CUA THE CATHOLIC UNIVERSITY OF AMERICA National Catholic School of Social Service Washington, DC 20064 202-319-5458 Fax 202-319-5093 SSS 724 Cognitive and Behavioral Theories and Social Functioning (3 credits) Instructor: Melissa D. Grady, MSW, PhD, LICSW Spring 2013 @This course outline is the property of NCSSS and the instructor and may be distributed with written permission. I. COURSE PURPOSE As one of the three combined Masters/Doctoral advanced clinical theory courses, Cognitive and Behavioral Theories and Social Functioning examines behavioral and cognitive theories that seek to explain the bio-psycho-social-spiritual nature of human beings and predict how change may take place. The two theories are placed within their historical context as unique theories that developed from different broader paradigms – behavioral from the positivist paradigm and cognitive from the constructivist paradigm. The course follows the process of integration of the two theories into practice models and the integration of these models into social work practice and literature. Grounded in scholarly literature, lecture, discussion, and experiential exercises, the course challenges students to critically analyze cognitive and behavioral theories within the context of their psychological foundations against contemporary ecological, developmental, and strengths perspectives. II. EDUCATIONAL OBJECTIVES Upon completion of this course, students will be able: 1. To understand and differentiate between theory, clinical practice theory, and practice model 2. To compare and critique differences flowing from the contextual ground of behavioral theory in the positivist paradigm and cognitive theory in the constructivist paradigm. 2 3. To compare and critique differences flowing from the unique historical foundation of each theory within other disciplines and become familiar with the work of social work scholars who are integrating these theories into the practice of social work. 4. To master knowledge of the basic explanatory and change concepts of both behavioral and cognitive theories. 5. To understand the connection between the explanatory and change concepts of cognitive and behavioral theories and the intervention techniques of the accompanying models. 6. To comprehend the commonality and differences in understanding and technique between learning and developmental theories. 7. To experience the connection between one's own cognitions and subsequent feelings and behavior. 8. To experience one's own behavior patterns and the environmental contingencies which stimulate or maintain those behaviors. 9. To demonstrate competence in applying the explanatory concepts of cognitive and behavioral theories to the assessment of adults and children of varied populations, especially those at risk. 10. To demonstrate competence in applying change concepts of the theories to the formulation of a plan in the treatment of adults and children of varied populations, especially those at risk. 11. To understand the ethical issues raised by commitment to evidence-based practice. 12. To demonstrate mastery of lecture material, class discussion and required reading material. III. COURSE REQUIREMENTS A. Required Texts - MSW Students Beck, J. (2011). Cognitive therapy: Basics and beyond (2nd ed.). New York, NY: The Guilford Press. Granvold, D. (Ed.). (2004). Cognitive and behavioral treatment. Pacific Grove, CA: Brooks/Cole Publishing Company. 3 Additional Required Texts – Phd Students Berlin, S. (2002). Clinical social work practice: A cognitive-integrative perspective. New York, NY: Oxford University Press. Recommended Texts Berlin, S. (2002). Clinical social work practice: A cognitive-integrative perspective New York: Oxford University Press. Spiegler, M., & Guevremont, D. (2010). Contemporary behavioral therapy (5th ed.). Belmont, CA: Thomson/Wadsworth. B. Course Assignments Midterm Exam Masters Level Students Required, objective, inDue Class #6 class, closed book Case Formulation Required, take-home, application to case material Due Class #9 Treatment Plan Required, take-home, application to case material Due Class #13 Midterm Exam Doctoral Level Students Required, objective, inDue Class #6 class, closed book Scholarly Paper Required, critical analysis of a clinical issue via theory (to be individually negotiated with professor) Doctoral level participation Required negotiation with professor re. class