By Aaron T. Beck MD, Denise D. Davis PhD, Arthur Freeman EdD
This landmark paintings was once the 1st to offer a cognitive framework for realizing and treating character problems. Now Aaron T. Beck and his extraordinary staff of coauthors current an greatly rewritten and up to date moment version, integrating over a decade's worthy of super advances in concept and perform. half I lays out the conceptual, empirical, and scientific foundations of powerful paintings with this hugely demanding inhabitants. Cognitive elements of Axis II problems are reviewed and basic therapy rules delineated, with new chapters protecting evaluate techniques and concerns within the healing dating. half II information the method of cognitive-behavioral treatment for every of the explicit issues. Restructured to keep on with a constant layout, chapters evaluate the present scientific literature; consultant the therapist via analysis and case conceptualization; and show the nuts and bolts of cognitive intervention. Richly illustrated with improved case fabric, the second one version additionally contains a wealth of recent details on healing impasses and the way to beat them.
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Additional resources for Cognative Therapy of Personality Disorders
Other studies have found that subjects with personality disorders in addition to their Axis I problems respond to cognitivebehavioral treatment but respond more slowly (Marchand, Goyer, Dupuis, & Mainguy, 1998). However, other research demonstrates that the impact of comorbid personality disorders on the treatment of Axis I disorders is more complex than this. Some studies have found that the presence of personality disorder diagnoses did not influence outcome (Dreesen, Arntz, Luttels, & Sallaerts, 1994) or that subjects with personality disorder diagnoses present with more severe symptomatology but respond equally well to treatment (Mersch, Jansen, & Arntz, 1995).
However, it should be noted that the two treatments were equally effective, that all treatments were provided by a single therapist (who was also principal investigator), and that only one of many possible cognitive interventions (disputation of irrational beliefs) was used. In a subsequent study, Greenberg and Stravynski (1985) reported that the avoidant client’s fear of ridicule appears to contribute to premature termination in many cases, and they suggested that interventions that modify relevant aspects of the clients’ cognitions might add substantially to the effectiveness of intervention.
It is reasonable to consider the notion that long-standing cognitive–affective–motivational programs influence our automatic processes: the way we construe events, what we feel, and how we are disposed to act. The programs involved in cognitive processing, affect, arousal, and motivation may have evolved as a result of their ability to sustain life and promote reproduction. Natural selection presumably brought about some kind of fit between programmed behavior and the demands of the environment.