checking the Client's Reactions to the Session and the Practice Assignment Session 12: Processing Intimacy and the Final Impact Statement Procedures for Session 12 Reviewing the Client's Challenging Beliefs Worksheets Reviewing the Client's Original and New Impact Statements Reviewing the Course of Treatment and the Client's Progress Identifying the Client's Goals for the Future A Note on Aftercare
Part IV. Alternatives in Delivery and Special Considerations
11. Variations on CPT: CPT with Written Accounts, Variable-Length CPT, and CPT for Acute Stress Disorder
CPT with Written Accounts Variable-Length CPT CPT for Acute Stress Disorder
12. Group CPT and CPT for Sexual Abuse
Group CPT CPT for Sexual Abuse
13. Issues in Working with Different Trauma Types
Combat and the Warrior Ethos Sexual Assault Intimate-Partner Violence Disasters and Accidents Trauma among Clients with Brain Injuries, Low Intelligence, or Aging/Dementia PTSD Complicated by Grief Trauma in Adolescence and Its Effects on Other Developmental Periods
14. Diversity and Cross-Cultural Adaptations
Racial/Ethnic and Sexual Orientation Diversity Religion and Morality Adaptations of CPT for Other Languages/Cultures
References Index
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