By Ken Laidlaw, Larry W. Thompson, Dolores Gallagher-Thompson, Leah Dick-Siskin
It is a really good source for brand spanking new and skilled clinicians. The authors lay out the principles of CBT and precise concerns for operating with older adults.
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Additional info for Cognitive Behaviour Therapy with Older People
Another important concept in the cognitive model of psychopathology is the concept of negative automatic thoughts. Negative automatic thoughts reflect the existence of underlying dysfunctional schemas. Negative automatic thoughts can often be collected together to identify themes that are evident in an individual’s belief system. The therapist uses this knowledge when formulating the patient’s story in order to determine the cognitive-behavioural interventions that may be necessary. The standard cognitive therapy formulation outlined above is supplemented with additional important information necessary when working with older adults, such as cohort beliefs, role investments, intergenerational linkages, sociocultural context and physical health.
COGNITIVE-BEHAVIOURAL MODEL FOR OLDER PEOPLE 27 only enhance treatment outcome. This chapter presents a psychotherapy formulation model for use with older adults. THE IMPORTANCE OF FORMULATION IN CBT WITH OLDER PEOPLE Formulation is one of the key skills in cognitive therapy. If techniques such as Socratic questioning, graded task assignment, thought monitoring and challenging are the science of cognitive therapy, then formulation is the art. The importance of formulation in therapy is that it seeks to reconcile what is known about patients’ beliefs and vulnerability factors with their thoughts, feelings and behavioural responses to current stressors (Persons, 1993, 1989).
A formulation can guide not only the types of interventions that a therapist considers important—given the idiosyncratic nature of a patient’s difficulties—but can also serve to influence the timing of the introduction of interventions (Persons, 1993). It is important when sharing a formulation with a patient that the therapist is mindful to assess whether the patient has the requisite resources to challenge and deal successfully with the issue at hand. Eells (1997) stresses that in deriving a clinical formulation a tension can often be engendered between immediacy and/or comprehensiveness.