Using cognitive behavioural therapy with complex cases: using the therapeutic relationship to change core beliefs.

Abstract:

:Cognitive Behavioural Therapy (CBT) is often perceived as a manualised, symptom focused, surface level approach. This article aims to reflect on working with complex clinical presentations and explore how third wave CBT can be effectively integrated into standard cognitive behavioural interventions. To achieve these aims, a case study of a CBT assessment and treatment is presented. The interventions used are described in detail. The focus changes from the more traditional symptom-led interventions to third wave approaches based on the therapeutic relationship. When the focus was redirected towards the therapeutic relationship then real change occurred, quickly and powerfully. Reflections on the process are discussed and the overall approach used was evaluated with an action plan developed to enhance future clinical practice. It is hoped that this study can help CBT be viewed as a comprehensive form of psychotherapy.

authors

Binnie J

doi

10.3109/01612840.2012.669024

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

480-5

issue

7

eissn

0161-2840

issn

1096-4673

journal_volume

33

pub_type

杂志文章
  • Mental Health Nursing in Greece: Nursing Diagnoses and Interventions in Major Depression.

    abstract::The aim of the study was to assess nursing diagnoses and nursing interventions that were accordingly implemented during the care of inpatients with major depression in Greece. Twelve nurses working in three major psychiatric hospitals were recruited. Semi-structured interviews were used and audio-recorded data indicat...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2016.1169466

    authors: Prokofieva M,Koukia E,Dikeos D

    更新日期:2016-08-01 00:00:00

  • Brokering Community Engagement: Proactive Strategies for Supporting Indigenous Australians with Mental Health Problems.

    abstract::This qualitative study explored the experiences of mental health employees working with Indigenous clients living with mental illness. Interviews were conducted with 20 mental health workers to identify strategies they adopt to facilitate community engagement with Indigenous clients. Using a thematic analysis approach...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840.2016.1224284

    authors: Sayers JM,Hunt GE,Cleary M,Burmeister OK

    更新日期:2016-12-01 00:00:00

  • Measuring anxiety in adolescents exposed to community violence: a review, comparison, and analysis of three measures.

    abstract::Exposure to community violence can influence adolescents' anxiety. Researchers have examined the relationship between exposure to community violence and anxiety. In their pursuit to explore that relationship, researchers have used a variety of instruments. This review of literature provides an overview of the instrume...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章,评审

    doi:10.3109/01612840903200027

    authors: Kelly S,Hall L

    更新日期:2010-01-01 00:00:00

  • Talking theory, talking therapy: Emmy Gut and John Bowlby.

    abstract::Emmy Gut was a psychotherapist who developed, in her later years, a unique theory distinguishing between "productive" and "unproductive" depression. Dr. John Bowlby was a leading psychoanalyst famous for his work on attachment theory. After the death of her second husband, Emmy contacted John because his work on mourn...

    journal_title:Issues in mental health nursing

    pub_type: 传,历史文章,杂志文章

    doi:10.1080/01612840600599986

    authors: Ross LR

    更新日期:2006-06-01 00:00:00

  • Violent encounters in psychiatric care: a phenomenological study of embodied caring knowledge.

    abstract::This article focuses on encounters that become violent, a problem in health care that has been the issue of many debates but is still not fully understood. Violent encounters refer to events where the patient expresses an aggressive and hostile attitude toward the caregiver. This study is part of a bigger project that...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840490268324

    authors: Carlsson G,Dahlberg K,Lützen K,Nystrom M

    更新日期:2004-03-01 00:00:00

  • The ward atmosphere of single-sex wards in a maximum-security forensic psychiatric hospital in Sweden.

    abstract::This exploratory study investigated the ward atmosphere of single-sex wards in a forensic psychiatric context in the light of Moos' conceptualization of the treatment setting. The wards for female patients bore similarities to Relationship-Oriented and Insight-Oriented programmes and had a generally positive ward atmo...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840701869858

    authors: Brunt D

    更新日期:2008-03-01 00:00:00

  • Influencing undergraduate nursing students' attitudes toward mental health nursing: acknowledging the role of theory.

