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COGNITIVE BEHAVIOUR THERAPY WITH OLDER PEOPLE - Ken Laidlaw.pdf

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简介:本文档为《COGNITIVE BEHAVIOUR THERAPY WITH OLDER PEOPLE - Ken Laidlawpdf》,可适用于自然科学领域,主题内容包含COGNITIVEBEHAVIOURTHERAPYWITHOLDERPEOPLEKenLaidlawDepartmentofPsychiatry,U符等。

COGNITIVEBEHAVIOURTHERAPYWITHOLDERPEOPLEKenLaidlawDepartmentofPsychiatry,UniversityofEdinburgh,UKLarryWThompsonPacificGraduateSchoolofPsychologyandStanfordUniversitySchoolofMedicine,USALeahDickSiskinPsychologicalServicesGeriatricPsychiatryDivision,HillsideHospital,NorthShore–LongIslandJewishHealthSystem,USADoloresGallagherThompsonDepartmentofPsychiatryandBehavioralSciences,StanfordUniversitySchoolofMedicine,USACOGNITIVEBEHAVIOURTHERAPYWITHOLDERPEOPLECOGNITIVEBEHAVIOURTHERAPYWITHOLDERPEOPLEKenLaidlawDepartmentofPsychiatry,UniversityofEdinburgh,UKLarryWThompsonPacificGraduateSchoolofPsychologyandStanfordUniversitySchoolofMedicine,USALeahDickSiskinPsychologicalServicesGeriatricPsychiatryDivision,HillsideHospital,NorthShore–LongIslandJewishHealthSystem,USADoloresGallagherThompsonDepartmentofPsychiatryandBehavioralSciences,StanfordUniversitySchoolofMedicine,USACopyrightuJohnWileySonsLtd,TheAtrium,SouthernGate,Chichester,WestSussexPOSQ,EnglandTelephone()Email(forordersandcustomerserviceenquiries):csbookswileycoukVisitourHomePageonwwwwileyeuropecomorwwwwileycomAllRightsReservedNopartofthispublicationmaybereproduced,storedinaretrievalsystemortransmittedinanyformorbyanymeans,electronic,mechanical,photocopying,recording,scanningorotherwise,exceptunderthetermsoftheCopyright,DesignsandPatentsActorunderthetermsofalicenceissuedbytheCopyrightLicensingAgencyLtd,TottenhamCourtRoad,LondonWTLP,UK,withoutthepermissioninwritingofthePublisherRequeststothePublishershouldbeaddressedtothePermissionsDepartment,JohnWileySonsLtd,TheAtrium,SouthernGate,Chichester,WestSussexPOSQ,England,oremailedtopermreqwileycouk,orfaxedto()ThispublicationisdesignedtoprovideaccurateandauthoritativeinformationinregardtothesubjectmattercoveredItissoldontheunderstandingthatthePublisherisnotengagedinrenderingprofessionalservicesIfprofessionaladviceorotherexpertassistanceisrequired,theservicesofacompetentprofessionalshouldbesoughtOtherWileyEditorialOfficesJohnWileySonsInc,RiverStreet,Hoboken,NJ,USAJosseyBass,MarketStreet,SanFrancisco,CA,USAWileyVCHVerlagGmbH,Boschstr,DWeinheim,GermanyJohnWileySonsAustraliaLtd,ParkRoad,Milton,Queensland,AustraliaJohnWileySons(Asia)PteLtd,ClementiLoop#,JinXingDistripark,SingaporeJohnWileySonsCanadaLtd,WorcesterRoad,Etobicoke,Ontario,CanadaMWLWileyalsopublishesitsbooksinavarietyofelectronicformatsSomecontentthatappearsinprintmaynotbeavailableinelectronicbooksLibraryofCongressCataloginginPublicationDataCognitivebehaviourtherapywitholderpeopleKenLaidlawetalpcmIncludesbibliographicalreferencesandindexISBN(alkpaper)IBSN(pbk:alkpaper)CognitivetherapyPsychotherapyfortheagedILaidlaw,Ken,–RCCC’dcBritishLibraryCataloguinginPublicationDataAcataloguerecordforthisbookisavailablefromtheBritishLibraryISBN(hbk)ISBN(pbk)TypesetinptPalatinobyDobbieTypesettingLimited,Tavistock,DevonPrintedandboundinGreatBritainbyBiddlesLtd,GuildfordandKing’sLynnThisbookisprintedonacidfreepaperresponsiblymanufacturedfromsustainableforestryinwhichatleasttwotreesareplantedforeachoneusedforpaperproductionCONTENTSAbouttheAuthorsviiPrefacexiForewordbyAaronTBeckxvSECTIONONE:WORKINGEFFECTIVELYWITHOLDERPEOPLE:KNOWLEDGEANDSKILLSBasicGerontologyforCognitiveTherapistsPsychotherapywithOlderPeopleCognitiveBehaviouralModelforOlderPeopleSECTIONTWO:COGNITIVETHERAPYFORLATELIFEDEPRESSIONCBTforLateLifeDepressiveDisordersBehaviouralTechniquesDealingwithNegativeThoughtsChangingCoreBeliefsandAssumptionsSECTIONTHREE:COGNITIVETHERAPYWITHSPECIALISSUESAnxiety,Worry,PanicDisorderandOlderPeopleInsomniaandSleepDisordersPhysicalIllness,DisabilityandDepressionPostStrokeDepressionDepressioninDementiaandFamilyCaregivingSECTIONFOUR:FINALTHOUGHTSWhattodoWhenyourPatientSaysFutureDirectionsandInnovationsinPracticeAppendix:BlankFormsAppendix:UsefulReferenceMaterialAppendix:UsefulWebsitesReferencesAuthorIndexSubjectIndexviCONTENTSABOUTTHEAUTHORSKenLaidlawhasaspecialistinterestinmentalhealthproblemsinolderadultsHeisaConsultantClinicalPsychologistworkingwitholderpeopleandaLecturerinClinicalPsychologyattheUniversityofEdinburghOverrecentyears,Kenhasdevelopedspecialistskillsinpsychologicaltreatmentmethods,particularlycognitivetherapy,fordepressioninolderpeopleInhewasawardedaWinstonChurchillTravellingFellowshiptovisittheUSAandsharewithresearchcolleaguesideasoncognitivetherapywitholderpeopleIn–hespentayearasavisitingscholarwithDrAaronTBeckattheCenterforPsychopathologyResearchattheUniversityofPennsylvaniainPhiladelphiaKenhasbeeninvitedtopresentcolloquiaonpsychotherapywitholderpeopleintheUK,theUSAandEuropeHehasaninterestinevaluatingCBTandwastheprincipalinvestigatorinthefirstUKevaluationofindividualCBTforlatelifedepressionHeisdevelopingresearchlookingattheefficacyofCBTasatreatmentforlatelifedepressioncomorbidwithphysicalconditions,andiscurrentlyinvolvedinresearchlookingatqualityoflifeinolderpeopleKenhasalsoauthoredbookchaptersandarticlesintheareaofpsychologicaltreatmentforolderpeopleLarryWThompsonearnedhisPhDdegreefromtheFloridaStateUniversityinandsincethenhashadanillustriouscareer,spanningmanyaspectsofclinicalpsychologyinavarietyofacademicinstitutionsLarrybeganworkingintheareasofelectrophysiologyandneuropsychologyresearchingcognitivefunctioninolderadultsandhowitwasaffectedbydementiaandotherbraininsultsHewasonthefacultyofthemedicalschoolatDukeUniversityforanumberofyears,followedbyaprofessorshipattheUniversityofSouthernCaliforniainLosAngeles,wherehedirectedthefirstclinicalageingpsychologydoctoralprogrammeinthecountryatthetimeTherehisinterestinconductingempiricalstudiesrelevanttothefieldofclinicalpsychologywasreawakenedLarryconductedaseriesoffundedstudiesthereontheefficacyofavarietyofpsychotherapeuticmodalitiesofthetreatmentoflatelifedepressionHealsotookspecializedtrainingincognitiveandbehaviourtherapywithDrAaronTBeckandhassincebecomeafoundingmemberoftheAcademyofCognitiveTherapyAboutyearsagohemovedtoStanfordUniversityandtookapositionasprofessorofresearchintheSchoolofMedicinethereLarrycontinuedhisresearchintoempiricallysupportedmethodsofpsychotherapytousewitholderadults,andcompletedoneoftheonlystudiesintheUnitedStatesinwhichCBTwasdirectlycomparedtoantidepressantmedicationinarandomizedcontrolledclinicaltrialHehassinceretiredfromStanford,butthatdidnotlastlong!LarryhasbeenawardedtheGoldmanFamilyChairofPsychologyatthePacificGraduateSchoolofPsychologyinPaloAlto,CA