Course: Theory and Practice of Cognitive Behavior Therapy: #18.821.625
Instructor: G. Terence Wilson, Ph.D.
Spring 2013 - 3 credits
Goals: The goals of this course are to provide: (1) coverage of the
theoretical foundations of contemporary cognitive behavior therapy (CBT); (2) an analysis of the development and evaluation of
evidence-based psychological treatments; and (3) a focus on core therapeutic issues in the clinical practice of cognitive behavior therapy for adult disorders.
Examination: Take-home final examination, consisting of short essay questions.
Recommended Text: Barlow, D. H. (2008). Clinical handbook of psychological disorders. 4th.Ed. New York: Guilford Press.
Course Outline and Reading Assignments
Week 1 History and Current Status
Baker, T., McFall, R., & Shoham, V. (2009). Current status and future prospects of clinical psychology: Toward a scientifically principled approach to mental and behavioral health care. Psychological Science in the Public Interest, 9, 67-103. Bandura, A. (2004). Swimming against the mainstream: The early years from chilly
tributary to transformative mainstream. Behaviour Research and Therapy, 42, 613-630.
Clark, D., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009). Improving access to psychological therapy: Initial evaluation of two UK
demonstration sites. Behaviour Research and Therapy, 47, 910-920.
Rachman, S. & Wilson, G. T. (2008). Commentary. Behaviour Research and Therapy, 46, 293-295.
Weeks 2 and 3 Principles of Behavior Change
Bouton, M. E. (2000). A learning theory perspective on lapse, relapse, and the maintenance of behavior change. Health Psychology, 19, 57-63.
Brewin, C. (2006). Understanding cognitive behavior therapy: A retrieval competition account. Behaviour Research and Therapy, 44, 765-784.
Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5-S27.
Dimidjian, S., Martell, C., Addis, M., & Herman-Dunn, L. (2008). Behavioral activation for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders, 4th Ed. New York: Guilford Press. Pages 328-341. (also on reserve).
Week 4 Assessment: Principles and Procedures
Week 5 Anxiety Disorders
Craske, M. G. et al. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46, 5-27.
Meuret, A. E, Seidel, A., Rosenfield, B., Hofmann, S. G., & Rosenfield, D. (2012). Does fear reactivity during exposure predict panic symptom reduction? Journal of Consulting and Clinical Psychology, 80, 773-785.
Hofmann, S. (2007). Enhancing exposure-based therapy from a translational research perspective. Behaviour Research and Therapy, 45, 1987-2001.
Stangier, U., Schramm, E., Heidenreich, T., Berger, M., & Clark, D. M. (2011). Cognitive therapy vs interpersonal psychotherapy in social anxiety disorder: A randomized controlled trial. Archives of General Psychiatry, 68, 692-700.
Week 6 Panic Disorder
Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder. JAMA, 83, 2529-2536.
Craske, M. G. & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders, 4th Ed., (pp. 1-64). New York: Guilford Press.
Craske, M. G., Stein, M. B., Sullivan, G. et al. (2011). Disorder-specific impact of
coordinated anxiety learning and management treatment for anxiety disorders in primary care. Archives of General Psychiatry, 68, 378-388.
Goldstein, A. J., deBeurs, E., Chambless, D. L., & Wilson, K. A. (2000). EMDR for panic disorder with agoraphobia: Comparison with waiting list and credible attention-placebo control condition. Journal of Consulting and Clinical Psychology, 68, 947-956.
Week 7 Posttraumatic Stress Disorder
Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P., Turner, S., & Yule, W. (2010). Do all psychological treatments really work the same in posttraumatic stress disorder? Clinical Psychology Review, 30, 269-276..
Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., & Fennell, M. (2005). Cognitive therapy for post-traumatic stress disorder: Development and evaluation.
Behaviour Research and Therapy, 43, 413-431.
Foa, E. B., Hembree, E. A., Cahill, S. P., Rauch. S. A. M., Riggs, D. S., Feeny, N. C. & Yadin, E. (2005). Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: Outcome at academic and
community clinics. Journal of Consulting and Clinical Psychology, 73:5, 953-964. McNally, R. J., Bryant, R., & Ehlers, A. (2003). Does early psychological intervention
promote recovery from posttraumatic stress? Psychological Science in the Public Interest, 4, 45-79.
Recommended Treatment Protocols: Foa, E., & Hembree, E. (2007). Prolonged exposure therapy for PTSD, New York: Oxford University Press.
Zayfert, C., & Becker, C. B. (2007). Cognitive-behavioral therapy for PTSD: A case formulation approach. New York: Guilford Press.
Weeks 8 - 9 Depression
DeRubeis, R. J., Gelfand, L. A., Tang, T. Z., & Simons, A. D. (1999). Medications versus cognitive behavior therapy for severely depressed outpatients: Mega-analysis of four randomized comparisons. American Journal of Psychiatry, 156, 1007-1013.
DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., O’Reardon, J. P., Lovett, M. L., Gladis, M. M., Brown, L. L., & Gallop, R. (2005). Cognitive therapy vs. medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62, 409-416.
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., Atkins. D. C., Dunner, D. L., & Jacobson, N. S. (2006). Behavioral activation, cognitive therapy and anti-depressant medication in the acute treatment of major depression. Journal of Consulting and Clinical Psychology, 74, 658-670.
Dimidjian, S., Martell, C., Addis, M., & Herman-Dunn, L. (2008). Behavioral activation for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders, 4th Ed. New York: Guilford Press.
Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O’Reardon, J. P., Lovett, M. L., Young, P. R., Haman, K. L., Freeman, B. B., & Gallop, R. (2005). Prevention of relapse following cognitive therapy versus
medications in moderate to severe depression. Archives of General Psychiatry, 62, 417-422.
Siddique, J., Chung, J. Y., Brown, C. H., & Miranda, J. (2012). Comparative
effectiveness of Medication versus cognitive-behavioral therapy in a randomized controlled trial of low-income young minority women with depression. Journal of Consulting and Clinical Psychology, 80, 995-1006.
Week 10
Depression
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., Atkins. D. C., Dunner, D. L., & Jacobson, N. S. (2006). Behavioral activation, cognitive therapy and anti-depressant medication in the acute treatment of major depression. Journal of Consulting and Clinical Psychology, 74, 658-670.
Dimidjian, S., Martell, C., Addis, M., & Herman-Dunn, L. (2008). Behavioral activation for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders, 4th Ed. New York: Guilford Press.
Segal Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., Bloch, R., & Levitan, R.D. (2010). Antidepressant monotherapy vs sequential
relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67, 1256-1264.
Segal, Z. V., Teasdale, J. D., & Williams, M. (2004). Mindfulness-based cognitive
therapy: Theoretical rationale and empirical status. In S.C. Hayes, V.M. Follette, & M.M. Linehan (Eds.) (Pp. 45-65). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press. (on reserve)
Treatment Manual: Martell, C., Dimidjian, S., & Herman-Dunn, R. (2010). Behavioral activation for depression. New York: Guilford Press.
Week 11 Clinical Issues: Resistance and Motivation to Change
Wilson, G. T. & Schlam, T. (2004). The transtheoretical model and motivational
interviewing in the treatment of eating and weight disorders. Clinical Psychology Review, 24, 361-378.
Vitousek, K., Watson, S., & Wilson, G. T. (1998). Enhancing motivation for change in treatment-resistant eating disorders. Clinical Psychology Review, 18, 391-420.
Weeks 12 and 13 Moderators and Mechanisms of Change
Carter, J. D., Luty, S. E., McKenzie, J. M., Mujlder, R. T., Frampton, C. M., & Joyce, P. R. (2011). Patient predictors of response to cognitive behavior therapy and
interpersonal psychotherapy in a randomized clinical trial for depression. Jounal of Affective Disorders, 128, 252-261.
Fournier, J. C., DeRubeis, R. J., Shelton, R. C., Hollon, S. D., Amsterdam, J. D., Gallop, R. (2009). Prediction of response to medication and cognitive therapy in the treatment of moderate to severe depression. Journal of Consulting and Clinical Psychology, 77:4, 775-787.
Ilardi, S. S. & Craighead, W. E. (1994). The role of nonspecific factors in cognitive-behavior therapy for depression. Clinical Psychology: Science & Practice, 1, 138-156.
Kraemer, H., Frank, E. & Kupfer, D. (2006). Moderators of treatment outcomes: Clinical, research, and policy importance. JAMA, 296, 1285-1289.
Kraemer, H., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877-883.
Murphy, R., Cooper, Z., Hollon, S. D., & Fairburn, C. G. (2009). How do psychological treatments work? Investigating mediators of change. Behaviour Research and Therapy, 47. 1-96.
Perepletchikova, F., Treat, T., & Kazdin, A. E. (2007). Treatment integrity in psychotherapy research: Analysis of the studies and examination of the
Roth, A. D. & Pilling, S. (2008). Using an evidence-based methodology to identify the competences required to deliver effective cognitive and behavioural therapy for depression and anxiety disorders. Behavioural and Cognitive Psychotherapy, 36, 129-147.
Strunk, D. R., Brotman, M. A., DeRubeis, R. J., & Hollon, S. D. (2010). Therapist
competence in cognitive therapy for depression: Predicting subsequent symptom change. Journal of Consulting and Clinical Psychology, 78:3, 429-437.
Week 14 Efficacy of Manual-Based CBT
Crits-Christoph, P., Wilson, G. T., & Hollon, S. (2005). Empirically supported
psychotherapies: Commentary on Westen et al. Psychological Bulletin, 131, 412-417.
Weisz, J. R., Weersing, V. R., & Henggeler, S. W. (2005). Jousting with straw men: Comment on Westen, Novotny, and Thompson-Brenner (2004). Psychological Bulletin, 131, 418-426.
Westen, D., Novotny, C. M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin,130, 631-663.
Wilson, G. T. (1996). Manual-based treatments: The clinical application of research findings. Behaviour Research and Therapy, 34, 295-315.
Week 15 Effectiveness and Generalizability
DiMauro, J, Domingues, J., Fernandez, G., & Tolin, D. F. (2013). Long-term
effectiveness of CBT for anxiety disorders in an adult outpatient clinic sample: A follow-up study. Behaviour Research and Therapy, 51, 82-86.
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., Garety, P. A., Hollon, S. D., Ost, L. G., Salkovskis, P., & Wilson, G. T. (2009). Mind the gap: Improving the dissemination and implementation of CBT. Behaviour Research and Therapy, 47, 902-909.
Stirman, S. W., DeRubeis, R. J., Crits-Christoph, P., & Brody, P. E. (2003). Are samples in randomized controlled trials of psychotherapy representative of community outpatients? Journal of Consulting and Clinical Psychology, 71, 963-972.
Wade, W. A., Treat, T. A., & Stuart, G. L. (1998). Transporting an empirically supported treatment for panic disorder to a service clinic setting: A benchmarking strategy. Journal of Consulting and Clinical Psychology, 66, 231-239.