    abstract::Most research designed to explore undergraduate nursing students' attitudes towards mental health nursing tends to uphold clinical experience as the decisive factor, with much less attention paid to the theoretical component. This paper presents the findings of a state-wide study conducted with undergraduate nursing s...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840802557113

    authors: Happell B

    更新日期:2009-01-01 00:00:00

  • Stress and mental health: a biobehavioral perspective.

    abstract::The influence of stress on all aspects of health and the importance of understanding the complex interaction of the mind and body has increasingly become an issue of worldwide concern. This article offers an overview of the stress response, emphasizing the interdependence of the neurobiological components--neurologic,...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1080/016128400248185

    authors: Cohen JI

    更新日期:2000-03-01 00:00:00

  • Barriers and Facilitators of Healthcare for People with Mental Illness: Why Integrated Patient Centered Healthcare Is Necessary.

    abstract::Understanding barriers and facilitators of healthcare for people with mental illness is essential for healthcare and mental healthcare organizations moving towards patient centered care. This paper presents findings of a measure on barriers and facilitators of healthcare completed by 204 patients being served at a co-...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2016.1162882

    authors: Bellamy CD,H Flanagan E,Costa M,O'Connell-Bonarrigo M,Tana Le T,Guy K,Antunes K,Steiner JL

    更新日期:2016-06-01 00:00:00

  • Fear of Missing Out (FoMO) and Gaming Disorder among Chinese University Students: Impulsivity and Game Time as Mediators.

    abstract:BACKGROUND AND AIMS:Research into the fear of missing out (FoMO) has greatly increased in recent years. Given the negative consequences of gaming disorder (GD) among a small minority of individuals, there is an increasing need for research examining the impact of FoMO on GD. However, little is known about the roles of ...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840.2020.1774018

    authors: Li L,Griffiths MD,Niu Z,Mei S

    更新日期:2020-12-01 00:00:00

  • Preliminary validity and reliability of the Sickle Cell Disease Health-Related Stigma Scale.

    abstract::There have been no published studies that measure health-related stigma in individuals with sickle cell disease (SCD). This study provides preliminary validity and reliability of the Sickle Cell Disease Health-Related Stigma Scale (SCD-HRSS). Using a sample of 77 young adults with SCD, ages 18-35 years, the results su...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2012.656823

    authors: Jenerette C,Brewer CA,Crandell J,Ataga KI

    更新日期:2012-06-01 00:00:00

  • Spiritual experiences of parents and caregivers who have children with disabilities or special needs.

    abstract::Despite the fact that faith has been described as a universal concern, and despite the realization that the presence of social supports is an essential element in successful coping, there has been no systematic examination of the quality of spiritual networks important to families impacted by childhood disability. The...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840500436974

    authors: Speraw S

    更新日期:2006-02-01 00:00:00

  • The prevalence of major depression-PTSD comorbidity among ICU survivors in five general hospitals of Athens: a cross-sectional study.

    abstract::Recent progress in medicine and technology has produced a significant increase in the survival rate of critically ill patients. The aim of this study was to investigate the prevalence of major depression and post-traumatic stress disorder (PTSD) comorbidity among patients after discharge from the intensive care unit (...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2014.924609

    authors: Asimakopoulou E,Madianos M

    更新日期:2014-12-01 00:00:00

  • Reminiscence: a closer look at content.

    abstract::This descriptive research examined the content of reminiscences of 21 cognitively intact elderly women registered in an adult day-care program. Content analysis of transcripts from a semistructured interview were used to discover categories of reminiscence events and contexts. Three categories of events emerged: activ...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612849109040514

    authors: Kovach CR

    更新日期:1991-04-01 00:00:00

  • Quality of Life and African American Women Who are Family Caregivers: A Literature Review with Implications for Psychiatric Mental Health Advanced Practice Registered Nurses.