,wherehecontinuestoteach,doresearch,mentorgraduatestudents,andcollaboratewithothersinthefieldwhoarecommittedtoadvancingknowledgeabouthowtoimprovethementalhealthofolderadultsLeahDickSiskinreceivedherdoctoratefromWashingtonUniversityinStLouis,Missouri,whereshespecializedingeropsychologyShecompletedherinternshipandfellowshipatthePaloAltoVeteransAffairsHealthCareSystemwhereshecontinuedherspecializationinclinicalgeropsychologyandcognitivebehaviourtherapyLeahworkedforfouryearsastheClinicalCoordinatorattheOlderAdultandFamilyCenteratthePaloAltoVeteransAffairsHealthCareSystemwhereshefocusedontheteachingandtrainingofpredoctoralpsychologyinterns,postdoctoralclinicalpsychologyfellows,andpsychiatryresidentsinusingCBTwitholderadultsSheworkedextensivelywithLarryThompson,PhD,andDoloresGallagherThompson,PhD,torefineandadaptCBTinterventionstotreatlatelifedepressionandanxietyLeahiscurrentlytheAdmissionsCoordinatorandStaffPsychologistattheGeriatricPartialHospitalintheGeriatricPsychiatryDivisionoftheHillsideHospital,NorthShore–LongIslandJewishHealthSystemInthisposition,sheisamemberofamultidisciplinaryteamtreatingacutepsychiatricsymptomsinolderadultswhoareatriskforpsychiatrichospitalizationLeahisalsoanactivememberofHillsideHospital’sclinicalfacultywheresheteachesCBTseminarstotraininternsinthetreatmentofdepressionandanxietyShealsoranayearlongseminarforstaffmembersinterestedinrefiningtheirskillsinadministeringCBTFortwoyears,LeahheldthepositionofChairoftheAdHocContinuingEducationCommitteefortheBehavioralandSocialSciencesSectionfortheGerontologicalSocietyofAmericaand,inthisrole,organizedandpresenteddaylongworkshopsheldatthesociety’snationalmeetingfocusingon()treatingpersonalitydisordersinlatelifeand()theuseofCBTintreatinglatelifedepression,anxiety,anddementiaAtmanynationalmeetings,shehaspresentedontheefficacyofCBTintreatingvariousdisordersinanelderlypopulation,managingachronicillness,andstressandcopinginfamilycaregiversLeahiscurrentlyworkingonmethodstoadaptCBTtothetreatmentoftheacutelypsychiatricolderpatientSheauthoredandcoauthorednumerouspublishedarticlesonviiiABOUTTHEAUTHORSthesetopicsaswellascoauthoredatreatmentmanualandatherapistguideoutliningthetreatmenttoolderadultswithsuchproblemsasdepressionandanxietyusingcognitivebehaviourtherapyDoloresGallagherThompsonearnedherPhDdegreeinbothclinicalpsychologyandadultdevelopmentandageingfromtheUniversityofSouthernCaliforniainwhereshetrainedattheAndrusGerontologyCenter,thenunderthedirectionofDrJamesBirrenDolores’interestwasalwaysinclinicalresearch:herdoctoraldissertationwasanempiricalstudyofseveralmethodsofgrouptherapytotreatlatelifedepressionShejoinedthestaffoftheVeteransAdministrationMedicalCenterinPaloAlto,CA,inasthefirstdirectorofinterdisciplinaryteamtrainingprogrammesingeriatricsandgerontologySincethenshehasheldmanysignificantpositionsintheVAsystem,includingassociatedirectorforgeriatriceducationinseveraldifferentsettings,whileatthesametimeactivelyservingonthefacultyatStanfordUniversityShehasbeenafundedresearcherforaboutyears,focusinghercareeratfirstontreatmentoflatelifedepression(workingcollaborativelywithherhusbandLarryonseveralprojects)andthenoninterventionstoreducepsychologicaldistressinfamilycaregiversofolderrelativeswithAlzheimer’sdiseaseorotherformsofdementiaInthepastdecadeshehasbecomeincreasinglyinterestedintheuniqueproblemsandconcernsofthemajorethnicminoritygroupsintheUSAastheyundertakefamilycaregiving,andisnowverywellregardedinthefieldofethnogerontologyShewas,infact,oneoftheoriginalcorefacultyoftheStanfordGeriatricEducationCenter,whichhasasitsmissionthedevelopmentofthisfieldasitpertainstophysicalandmentalhealthissuesofolderadultsInshebecameanAssociateProfessorofResearchintheDepartmentofPsychiatryandBehavioralSciencesattheUniversityofStanford,CaliforniaInshewaspromotedtofullProfessorofResearchinthesamedepartmentSheisstillveryactiveintrainingpsychiatryresidents,psychologyinternsandpostdoctoralfellows,andconductingherresearchSheisDirectoroftheOlderAdultandFamilyCenter,whichprovidestheadministrativestructureforherworktocontinueABOUTTHEAUTHORSixPREFACEThemainaimofthisbookistofillwhatisperceivedtobeaneedamongpsychotherapistsworkingwitholderpeoplethatis,foracomprehensiveguidetoapplyingcognitivebehaviourtherapy(CBT)witholderpeopleGiventheveryrealincreaseinlongevityevidentinthedevelopedanddevelopingworld,psychotherapistsandotherhealthcareworkerswillincreasinglycomeintocontactwitholderpeopleItisourviewthatolderpeoplewillbebetterservedwhentheirpractitionershaveaccesstouptodateandclearinformationonpsychologicaltreatmentoptionsWesincerelybelievethatwehavereachedourgoalinthisrespectAnyonewiththemostbasicunderstandingofCBTwillbeabletousetheinformationcontainedinthistexttotailorhighqualityandeffectivetherapyforolderpeopleThisbookprovidestherapistswithaclearrationalefortreatmentinterventions,notjustthe‘whatto’and‘howtodo’butthe‘why’ofinterventionsTothatendourbookisstrongonformulationandconceptualizationInthenumeroustrainingsessionsandworkshopswithwhichwehavecollectivelybeeninvolvedovertheyears,therehavebeennumerousinstanceswherepeoplegaveusexamplesofdifficultiesinapplyingCBTwitholderpeople,andothernumerousinstanceswherepeoplewouldtellushowdeskilledtheyhadfeltastherapistswhenworkingwitholderpeoplewithmultiplephysicalandpsychologicalcomorbiditiesThisbookiswrittentoshareourknowledgeandexperienceswiththerapists,andtotransferouroptimismabouttreatingolderpeopleindistressInourexperienceofapplyingCBTwitholderpeople,weknowthatolddogscanlearnnewtricksInourexperience,CBTiseffective,adaptableandverypopularwitholderpeopleInourexperience,CBTwitholderpeoplecanmakesuchadifferencetopeople’slivesThisbookis,inpart,motivatedtoprovideevidencetoshowhowmuchcanbeachievedInworkingwitholderpeopleourexperiencetellsusthatweshouldalwaysretainanopenmindonwhatcanbeachievedInwritingthisbookwewantedtoprovidearesourcethattherapistsatalllevelsofexperienceandexpertisewouldfindhelpfulWhenapplyingcognitivetherapywitholderpeople,thequestionisoftenasked:‘WhatadaptationsarenecessarytomakeCBTeffectiveandapplicable’InthebroadliteraturetherearemanyanswerstothisquestionInthisbookwehaveprovidedamodelforCBTwitholderpeoplethatretainsthemainidentityofthetherapybutreflectsanhonestaccountofthetypesofissuesthatneedtobeaddressedifCBTistobemaximallyeffectiveItwasourintentionthatthereadershouldseethisbookasaresourcethatextendsbeyondcognitivebehaviourtherapy,andwehavethereforeprovideduptodateinformationongerontologytoenablethereaderstobebetterequippedtohelptheirpatientsidentifyandchallengeagerelatedmythsandstereotypesSTRUCTUREOFTHEBOOKThebookisdividedintofoursectionsSectionOne(Chapters–)outlinesthebasicinformationthattherapistswouldneedtoworkeffectivelywitholderpeopleChapterprovidesbasicbackgroundinformationongrowingolderanduptodatedemographicprojectionsChapterprovidestherapistswithessentialefficacyevidenceforCBTthattheymaywishtosharewiththeirpatientsInthischapteranumberofmythsassociatedwithpsychotherapyandolderpeoplearedebunkedInChapteramodelforworkingwitholderpeopleisintroducedandfullydescribedThismodelprovidesaunifyingstructureforinterventionsdescribedthroughoutthesubsequentchaptersofthisbookInSectionTwo(Chapters–)cognitivebehaviourtherapyforlatelifedepressionisdescribedingreatdetailChapterprovidesbasicinformationonplanningtreatmentandalsodealswiththeissuesofassessmentanddiagnosisChapterprovidesathoroughexplanationoftheuseofbehaviouraltechniquesinthetreatmentofdepressionChapterprovidesadescriptionofcognitiveinterventions,andchallengesmanymisconceptionsabouttheuseofthesetechniqueswitholderpeopleThischaptershowshowtointroduceandusethoughtdiariessuccessfullywitholderpeopleChapterprovidesaperspectiveondealingwithmoreindepthschemaissuesinCBTwitholderpeopleThischapterisoneoftheveryfewpublishedaccountsofthistypeofworkwitholderpeopleInSectionThreeCBTisappliedwithotherdisordersapartfromdepressionChaptergivesanaccountoftheassessmentandtreatmentoflatelifeanxiety,whileChapterdealswithinsomniaChapters–dealwithimportantdevelopmentsintheuseofCBTwithmedicallyillpopulationsInnovativexiiPREFACEaccountsoftreatmentarepublishedinthesechaptersandtheaccountsoftreatmenthereplacethisbookatthecuttingedgeofCBTforolderpeopleSectionFour,thefinalsection,providesanoverviewofthemanycommonchallengesexperiencedinapplyingCBTwitholderpeopleandoffersalooktowardsthefutureItisoursinceresthopethatthematerialcontainedinthisbookwillbehelpfultoourreadersand,hence,toolderpeopleWeareaware,however,thatabooksuchasthiscanonlytakesomeonesofar,thereforewerecommendappropriatetrainingandcontinuedsupervisionincognitivetherapytoanyonewishingtousethesetechniquesGoodlucktoallourreadersKenLaidlawPREFACExiiiFOREWORDAbooklookingattheapplicationofcognitivetherapy(CT)witholderpeopleislongoverdue,especiallyasthefirstempiricalevaluationofthisapproachwitholderpeopletookplacealmostyearsago,andwasconductedbytwoofthefourauthorsThisbookisthefirstnoneditedbookontheuseofCTwitholderpeopleTheauthorshaveallbeeninvolvedintheclinicalevaluationofCTwitholderpeopleandremainattheforefrontinthedevelopmentofthisapproach’sapplicationinanumberofsettingsandwithabroadrangeofolderclientgroupsAninnovativeaspectofthisbookisthatinformationfromthefieldofgerontologyisprovidedintheintroductorysectionsothattherapistslessexperiencedinworkingwitholderpeoplearelessaffectedbyagerelatedbiasesintermsoftreatmentoptionsandtreatmentoutcomesInmanypreviousworksresearchershavestatedthattherapistsoughttoknowaboutnormalageingandnormalagerelatedchangeswhenworkingwitholderpeople,buthavestoppedshortofstatingwhatthatknowledgeshouldbe,anditsrelevanceThisbookcorrectsthatomissionThebookisfirmlywithinthetraditionofCTandhelpstherapiststoremainempiricalintheirapproachtoworkingwitholderpeopleThemodelofCTisclearlystatedandrealcaseexamplesofCTinactionareprovidedthroughoutInmanywaysChapteristhemostimportantasitoutlinestheintegrationofgerontologyandCTwhenworkingwitholderpeopleAtthecentreofthisnewapproachisthecognitivemodelandthe

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