attendance, individual meetings with professor, extra readings, scholarly participation C. Due date to be negotiated with professor Grading Policy: The letter grade for this course will be based on the University Grading System. DO NOT PUT YOUR NAME ON ANY ASSIGNMENTS. USE YOUR CUA ID NUMBER ONLY!!!!!!!!!!!!!!! 4 1. Midterm Exam 2. Case Formulation Paper 30% 3. Treatment Plan & Critique 30% 4. Class participation (see Additional Behavioral Expectations) 10% 1. Midterm Exam 2. Scholarly Paper 3. Doctoral level participation F. IV. Masters Level Students 30% Doctoral Level Students 40% 50% 10% Course and Instructor Evaluation NCSSS requires electronic evaluation of this course and the instructor. At the end of the semester, the evaluation form may be accessed at http://evaluations.cua.edu/evaluations using your CUA username and password. Additional, informal written or verbal feedback to the instructor during the semester is encouraged and attempts will be made to respond to requests. CLASS EXPECTATIONS A. Scholastic Expectations Please refer to NCSSS Announcements, or appropriate Program Handbook for Academic Requirements, including scholastic and behavioral requirements. All written work should reflect the original thinking of the writer, cite references where material is quoted or adapted from existing sources, adhere to APA format, and should be carefully proof read by the student before submission to the instructor for grading. B. Additional Behavioral Requirements: Please refer to additional section on professional conduct and classroom expectations. C. Policies On The Use of Electronic Devices in the Classroom: No laptops or other electronic devices are permitted in the classroom, unless you have a specific documented learning disability. Please turn off all cell phones or other devices that would disrupt the learning environment of the classroom and put them away and removed from the classroom environment. 5 D. Academic Honesty Joining the community of scholars at CUA entails accepting the standards, living by those standards, and upholding them. Please refer to University Policy and appropriate Program Handbooks. Engaging in academic dishonesty will result in a grade of F in this course. E. Accommodations Students with physical, learning, psychological or other disabilities wishing to request accommodations must identify with the Disability Support Services (DSS) and submit documentation of a disability. If you have documented such a disability to DSS that requires accommodations or an academic adjustment, please arrange a meeting with the instructor as soon as possible to discuss these accommodations. F. Late Papers It is expected that students will turn in papers by the due date specified in the syllabus. For each day that the paper is late, a 10% grade reduction will be given. If the paper is due at 9:00 am, a paper turned in at 5:00 pm that same day is still considered late. If you should need an extension, the student must discuss this with the instructor at least 48 hours ahead of the due date (excluding weekends and/or holidays). 6 Professional Conduct Class participation is more than mere attendance. It is arriving on time, reading the assigned material, preparing for class with questions, contributing appropriately to class discussions, doing assignments, and participating in class activities. The class participation grade is a subjective grade given by the professor. The professor will use this matrix to determine the class participation grade (modified from Maznevski, M. (1996). Grading Class Participation. Teaching Concerns. hhtp://www.virginia.edu/~trc/tcgpart.htm). Grade 0 No effort 60-70 Infrequent Effort 70-80 Moderate Effort 80-90 Good Effort 90-100 Excellent Effort Total Pts Class Participation Criteria (Carpenter-Aeby, 2001) Absent No effort, disruptive, disrespectful. Present, not disruptive (This means coming in late.) Tries to respond when called on but does not offer much. Demonstrates very infrequent involvement in class. Demonstrates adequate preparation: knows basic case or reading facts, but does not show evidence of trying to interpret or analyze them. Offers straightforward information (e.g. straight from the case or reading), without elaboration or very infrequently (perhaps once a class). Does not offer to contribute to discussion, but contributes to a moderate degree when called on. Demonstrates sporadic involvement. Demonstrates