CUA

THE CATHOLIC UNIVERSITY OF AMERICA

National Catholic School of Social ServiceWashington, DC 20064

202-319-5458Fax 202-319-5093

SSS 724Cognitive and Behavioral Theories and Social Functioning

(3 credits)Instructor: Melissa D. Grady, MSW, PhD, LICSW

Fall 2014@This course outline is the property of NCSSS and the

instructor and may be distributed with written permission.

I. COURSE PURPOSE

As one of the three combined Masters/Doctoral advanced clinical theory courses, Cognitive and Behavioral Theories and Social Functioning examines behavioral and cognitive theories that seek to explain the bio-psycho-social-spiritual nature of human beings and predict how change may take place. The two theories are placed within their historical context as unique theories that developed from different broader paradigms – behavioral from the positivist paradigm and cognitive from the constructivist paradigm. The course follows the process of integration of the two theories into practice models and the integration of these models into social work practice and literature. Grounded in scholarly literature, lecture, discussion, and experiential exercises, the course challenges students to critically analyze cognitive and behavioral theories within the context of their psychological foundations against contemporary ecological, developmental, and strengths perspectives.

II. COMPETENCIES AND PRACTICE BEHAVIORS

The Council on Social Work Education (CSWE), requires that students meet 10 core competencies, which are operationalized as practice behaviors. Each course is designed to cover one or more of the ten core competencies and each course is also designed to cover some, but not all of the practice behaviors within a competency. Upon completion of this course, students will able to demonstrate the following practice behaviors within the noted competencies:

Competency Practice Behaviors

Professional Identity: Identify as a professional social worker & conduct self accordingly

Social workers demonstrate professional use of self across all practice settings.

Develop, manage, and maintain therapeutic relationships with clients within the person-in-environment and strengths perspectives.

Critical Thinking: Apply critical thinking to inform and communicate professional judgments

Social workers engage in reflective practice.Social workers evaluate the strengths and weaknesses of multiple theoretical perspectives and differentially apply them to client situations.

Diversity in Practice: Engage diversity and difference in practice.

Social workers practice within the context of difference in shaping the life experiences of clients, themselves, and the working alliance.

Research Based Practice: Engage in research-informed practice and practice-informed research

Social workers critically evaluate and utilize theoretical models and empirical research methods for the purpose of informing and evaluating social work practice and programs.

Human Behavior: Apply knowledge of human behavior and the social environment

Social workers differentially apply theories of human behavior that address the bio-psycho-social-spiritual nature of clients and the social environment to guide social work practice.

Practice Contexts: Respond to contexts that shape practice

Social workers assess the current political, economic, social, and cultural climate as it affects the most vulnerable members of society.

Engage, Assess, Intervene, Evaluate: Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities

Use empathy, active listening, and other clinical skills to establish rapport in order to set treatment goals with clients.

Develop culturally responsive therapeutic relationships.

Develop, with clients, an intervention plan that incorporates client strengths, capacities, and protective factors.

Use multi-dimensional assessment tools that include bio-psycho-social-spiritual data to assess client’s strengths, capacities, and

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readiness for change.

Use culturally appropriate clinical techniques for a range of presenting concerns identified in the assessment.

Adapt appropriate intervention strategies based on continuous clinical assessment.

III. ADDITIONAL EDUCATIONAL OBJECTIVES

Upon completion of this course, students will be able:

1. To understand and differentiate between theory, clinical practice theory, and practice model

2. To compare and critique differences flowing from the contextual ground of behavioral theory in the positivist paradigm and cognitive theory in the constructivist paradigm.

3. To master knowledge of the basic explanatory and change concepts of both behavioral and cognitive theories.

4. To understand the connection between the explanatory and change concepts of cognitive and behavioral theories and the intervention techniques of the accompanying models.

5. To comprehend the commonality and differences in understanding and technique between learning and developmental theories.

IV. COURSE REQUIREMENTS

A. Required Texts - MSW Students

Wright, J.H., Basco, M.R., & Thase, M.E. (2006). Learning cognitive-behavior therapy: An illustrated guide. Washington, D.C.: American Psychiatric Publishing, Inc.

Additional Required Texts – PhD Students Berlin, S. (2002). Clinical social work practice: A cognitive-integrative

perspective. New York, NY: Oxford University Press.

Recommended Texts

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Berlin, S. (2002). Clinical social work practice: A cognitive-integrative perspective. New York, NY: Oxford University Press.

Ronen, T., & Freeman, A. (Eds.). (2007). Cognitive behavior therapy in clinical social work practice. New York, NY: Springer Publishing Company.

B. Course Assignments

Masters Level StudentsMidterm Exam Required, objective, in-

class, closed bookClass #5

Case Formulation Required, take-home, application to case material

Due Class #9

Treatment Plan Required, take-home, application to case material

Due Class #13

Doctoral Level StudentsMidterm Exam Required, objective, in-

class, closed bookDue Class #5

Scholarly Paper

Doctoral level participation

Required, critical analysis of a clinical issue via theory (to be individually negotiated with professor)

Required negotiation with professor re. class attendance, individual meetings with professor, extra readings, scholarly participation

Due date to be negotiated with professor

C. Grading Policy: The letter grade for this course will be based on the University Grading System.

DO NOT PUT YOUR NAME ON ANY ASSIGNMENTS. USE YOUR CUA ID NUMBER ONLY!!!!!!!!!!!!!!!

