Cognitive-Behavioral Therapy for Refractory Cases: Turning Failure Into Success

Edited by Dean McKay, PhD, ABPP, Jonathan S. Abramowitz, PhD, ABPP, and Steven Taylor, PhD, ABPP

Format: Hardcover, 432 pages
ISBN: 9781433804724
Price: $24.95

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Cognitive–behavioral therapy (CBT) is effective in treating a wide range of psychological problems. Yet many clients whose symptom presentations significantly differ from textbook examples feel that their treatment has failed. Cognitive–Behavioral Therapy for Refractory Cases: Turning Failure Into Success expertly demonstrates how these standard intervention protocols can be appropriately modified to meet client needs.

In each chapter, leaders in the field of CBT address the management and prevention of treatment nonresponsiveness with a range of clients suffering from social anxiety disorder, obsessive–compulsive disorder, posttraumatic stress disorder, eating disorders, depression, insomnia, impulse control disorder, anger issues, and borderline personality disorder among other psychological problems.

Using illustrative case examples and intervention protocols, this volume offers practical guidance for clinicians facing resistance and limited response to CBT from their clients. The editors also closely examine future directions in research to further advance the success of CBT in treating these refractory cases.

Table of Contents


—Steven D. Hollon


I. The Nature of Refractory Clients and Their Impact on the Practice of Cognitive–Behavioral Therapy

  1. Cognitive–Behavioral Therapy and Refractory Cases: What Factors Lead to Limited Treatment Response?
    —Dean McKay, Steven Taylor, and Jonathan S. Abramowitz
  2. Adjusting Treatment for Partial- or Nonresponse to Contemporary Cognitive–Behavioral Therapy
    —Anita Federici, Karen Rowa, and Martin M. Antony

II. Treating Refractory Cases in Specific Diagnostic Populations and Clinical Problems

  1. Panic With Agoraphobia
    —Melissa M. Magaro and Michelle G. Craske
  2. Social Anxiety Disorder
    —Anna Rosenberg, Deborah Roth Ledley, and Richard G. Heimberg
  3. Obsessive–Compulsive Disorder
    —Dean McKay, Steven Taylor, and Jonathan S. Abramowitz
  4. Generalized Anxiety Disorder
    —Michael R. Ritter, Michelle A. Blackmore, and Richard G. Heimberg
  5. Posttraumatic Stress Disorder
    —Steven Taylor
  6. Eating Disorders
    —Ata Ghaderi
  7. Depression
    —Bruce A. Arnow and Lisa I. Post
  8. Substance Use Disorders
    —Roisin M. O'Connor and Sherry H. Stewart
  9. Impulse Control Disorders
    —Jon E. Grant and Brian L. Odlaug
  10. Sexual Problems
    —Peter J. de Jong, Jacques van Lankveld, and Hermien J. Elgersma
  11. Insomnia
    —Allison G. Harvey
  12. Anger
    —Howard Kassinove and Raymond Chip Tafrate

III. Treating Refractory Populations and Clinical Problems

  1. Hypochondriasis and Severe Health Anxiety
    —Jonathan S. Abramowitz, Steven Taylor, and Dean McKay
  2. Borderline Personality Disorder
    —Alexander L. Chapman
  3. Paraphilias
    —J. Paul Federoff and W. L. Marshall
  4. Antisocial and Psychopathic Individuals
    —Michelle Galietta, Virginia Fineran, Joanna Fava, and Barry Rosenfeld

Afterword: Future Directions in Treating Refractory Cases


About the Editors

Editor Bios

Dean McKay, PhD, ABPP, is an associate professor in the Department of Psychology at Fordham University. He currently serves on the editorial boards of Behaviour Research and Therapy, the Journal of Clinical Psychology, and the Journal of Anxiety Disorders, and is associate editor of the Journal of Cognitive Psychotherapy. He has published over 120 journal articles and book chapters, and he is editor or coeditor of 8 published or forthcoming books, and has over 150 conference presentations.

Dr. McKay is board certified in behavioral and clinical psychology by the American Board of Professional Psychology (ABPP), is a fellow of the American Board of Behavioral Psychology and the Academy of Clinical Psychology, and is a clinical fellow of the Behavior Research and Therapy Society. His research has focused primarily on obsessive–compulsive disorder (OCD), body dysmorphic disorder, and health anxiety and their link to OCD, and the role of disgust in psychopathology. His research has also focused on mechanisms of information processing bias for anxiety states.

Jonathan S. Abramowitz, PhD, ABPP, is a professor and associate chair of the Department of Psychology and a research professor in the Department of Psychiatry at the University of North Carolina (UNC) at Chapel Hill. He is also founder and director of the UNC Anxiety and Stress Disorders Clinic.

Dr. Abramowitz is a North Carolina licensed psychologist, and he holds a Diplomate in Behavioral Psychology from the American Board of Professional Psychology.

He conducts research on obsessive–compulsive disorder and other anxiety disorders and has authored or edited 5 books and published over 100 peer-reviewed research articles and book chapters on these topics. He currently serves as associate editor of Behaviour Research and Therapy and the Journal of Cognitive Psychotherapy and on the editorial boards of several other scientific journals.

He is a member of the Obsessive Compulsive Foundation's Scientific Advisory Board and the Anxiety Disorders Association of America's Clinical Advisory Board. He also served on the Anxiety Disorders Work Group for the Diagnostic and Statistical Manual of Mental Disorders (2000).

Dr. Abramowitz received the Outstanding Contributions to Research Award from the Mayo Clinic Department of Psychiatry and Psychology in 2003 and the David Shakow Early Career Award for Outstanding Contributions to Clinical Psychology from the American Psychological Association's Division 12 (Society of Clinical Psychology) in 2004, and he was elected to the Board of Directors of the Association for Behavioral and Cognitive Therapies (formerly AABT) in 2005. He regularly presents papers and workshops on anxiety disorders and their treatment at regional, national, and international professional conferences.

Steven Taylor, PhD, ABPP, is a professor and clinical psychologist in the Department of Psychiatry at the University of British Columbia, and he is editor-in-chief of the Journal of Cognitive Psychotherapy.

Dr. Taylor has published over 200 journal articles and book chapters and over 15 books on anxiety disorders and related topics. He is a fellow of several scholarly organizations, including the American and Canadian Psychological Associations and the Association for Psychological Science. His research interests include cognitive–behavioral treatments and mechanisms of anxiety disorders and related conditions, as well as the behavioral genetics of these disorders.

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