good preparation: knows case or reading facts well, has thought through implications of them. Offers interpretations and analysis of case material (more than just facts) to class. Contributes well to discussion in an ongoing way: responds to other students’ points, thinks through own points, questions others in a constructive way, offers and supports suggestions that may be counter to the majority opinion. Demonstrates consistent ongoing involvement. Demonstrates excellent preparation: has analyzed case exceptionally well, relating it to readings and other material (e.g., readings, course material, discussions, experiences, etc.). Offers analysis, synthesis, and evaluation of case material, e.g. puts together pieces of the discussion to develop new approaches that take the class further. Contributes in a very significant way to ongoing discussion: keeps analysis focused, responds very thoughtfully to other students’ comments, contributes to the cooperative argument-building, suggest alternative ways of approaching material and helps class analyze which approaches were effective. Demonstrates ongoing very active involvement. 100 points 7 724 – Spring 2013 Class Schedule with Corresponding Dates and Assignments Date Class Session 1/17 1 1/24 2 1/31 3 2/7 2/14 4 5 2/21 6 2/28 7 3/4-3/9 3/14 Spring Break – No classes 8 3/21 9 3/28 4/4 No Classes – Easter Holiday 10 4/11 4/18 11 12 4/25 13 5/2 14 Assignment Mid-term Exam Case Formulation Due Treatment Plan Due 8 Class Schedule Class 1 COGNITIVE BEHAVIORAL THEORIES AND SOCIAL WORK Course overview; “There is nothing so practical as a good theory;” Positivist and constructivist paradigms for theories of inquiry; defining theory, practice theory and practice model; explanatory and change functions of theories for practice; Is social work a profession? Required Readings Ronen, T. (2007). Clinical social work and its commonalities with cognitive behavior therapy. In T. Ronen & A. Freeman, (Eds.) Cognitive behavior therapy in clinical social work practice (pp. 3-24). New York, NY: Springer Publishing Company, LLC. Recommended Readings Dobson, K., & Block, L. (2001). Historical and philosophical bases of the cognitive-behavioral therapies. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapies (pp. 3-39). New York, NY: The Guilford Press. Gambrill, E. (1999). Evidence-based practice: An alternative to authority-based practice. Families in Society, 80, 341-350. 2 HISTORY AND BASIC TENETS OF BEHAVIORAL/SOCIAL LEARNING THEORY: THE POSITIVIST PARADIGM The bucket theory of the mind. “Xeroxing” or taking-in of external reality unchanged; the behavioral ABC; Operant and respondent behaviors – operant and respondent conditioning. Focus on explanatory concepts. Required Readings Spiegler, M., & Guevremont, D. (2010). Antecedents of contemporary behavior therapy. In Contemporary behavior therapy (pp. 16-30). Belmont, CA: Thompson/Wadsworth. Elliott, W. (1995). B.F. Skinner. In Tying rocks to clouds: Meetings and conversations with wise and spiritual people (pp. 52-60). Wheaton, IL: Quest Books. Thyer, B. (2008). Respondent learning theory. In B. Thyer (Ed.), Comprehensive handbook of social work and social welfare: Human behavior in the social environment, Volume 2 (pp. 39-56). Hoboken, NJ: John Wiley & Sons, Inc. Wong, S. (2008). Operant learning theory. In B. Thyer (Ed.,) Comprehensive handbook of social work and social welfare: Human behavior in the social 9 environment, Volume 2 (pp. 69-85). Hoboken, NJ: John Wiley & Sons, Inc. Recommended Readings Grusec, J. (1992). Social learning theory and developmental psychology: The legacies of Robert Sears and Albert Bandura. Developmental Psychology, 28, 776-786. Morris, E., Smith, N., & Altus, D. (2005). B.F. Skinner’s contributions to applied behavior analysis. The Behavior Analyst, 28, 99-131. 3 HISTORY AND BASIC TENETS OF COGNITIVE THEORY: THE CONSTRUCTIVIST PARADIGM The motor theory of the mind; Constructing our internal reality; the meditational model; the cognitive ABC; Focus on explanatory concepts Required Readings Beck, J. (2011). Introduction to cognitive behavior therapy. In Cognitive therapy: Basics and beyond (2nd ed.) (pp. 1-16). New York, NY: The Guilford Press. Chatterjee, P., & Brown, S. (2011). Cognitive theory and social work treatment. In F.J. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (5th ed.) (pp. 103-116). New York, NY: Oxford University Press. Elliott, W. (1995). Albert Ellis. In Tying rocks to clouds: Meetings and conversations with wise and spiritual people (pp. 203-214). Wheaton, IL: Quest Books. Recommended Readings Beck, A. (1988). Tapping the internal communications; Cognitive content of the emotional disorders; Principles of cognitive therapy; and Techniques of cognitive therapy. In Cognitive therapy and the emotional disorders (pp. 24-46, 76-101, 213-305) New York, NY: Meridian. Dryden, W., & Ellis, A. (2001). Rational emotive behavior therapy. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapies (pp. 295-348). New York, NY: The Guilford Press. Lyddon, W. (1995). Cognitive therapy and theories of knowing: A social constructionist view. Journal of Counseling and Development, 73, 579585. 4 THEORY BUILDING AND PUTTING IT ALL TOGETHER: CONTRIBUTIONS OF SOCIAL WORKERS TO COGNITIVE AND BEHAVIORAL THEORIES AND MODELS From Pavlov and Skinner to Thyer and Gambrill; From Ellis and Beck to Nurius and Berlin 10 Combining behavioral and cognitive theories into one unified model Required Readings Berlin, S. (1996). Constructivism and the environment: A cognitive-integrative perspective for social work practice. Families in Society, 77, 326-335. Nurius, P., & Macy, R.J. (2008). Cognitive-behavioral theory. In B. Thyer (Ed.), Comprehensive handbook of social work and social welfare: Human behavior in the social environment, Volume 2 (pp. 101-134). Hoboken, NJ: John Wiley & Sons, Inc. Thomlison, R.J., & Thomlison, B. (2011). Cognitive behavior theory and social work treatment. In F.J. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (5th ed.) (pp. 77-102). New York, NY: Oxford University Press. Recommended Readings Berlin, S. (2002). Clinical social work practice: A cognitive-integrative perspective. New York, NY: Oxford University Press. Gambrill, E. (1995). Behavioral social work: Past, present and future. Research on Social Work Practice, 5, 460-484. Thyer, B. (1987). Contingency analysis: Toward a unified theory for social work practice. Social Work, 32, 150-157. 5 CASE FORMULATION WITH COGNITIVE AND BEHAVIORAL THEORIES Behavioral Analysis and Cognitive Conceptualization. Creating a case formulation. Required Readings Beck, J. (2011). Cognitive conceptualization. In Cognitive therapy: Basics and beyond (2nd ed.) (pp. 29-45). New York, NY: The Guilford Press. Spiegler, M., & Guevremont, D. (2010). Behavioral assessment. In Contemporary behavior therapy (pp. 77-112). Belmont, CA, Thompson/Wadsworth. Wright, J.H., Basco, M.R., & Thase, M.E. (2006). Assessment and formulation. In Learning cognitive-behavior therapy: An illustrated guide (pp. 45-64). Washington, D.C.: American Psychiatric Publishing, Inc. Recommended Readings Blankenstein, K., & Segal, Z. (2001). Cognitive assessment: Issues and methods. In K.Dobson (Ed.). Handbook of cognitive-behavioral therapies (pp. 4085). New York, NY: Guilford. 11 6 UNDERSTANDING THE CHANGE PROCESS Treatment planning; educating about the process; setting the stage for change ** IN CLASS CONCEPT TEST ** First half of class Required Readings Beck, J. (2011). The evaluation session. In Cognitive therapy: Basics and beyond (pp. 46-58). New York, NY: The Guilford Press. Beck, J. (2011). Structure of the first therapy session. In Cognitive therapy: Basics and beyond (pp. 59-79). New York, NY: The Guilford Press. Wright, J.H., Basco, M.R., & Thase, M.E. (2006). Structuring and educating. In Learning cognitive-behavior therapy: An illustrated guide (pp. 65-88). Washington, D.C.: American Psychiatric Publishing, Inc. Recommended Readings Zayfert, C., & Becker, C.B. (2008). Assessment, case formulation, and treatment planning. In Cognitive-behavioral therapy for PTSD: A case formulation (pp. 21-43). New York, NY: The Guilford Press. 7 FROM THEORY TO TECHNIQUE IN BEHAVIORAL THEORY From theory to model; concepts that explain “how to” facilitate change through external stimulus and reinforcement. Focus on change concepts. Acceleration and deceleration. Required Readings Gambrill, E. (2004). Concepts and methods of behavioral treatment. In D. Granvold, (Ed.) Cognitive and behavioral treatment (pp. 32-62). Pacific Grove, CA: Brooks/Cole Publishing Company. Spiegler, M., & Guevremont, D. (2010). The process of behavior therapy. In Contemporary behavior therapy (pp. 47-76). Belmont, CA, Thompson/Wadsworth. Recommended Readings Early, B. (1995). Decelerating self-stimulating and self-injurious behaviors of a student with autism: Behavioral intervention in the classroom. Social Work in Education, 17, 244-255. Shorkey, C. (2004). Use of behavioral methods with individuals recovering from substance dependence. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 135-158). Pacific Grove, CA: Brooks/Cole Publishing Company. 12 8 CONCEPTUALIING CHANGE IN BEHAVIORAL THEORIES Cognitive-Behavioral treatment of anxiety – emphasis on respondent techniques of behavioral theory. Required Readings Beck J. (2011). Behavioral activation. In Cognitive therapy: Basics and beyond (2nd ed.) (pp. 80-99). New York, NY: The Guilford Press. Wright, J.H., Basco, M.R., & Thase, M.E. (2006). Behavioral methods I: Improving energy, completing tasks, and solving problems. In Learning cognitive-behavior therapy: An illustrated guide (pp. 123-150). Washington, D.C.: American Psychiatric Publishing, Inc. Wright, J.H., Basco, M.R., & Thase, M.E. (2006). Behavioral methods II: Reducing anxiety and breaking patterns of avoidance. In Learning cognitive-behavior therapy: An illustrated guide (pp. 151-172). Washington, D.C.: American Psychiatric Publishing, Inc. Recommended Readings Berlin, S. (2002). Changing environmental events and conditions; and Changing behaviors. In Clinical social work practice: A cognitive-integrative perspective (pp. 279-349). New York, NY: Oxford University Press. Spiegler, M., & Guevremont, D. (2010). Cognitive-behavioral therapy: Coping skills. In Contemporary behavior therapy (pp. 346-382). Belmont, CA: Thompson/Wadsworth. Whittal, M., Thordarson, D., & McLean, P. (2005). Treatment of obsessivecompulsive disorder: Cognitive behavior therapy vs. exposure and response prevention. Behavior Research and Therapy, 43, 1559-1576. 9 FROM THEORY TO TECHNIQUE IN COGNITIVE THEORY From theory to model; concepts that explain “how to” facilitate change through internally accessing, eliminating, or thinking different mediating thoughts; making meaning.. Focus on change concepts ** CASE FORMULATION PAPER DUE ** Required Readings Granvold, D. (2004). Concepts and methods of cognitive treatment. In Cognitive and behavioral treatment (pp. 3-31). Pacific Grove, CA: Brooks/Cole Publishing Company. Beck J. (2011). Identifying automatic thoughts, Identifying emotions, Evaluating automatic thoughts and Responding to Automatic Thoughts. In Cognitive 13 therapy: Basics and beyond (2nd ed.) (pp.137-197). New York, NY: The Guilford Press. Recommended Readings Berlin, S. (2002). Explicit and implicit memories. In Clinical social work practice: A cognitive-integrative perspective (pp. 70-93). New York, NY: Oxford University Press. DeRubeis, R., Tang, T., & Beck, A. (2001). Cognitive therapy. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapy (pp. 349-392). New York, NY: The Guilford Press. 10 CONCEPTUALIZING CHANGE IN COGNITIVE THEORIES Why do people change? Motivation; What works to help others change? Treatment planning and the beginnings of change; emphasis on cognitive. Required Readings Beck, J. (2011). Identifying and modifying intermediate beliefs, Identifying and modifying core beliefs, and Imagery. In Cognitive therapy: Basics and beyond (2nd ed.) (pp. 198-255 and 277-293). New York, NY: The Guilford Press. Recommended Readings Bledsoe, S., & Grote, N. (2006). Treating depression during pregnancy and the postpartum: A preliminary meta-analysis. Research on Social Work Practice, 16, 109-120. Dattilio, F. (2005). The restructuring of family schemas: A cognitive-behavior perspective. Journal of marital and family therapy, 31(1), 15-30. Nurius, P., & Berlin, S (2004). Treatment of negative self-concept and depression. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 249-271). Pacific Grove, CA: Brooks/Cole. O’Connor, K., Brault, M., Robillard, S. Loiselle, J, Borgeat, F., & Stip, E. (2001). Evaluation of a cognitive-behavioral program for the management of chronic and habit disorders. Behavior Research and Therapy, 39, 667-668. 