Trial-Based Cognitive Therapy

Trial-Based Cognitive Therapy (TBCT) is a new model of cognitive behaviour therapy (CBT) that organizes standard cognitive and behavioural techniques in a step-by-step fashion, making CBT more easily mastered by the new therapist, more easily understood by the patients, and simpler to be implemented, whilst still maintaining flexibility and CBT's recognized effectiveness. Dividing thirty key features into two parts: 'Theory and Practice', this concise book explores the principles of TBCT, explains the techniques developed throughout TBCT therapy to change dysfunctional cognitions, and provides a clear guide to the distinctive characteristics of TBCT. Trial-Based Cognitive Therapy will be of interest to psychiatrists, psychologists, social workers, therapists, counsellors and other professionals working in the field of mental health, plus those wanting to learn CBT. Trial-Based Cognitive Therapy is part of the Distinctive Features series, which asks leading practitioners and theorists of the main CBT therapies to highlight the main features of their particular developing approach. The series as a whole will be essential reading for psychotherapists, counsellors and psychologists of all orientations.

Irismar Reis de Oliveira, MD, PhD, is Professor of Psychiatry in the Department of Neurosciences and Mental Health at the Federal University of Bahia, Brazil. He is the creator of trial-based cognitive therapy and has trained therapists in Brazil and other countries in this model. Dr. de Oliveira also maintains a private practice and has published numerous articles and books. He is the editor of Standard and Innovative Strategies in Cognitive Behavior Therapy, co-editor of Integrating Psychotherapy and Psychopharmacology: A Handbook for Clinicians, and the author of Trial-Based Cognitive Therapy: A Manual for Clinicians.

Introduction List of abbreviations List of figures and tables Part 1 THE DISTINTIVE THEORETICAL FEATURES OF TBCT 1. Historical development and underpinnings of Trial-Based Cognitive Therapy (TBCT) 2. Core beliefs about the self conceptualized as self-accusations: contribution from the literature to Trial-Based Cognitive Therapy (TBCT) 3. Trial-Based Cognitive Therapy (TBCT): A 3-level, 3-phase case conceptualization approach 4. Assessing cognitions: the cognitive distortions questionnaire (CD-Quest) 5. The modulatory role of underlying assumptions (UAs) 6. Separating discomfort from distress: the color-coded symptom hierarchy (CCSH) 7. Resolving ambivalence 8. A focus on experiential techniques for restructuring cognitions 9. Core beliefs about the self conceptualized as self-accusations 10. Distinguishing the inner characters: taking distance 11. The "preparation for the appeal" metaphor: building new positive and functional core beliefs 12. Metacognitive awareness 13. TBCT and social anxiety disorder 14. TBCT and posttraumatic stress disorder 15. TBCT as a preventative approach for adolescents in schools Part 2 THE DISTINTIVE PRACTICAL FEATURES OF TBCT 16. Explaining the cognitive model. Case formulation: level 1 17. Assessing dysfunctional cognitions 18. Introducing the CD-Quest 19. Using the intrapersonal thought record (Intra-TR) 20. Using the interpersonal thought record (Inter-TR) 21. Using the trial-based participation assessment (TBPA) to resolve guilt 22 Case conceptualization diagram, level 2 23. Using the color-coded symptom hierarchy (CCSH): discomfort vs. distress 24. Resolving ambivalence and making decisions: the consensual role-play (CRP) 25. Case formulation: level 3 26. Using Trial I to restructure dysfunctional CBs 27. Using Trial I to change multiple core beliefs 28. Using Trial I in group settings 29. Using Trial II to promote metacognitive awareness 30. Relaxation and the sailboat metaphor