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Skills Training Manual for Diagnosing and Treating Chronic Depression


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Table of Contents

1. Introduction to the Manual
Exercise Format of the Manual
2. ""The Big Picture"" A Brief Introduction to CBASP
3. Diagnosing the Chronically Depressed Adult Using a Clinical Course Timeline
4. Administering Situational Analysis
Part I. Situational Analysis: Elicitation Phase
Part II. Situational Analysis: Remediation Phase
5. Using Disciplined Personal Involvement to Modify Patient Behavior
Part I. The Impact Message Inventory
Part II. Steps Leading to the Construction of the Transference
Part III. Interpersonal Discrimination Exercise

About the Author

James P. McCullough, Jr., PhD, received his doctorate from the University of Georgia. He is a fellow of the American Psychological Association and was elected a Diplomate in Clinical Psychology by the American Board of Psychological Forensic Examiners. He is currently codirector of the Adult Psychotherapy Clinical Training Program at Virginia Commonwealth University, where he is also Professor of Psychology and Psychiatry and Executive Director of the Unipolar Mood Disorders Institute. An award-winning educator and researcher, Dr. McCullough has taught clinical psychology graduate students since 1970. His areas of special interest are dysthymia, double depression, and chronic major depression, particularly diagnostic criteria; unipolar diagnostic category psychosocial comparisons; and cognitive and single-case methodology evaluating both private practice and research. He is the author of many publications, including Treatment for Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy.


"In his creative blending of cognitive, behavioral, and interpersonal strategies, McCullough speaks directly to the clinician, clearly outlining and illustrating how to intervene effectively when working with chronically depressed patients. Recognizing that the feeling of not being able to get what one wants is at the core of this depression, McCullough provides clinically sound guidelines for helping patients to overcome the cognitive, affective, and behavioral obstacles to having their needs met."--Marvin R. Goldfried, PhD, Department of Psychology, State University of New York at Stony Brook

"This is quite simply a superb and unique therapist manual. McCullough presents a series of exercises that literally walk the therapist through CBASP treatment. The reader is given the opportunity to identify and constructively address common problems in carrying out the therapy. In its experiential approach to learning, the manual mirrors many of the innovative features of the treatment itself. This manual is essential for any clinician who wants to learn and apply CBASP. It is an outstanding text for students of psychotherapy at all levels and provides instructors with a timesaving, efficient, and indispensable method of teaching."--Bruce Arnow, PhD, Stanford University School of Medicine

"The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) is novel, systematic, and has undergone empirical evaluation. Now McCullough has provided an additional tool to aid in the dissemination of this new evidence-based treatment for chronic depression. A gifted clinician and teacher, McCullough not only has determined what needs to be taught, but also has developed an excellent method for doing so. The Skills Training Manual offers clinicians instant feedback on their mastery of key CBASP concepts. The exercises are challenging, while the feedback is gentle and encouraging. I recommend this manual and the accompanying text to practitioners and trainees in diverse settings."--Robin B. Jarrett, PhD, Department of Psychiatry, The University of Texas Southwestern Medical Center at Dallas

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