11 PUTTING IT ALL TOGETHER: CHANGE IN THE CBT MODEL Social work’s person-in-environment perspective; change in the person; mediating thoughts as factors of person; Cognitive-Behavioral treatment of depression – emphasis on techniques of cognitive theory. Required Readings 14 Beck, J. (2011). Additional cognitive and behavioral techniques; and Homework. In Cognitive therapy: Basics and beyond (pp. 256-276, 294-315). New York, NY: The Guilford Press. Muroff, J. (2007). Cultural diversity and cognitive behavior therapy. In T. Ronen & A. Freeman, (Eds.) Cognitive behavior therapy in clinical social work practice (pp. 109-146). New York, NY: Springer Publishing Company, LLC. Recommended Readings Abramowitz, J.S., Brigidi, B.D., & Roche, K.R. (2001). Cognitive-behavioral therapy for obsessive-compulsive disorder: A review of the treatment literature. Research on Social Work Practice, 11, 357-372. Berlin, S. (2002). The fundamentals of personal change. In Clinical social work practice: A cognitive-integrative perspective (pp. 175-206). New York, NY: Oxford University Press. Brewin, C. (2006). Understanding cognitive behaviour therapy: A retrieval competition account. Behaviour Research and Therapy, 44, 765-784. 12 APPLICATION TO CASE MATERIAL A return to theory. How does theory help explain and plan for change? Required Readings Worthless, I.M., Competent, U.R., & Lemonde-Terrible, O. (2002). Cognitive therapy training stress disorder: A cognitive perspective. Behavioural and Cognitive Psychotherapy, 30, 365-374. Small group activities working on case application and materials 13 APPLICATION OF COGNITIVE AND BEHAVIORAL THEORIES TO PARTICULAR POPULATIONS ** FINAL ASSIGNMENT DUE ** Required Readings Read 2 of the following that interest you the most. (Please let me know if there is topic that interests you that is not here and I can try to find it for you.) Butterfield, W.H., & Cobb, N.H. (2004). Cognitive-behavioral treatment of children and adolescents. In D.K. Granvold (Ed.),Cognitive and 15 behavioral treatment (pp. 65-89). Pacific Grove, CA: Brooks/Cole Publishing Company. Daoud, L., & Tafrate, R.C. (2007). Depression and suicidal behavior: A cognitive behavior therapy approach for social workers. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 401-418). New York, NY: Springer Publishing Company. Cohen, J.A., Mannarino, A.P., & Deblinger, E. (2006). The TF-CBT model: How it works. In Treating trauma and traumatic grief in children and adolescents (pp. 32-45). New York, NY: The Guilford Press. Gaudiano, B.A. (2005). Cognitive behavior therapies for psychotic disorders: Current empirical status and future directions. Clinical Psychology: Science and Practice, 12, 33-50. Granvold, D.K. (2007). Working with couples. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 303-327). New York, NY: Springer Publishing Company. Himle, J.A. (2007). Cognitive behavior therapy for anxiety disorders. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 375-399). New York, NY: Springer Publishing Company. Malkinson, R. (2007). Grief and bereavement. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 521-550). New York, NY: Springer Publishing Company. Meyers, L.L. (2007). Eating disorders. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 551-570). New York, NY: Springer Publishing Company. Roche, V. (2007). Medical settings. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 571-590). New York, NY: Springer Publishing Company. Shipherd, J.C., Street, A.E., Resick, P.A. (2006). Cognitive therapy for posttraumatic stress disorder. In V.M. Follette & J.I. Ruzek (Eds.), Cogitive-behavioral therapies for trauma (pp. 96-116). New York, NY: The Guilford Press. Turkington, D., Dudley, R., Warman, D.M., & Beck, A.T. (2004). Cognitivebehavioral therapy for schizophrenia. Journal of Psychiatric Practice, 10, 5-16. 16 Walsh, B.W. (2006). Cognitive treatment. In Treating self-injury: A practical guide. New York, NY: Guilford Press. 14 ENDINGS Termination, transfer of skills, and relapse prevention in cognitive-behavioral. Is there countertransference in cognitive-behavioral therapy? What happened to strengths? “It’s all good”: Cognitive and Behavioral theories are not the silver bullet. Required Readings Beck, J. (2011). Termination and relapse prevention; and Treatment Planning. In Cognitive therapy: Basics and beyond (2nd ed.) (pp. 294-345). New York, NY: The Guilford Press. Granvold, D., & Wodarski, J. (2004). Cognitive and behavioral treatment: Clinical issues, transfer of training, and relapse prevention. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 353-375). Pacific Grove, CA: Brooks/Cole. Recommended Readings Myers, L., & Thyer, B. (1997). Should social work clients have the right to effective treatment? Social Work, 42, 288-298. Spiegler, M., & Guevremont, K. (2010). Third-generation behavior therapies: Acceptance and mindfulness-based interventions; and Contemporary behavior therapy in perspective: Strengths and challenges. In Contemporary behavior therapy (pp.383-418 and 471-493). Belmont, CA: Thompson/Wadsworth. 