Metacognitive Therapy for Anxiety and Depression by Wells, Adrian -- Read -- Imperial Library of Trantor

Index

Cover Title Page Copyright About the Author Preface Acknowledgments 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 Plan Conclusion

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 Techniques

Aims 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 Beliefs Challenging 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 Strategies Attention 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 Behavioral Experiments Contamination Fears: A Special Case? Modifying Beliefs about Rituals Behavioral Experiments and Beliefs about Rituals New Plans for Processing: Stop Signals and Criteria for Knowing Relapse Prevention OCD Treatment Plan

CHAPTER 9 Major Depressive Disorder

Rumination and Depressive Thinking The CAS in Depression The Metacognitive Model of Depression The Model in Action Structure of Treatment Case Conceptualization Socialization Enhancing Motivation Helping Patients Understand the Role of Behaviors Attention Training Detached Mindfulness and Rumination Postponement Implementing DM Techniques Modifying Negative Metacognitive Beliefs Modifying Positive Metacognitive Beliefs Modifying Threat Monitoring Maladaptive Coping with Mood Fluctuation New Plans for Processing Relapse Prevention Fear of Recurrence A Note on Suicidality and Self-Injury Depression Treatment Plan

CHAPTER 10 The Evidence for Metacognitive Theory and Therapy

The Existence and Consequences of the CAS Metacognitive Beliefs Interim Summary Causal Status of the CAS and Metacognitions Does Metacognition Contribute to Disorder above Ordinary Cognition? Model Testing: Data from Path Analyses and Structural Equation Modeling Summary of Evidence on Theory The Evidence on Treatment Conclusion

CHAPTER 11 Concluding Thoughts

Specifications of a Transdiagnostic Treatment A Universal Formulation Neurobiology and MCT MCT in a Wider Context Closing Remarks

Appendices Metacognitions Questionnaire 30 (MCQ-30) Meta-Worry Questionnaire (MWQ) Thought Fusion Instrument (TFI) Attention Training Techniques Summary Sheet Self-Attention Rating Scale CAS-1 Generalized Anxiety Disorder Scale—Revised (GADS- R) Posttraumatic Stress Disorder Scale (PTSD-S) Obsessive–Compulsive Disorder Scale (OCD-S) Major Depressive Disorder Scale (MDD-S) GAD Case Formulation Interview PTSD Case Formulation Interview OCD Case Formulation Interview Depression Case Formulation Interview GAD Treatment Plan PTSD Treatment Plan OCD Treatment Plan Depression Treatment Plan New Plan Summary Sheet

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