    abstract:PURPOSE:To identify factors affecting the quality of life (QOL) of African American women (AAW) family caregivers of individuals with kidney failure. METHODS:Ferrans' Conceptual Model of QOL provided the framework for this literature review. Included studies were (a) peer- reviewed, (b) published within the last ten y...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1080/01612840.2017.1423427

    authors: Starks SA,Outlaw F,Graff JC,Likes W,White-Means S,Melaro L,Wicks MN

    更新日期:2018-06-01 00:00:00

  • Development of an observer rating scale for caregiver communication in persons with Alzheimer's disease.

    abstract::There have been few reported studies of communication between spouses with Alzheimer's disease (AD) and related dementia. An observer rating scale for verbal and nonverbal behavior, Verbal-Nonverbal Interaction Scale for Caregivers (VNVIS-CG), was developed to study caregiver communication in couples affected by AD. P...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2011.653040

    authors: Williams CL,Parker C

    更新日期:2012-04-01 00:00:00

  • Relationships among perceived burden, depressive cognitions, resourcefulness, and quality of life in female relatives of seriously mentally ill adults.

    abstract::Providing care and support to a seriously mentally ill (SMI) family member can have deleterious effects on one's health and quality of life. This study explored relationships among perceived burden, depressive cognitions, resourcefulness, and quality of life in 60 African-American and Caucasian women family members of...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840802557204

    authors: Zauszniewski JA,Bekhet AK,Suresky MJ

    更新日期:2009-03-01 00:00:00

  • 'Not Becoming Mother': A Phenomenological Exploration of the Therapeutic Relationship with Transgender Clients.

    abstract::LGBTI clients present specific challenges for the mental health profession with key issues for transgender people identified as including isolation, fear, stigma, and family rejection, all of which contribute to the transgender community's high levels of depression, anxiety, substance misuse, self-harm, and suicide. T...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840.2017.1395932

    authors: Harmon K,Donohue G

    更新日期:2018-01-01 00:00:00

  • Demographic and sleep characteristics in cognitively impaired nursing home residents with and without severe sleep/wake pattern inefficiency.

    abstract::This study determined the differences in demographic and sleep characteristics in cognitively impaired nursing home residents with and without severe sleep/wake pattern inefficiency. Identification of characteristics associated with severe sleep/wake pattern inefficiency will allow health care providers to make the be...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840591008339

    authors: Richards KC,Beck C,Shue VM,O'Sullivan PS

    更新日期:2005-08-01 00:00:00

  • Mental Health and Its Socio-Demographic Predictors in Male Partner of Iranian Infertile Couples.

    abstract::Infertility is considered a traumatic stressor for infertile couples. This cross-sectional study aimed to determine the mental health status and its relationship with social support in 345 male partners of infertile couples. Scores on the mental health measure (GHQ-28) indicated that 41.2% of the men had mental proble...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2016.1164772

    authors: Koochaksaraei FY,Mirghafourvand M,Hasanpoor S,Bani S

    更新日期:2016-08-01 00:00:00

  • Good Practices For Infection Prevention and Control at a Psychiatric Hospital in Brazil.

    abstract::This exploratory cross-sectional study aims to investigate good practice for preventing and controlling infections in a psychiatric hospital and for limiting potential exposure to biohazards for nursing professionals at this hospital located in the State of São Paulo, Brazil. The researchers directly and systematicall...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2015.1007539

    authors: Piai-Morais TH,Fortaleza CM,Figueiredo RM

    更新日期:2015-07-01 00:00:00

  • Stumbling toward Vulnerability: Recovery from Substance Use Disorders and Co-Occurring Mental Illness.

    abstract::This study investigated the recovery process for individuals engaged in treatment for substance use disorders (SUDs) who had co-occurring anxiety and depression. The participants were eight individuals engaged in treatment. The results of a Grounded Theory design and methods revealed the core category and substantive ...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840.2020.1836540

    authors: Abram MD,White JH

    更新日期:2020-11-09 00:00:00

  • Resilience in family members of persons with autism spectrum disorder: a review of the literature.