17 APPENDIX A CASE FORMULATION Objective: The objective of this assignment is for the student to demonstrate the ability to organize and describe case material using cognitive and behavioral theories. Assignment: The student should identify a case, either from their field work or some other helping role to use for the paper. A brief summary of the case should be provided (1-2 pages) that includes the presenting problem of the case as if it were being placed in a medical chart. Please see the suggested guide that is placed under Assignments on the blackboard site. Using the case formulation form from Appendix 1 as a guide the student should write up a case formulation that uses the CBT framework to describe the essential elements in the case. In other words, how would the combined approach of using cognitive and behavioral theories together describe what is happening with the case. Explain why is the person feeling, thinking and behaving in the way that they present in treatment. This paper should be no more than 5 pages Grading Criteria: The student has Clearly described the client and the client’s presenting issues and concerns. Clearly identified the target issue (i.e., a behavior, a feeling, a reaction) Explained the issue from a behavioral theory lens Explained the issue from a cognitive theory lens The student has thoroughly described other environmental/ social situations or issues that might have a bearing on the client, such as class, culture or other client specific issues. Biological, genetic and medical factors have been considered and their potential influence The working hypothesis/case formulation: • Links the formative influences to the current issue • Is comprehensive and provides an accurate clinical summation of the relevant issues that are currently influencing the situation of the client using the CBT framework. • Is written in client-friendly language • Provides at least one example of the CBT cycle The paper is well written with no errors TOTAL Possible Pts. 5 5 20 20 10 5 25 10 100 18 APPENDIX B TREATMENT PLAN AND CRITIQUE Objective: The aim of this assignment is for student to demonstrate their ability to link their assessment and formulation to an appropriate treatment plan and using the principles of evidence-based practice, critique the plan. Assignment: Using the case from the first assignment, this assignment asks students to develop a treatment plan using the assessment and formulation developed from the first assignment. The paper does not have to be in a chart format, but all of the elements within the chart need to be included. In this assignment, students should pay close attention to linking their assessment to their interventions. The interventions should address the difficulties presented by the client as outlined in the assessment. Students should be mindful of the interventions being appropriate and feasible for the individual issues of that client, considering culture, spirituality, gender identity, class, sexual orientation, race, and ethnicity. The final section of the paper should include a brief summary of evidence that supports the use of this model for this client. Please refer to the grading criteria below. This paper should be no more than 4-5 pages. Grading Criteria: The student has: Proposed at least 2 treatment goals (1 cognitive oriented goal and 1 behavioral oriented goal) Possible Pts. 10 Written each goal and corresponding interventions following the SMART format (Can be singlespaced in an outline/bullet format) Proposed interventions that utilize behavioral and cognitive strategies appropriately 10 Identified treatment goals that directly address the target issues as described and identified in the case formulation assignment Included treatment goals that pay attentive to issues of individual differences in clients. 20 Written a compelling argument for the use or avoidance of CBT using the EBP process for this client and his/her presenting issues, which includes a discussion of the research, client factors and clinician expertise (approximately 1-2 pages) Followed APA formatting correctly 25 Turned in a paper that is free of errors 5 TOTAL 100 15 10 5
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