James P. McCullough, Jr.

For more than a century, the psychotherapist role has been dominated by Freud’s neutrality rule: don’t become personally involved with patients! McCullough challenges this widely accepted dictum in a new treatment approach for the chronically depressed patient. He proposes disciplined personal involvement as an alternative to therapist neutrality with chronically depressed patients, describing how this approach can be used in a contingent manner to successfully modify pathological behavior. These latest guidelines expand on his pioneering work, Treatment for Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy(CBASP). In this new volume, Treating Chronic Depression with Disciplined Personal Involvement: CBASP, Dr. McCullough describes in detail what disciplined personal involvement is and how it is administered. The book was written during a current four-year national clinical trial sponsored by NIMH involving 910 chronically depressed outpatients being treated at eight sites in the U.S. The following topics will be covered: - Historical review of the psychotherapist neutrality role - Rationale for disciplined personal involvement in the treatment of chronic depression - Training veteran psychotherapists to administer disciplined personal involvement - Numerous verbatim case examples presented to illustrate therapist disciplined personal involvement - Appendix Section operationalizing the CBASP disciplined personal involvement techniques and discussing needed CBASP research McCullough’s fresh perspective and psychotherapy wisdom make this text a must read for all clinical practitioners, training clinicians in university settings, and psychotherapy researchers. Treating Chronic Depression with Disciplined Personal Involvement: CBASP offers a radically new alternative to the traditional therapeutic relationship.

Cognitive Behavioral Analysis System of Psychotherapy (CBASP)

Treating Chronic Depression with Disciplined Personal Involvement

Elisabeth Schramm

J. Kim Penberthy

The Cognitive Behavioural Analysis System of Psychotherapy (CBASP) is the only psychotherapy model developed specifically for chronic depression. In the latest addition to the successful Distinctive Features series, the developer of CBASP, James P. McCullough Jr., along with Elisabeth Schramm and J. Kim Penberthy, provides an accessible introduction to this approach, showing how it differs from other cognitive behavioural approaches, and highlighting those features – both theoretical and practical – that make it unique. The unparalleled problems of the chronically depressed patient are some of the most difficult that practitioners face. The disorder has usually continued for a decade or more and patients enter psychotherapy interpersonally withdrawn, detached and with little or no motivation to change. CBASP as A Distinctive Treatment for Persistent Depressive Disorder provides a new look into the phenomenological world of the patient and shows the reader why the world-view of the patient is a valid perception of reality. CBASP is designed to address the problems of the patient in a step-by-step manner. This book explores the therapist role and shows how the CBASP model enables therapists to address the patient’s depression in a zone of interpersonal safety. Patients are taught how to behave in an interpersonally facilitative manner and shown how everything they do has consequences for others (including the therapist) and on the social environment in which they live. CBASP as A Distinctive Treatment for Persistent Depressive Disorder will be essential reading for novice and experienced CBT therapists, counselors and psychotherapists treating chronic depression.

Distinctive features

CBASP as a Distinctive Treatment for Persistent Depressive Disorder

Swimming Upstream By: James P. McCullough, Jr. Swimming Upstream: A Story about Becoming Human is a memoir divided into two parts. Part One is a personal story of the author’s toxic early developmental experiences and the subsequent effects of chronic depression, as well as the specific life experiences that enabled him to modify his early maladaptive history and mature. Part Two is a history and description of the author’s forty-seven-year career as an academic clinical psychologist and his research with chronic depression. His therapy model, The Cognitive Behavioral Analysis System of Psychotherapy (CBASP), is the only treatment model designed specifically to treat the chronically depressed patient. CBASP has been personally used by the author to treat 450 chronically depressed patients; therefore, Swimming Upstream is essentially a story of a life trajectory of hope.

James P. McCullough, Jr.

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