    abstract::Worldwide, caregivers find caring for children with Autism Spectrum Disorder (ASD) challenging. Family members must manage many aspects of care giving, which is demanding, overwhelming, and can affect the family members' mental health. However learning how to be resilient may help family members overcome the stress an...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章,评审

    doi:10.3109/01612840.2012.671441

    authors: Bekhet AK,Johnson NL,Zauszniewski JA

    更新日期:2012-10-01 00:00:00

  • Childhood Loss Experiences, Religiousness/Spirituality, and Hope as Predictors of Adult Life Satisfaction.

    abstract:PURPOSE:The purpose of this study was to explore how adaptive patterns of religiousness/spirituality and hope predict adult life satisfaction in adults, even if they had childhood loss experiences. DESIGN AND METHODS:Using a cross-sectional survey design with132 adult participants (mean age 33.8 ± 15.2, 82% female, 78...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840.2020.1828514

    authors: Mefford LC,Phillips KD,Chung ML

    更新日期:2020-10-14 00:00:00

  • Workplace bullying influences women's engagement in the workforce.

    abstract::Workplace bullying creates hostile work environments, affects mental and physical health, and has social, economic, and career implications. Over 70% of targets of workplace bullying become unemployed either by losing their jobs or by leaving voluntarily. In a grounded theory study, we explored how experiencing workpl...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2012.708701

    authors: MacIntosh J

    更新日期:2012-11-01 00:00:00

  • Psychiatric nurses' satisfaction with a patient classification system for staffing.

    abstract::The nursing literature is replete with patient classification (PC) tools that are reported to be valid and reliable. Most of our knowledge about these tools is derived from studies conducted in general hospitals. Little is known about the few psychiatric PC tools that exist or how satisfied nurses are with them. The p...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612849409006917

    authors: Sims L,Kippenbrock TA

    更新日期:1994-07-01 00:00:00

  • The formation of social reintegration strategies of the psychic suffering carrier: new directions for psychiatric nursing in Brazil.

    abstract::This is an exploratory and descriptive study of a qualitative nature. Its objective is to analyse the formation of strategies for social reintegration of the psychic suffering carrier in the practice of nurses working in hospital psychiatric institutions. For this study, we use, as a basis, the concepts and processes ...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.3109/01612840.2014.901451

    authors: Souza EJ,Moreira LH,Cardoso MM,Ferreira RG,Silva TC

    更新日期:2014-09-01 00:00:00

  • Violence and restraint reduction efforts on inpatient psychiatric units.

    abstract::Efforts to reduce aggression and violence and the use of restraint and seclusion have traditionally been through some form of educational program. This paper presents an integrative review of research and quality improvement projects that aimed to reduce aggression/violence or restraint/seclusion through the use of an...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章,评审

    doi:10.3109/01612840903276704

    authors: Johnson ME

    更新日期:2010-03-01 00:00:00

  • Needs, concerns, and social support of single, low-income mothers.

    abstract::The purposes of this qualitative pilot study were to describe needs and concerns of single, low-income mothers and to evaluate social support mechanisms these mothers valued during the transition to parenthood. Qualitative analysis consisted of word and context interpretation from focus group data. The following theme...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840490432916

    authors: Keating-Lefler R,Hudson DB,Campbell-Grossman C,Fleck MO,Westfall J

    更新日期:2004-06-01 00:00:00

  • Nursing Staff Stress and Individual Characteristics in Relation to the Ward Atmosphere in Psychiatric In-Patient Wards.

    abstract::This study investigated the interplay between nursing staff stress, Mastery, Moral Sensitivity, individual characteristics and the ward atmosphere in psychiatric in-patient care. Data were collected through five questionnaires from 93 nursing staff. Multivariate analysis showed that Moral Strength, Moral Burden, Inter...

    journal_title:Issues in mental health nursing

    pub_type: 杂志文章

    doi:10.1080/01612840.2017.1324929

    authors: Tuvesson H,Eklund M

    更新日期:2017-09-01 00:00:00