Masters Level Students1. Midterm Exam 30%

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2. Case Formulation Paper 30%

3. Treatment Plan & Critique 30%

4. Class participation (see Additional Behavioral Expectations)

10%

Doctoral Level Students1. Midterm Exam 40%2. Scholarly Paper 50%3. Doctoral level participation 10%

F. Course and Instructor EvaluationNCSSS requires electronic evaluation of this course and the instructor. At the end of the semester, the evaluation form may be accessed at http://evaluations.cua.edu/evaluations using your CUA username and password. Additional, informal written or verbal feedback to the instructor during the semester is encouraged and attempts will be made to respond to requests.

V. CLASS EXPECTATIONSA. Scholastic Expectations

Please refer to NCSSS Announcements, or appropriate Program Handbook for Academic Requirements, including scholastic and behavioral requirements. All written work should reflect the original thinking of the writer, cite references where material is quoted or adapted from existing sources, adhere to APA format, and should be carefully proof read by the student before submission to the instructor for grading.

B. Additional Behavioral Requirements : Please refer to additional section on professional conduct and classroom expectations.

C. Policies On The Use of Electronic Devices in the Classroom: No laptops or other electronic devices are permitted in the classroom, unless you have a specific documented learning disability. Please turn off all cell phones or other devices that would disrupt the learning environment of the classroom and put them away and removed from the classroom environment.

D. Academic Honesty Joining the community of scholars at CUA entails accepting the standards, living by those standards, and upholding them. Please refer to University Policy and appropriate Program Handbooks. Engaging in academic dishonesty will result in a grade of F in this course.

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E. Accommodations Students with physical, learning, psychological or other disabilities wishing to request accommodations must identify with the Disability Support Services (DSS) and submit documentation of a disability. If you have documented such a disability to DSS that requires accommodations or an academic adjustment, please arrange a meeting with the instructor as soon as possible to discuss these accommodations.

F. Late Papers It is expected that students will turn in papers by the due date specified in the syllabus. For each day that the paper is late, a 10% grade reduction will be given. If the paper is due at 9:00 am, a paper turned in at 5:00 pm that same day is still considered late. If you should need an extension, the student must discuss this with the instructor at least 48 hours ahead of the due date (excluding weekends and/or holidays).

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Professional ConductClass participation is more than mere attendance. It is arriving on time, reading the assigned material, preparing for class with questions, contributing appropriately to class discussions, doing assignments, and participating in class activities. The class participation grade is a subjective grade given by the professor. The professor will use this matrix to determine the class participation grade (modified from Maznevski, M. (1996). Grading Class Participation. Teaching Concerns. hhtp://www.virginia.edu/~trc/tcgpart.htm).

Grade Class Participation Criteria (Carpenter-Aeby, 2001)0No effort

AbsentNo effort, disruptive, disrespectful.

60-70Infrequent Effort

Present, not disruptive (This means coming in late.) Tries to respond when called on but does not offer much. Demonstrates very infrequent involvement in class.

70-80Moderate Effort

Demonstrates adequate preparation: knows basic case or reading facts, but does not show evidence of trying to interpret or analyze them.

Offers straightforward information (e.g. straight from the case or reading), without elaboration or very infrequently (perhaps once a class).

Does not offer to contribute to discussion, but contributes to a moderate degree when called on.

Demonstrates sporadic involvement.80-90Good Effort

Demonstrates good preparation: knows case or reading facts well, has thought through implications of them.

Offers interpretations and analysis of case material (more than just facts) to class.

Contributes well to discussion in an ongoing way: responds to other students’ points, thinks through own points, questions others in a constructive way, offers and supports suggestions that may be counter to the majority opinion.

Demonstrates consistent ongoing involvement.90-100Excellent Effort

Demonstrates excellent preparation: has analyzed case exceptionally well, relating it to readings and other material (e.g., readings, course material, discussions, experiences, etc.).

Offers analysis, synthesis, and evaluation of case material, e.g. puts together pieces of the discussion to develop new approaches that take the class further.

Contributes in a very significant way to ongoing discussion: keeps analysis focused, responds very thoughtfully to other students’ comments, contributes to the cooperative argument-building, suggest alternative ways of approaching material and helps class analyze which approaches were effective.

Demonstrates ongoing very active involvement.

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Total Pts 100 points

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724 – Class Schedule with Corresponding Dates and Assignments

Date Class Session Assignment

8/25 1

9/1 LABOR DAY – NO CLASS

9/8 2

9/15 3

9/22 4

9/29 5 Mid-term Exam

10/6 6

10/13 NO CLASS – COLUMBUS DAY

10/14 7ADMINISTRATIVE MONDAY

10/20 8

10/27 9 Case Formulation Due

11/3 10

11/10 11

11/17 12

11/24 13 Treatment Plan Due

12/1 14

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Class Schedule

Class 1 COGNITIVE BEHAVIORAL THEORIES AND SOCIAL WORK

Course overview; “There is nothing so practical as a good theory;” Positivist and constructivist paradigms for theories of inquiry; defining theory, practice theory and practice model; explanatory and change functions of theories for practice; Is social work a profession?

Required ReadingsRonen, T. (2007). Clinical social work and its commonalities with cognitive

behavior therapy. In T. Ronen & A. Freeman, (Eds.) Cognitive behavior therapy in clinical social work practice (pp. 3-24). New York, NY: Springer Publishing Company, LLC.

Recommended ReadingsDobson, K., & Block, L. (2001). Historical and philosophical bases of the

cognitive-behavioral therapies. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapies (pp. 3-39). New York, NY: The Guilford Press.

Gambrill, E. (1999). Evidence-based practice: An alternative to authority-based practice. Families in Society, 80, 341-350.

2 HISTORY AND BASIC TENETS OF BEHAVIORAL/SOCIAL LEARNING THEORY: THE POSITIVIST PARADIGMThe behavioral ABC; respondent learning and conditioning. Focus on explanatory concepts; case application

Required ReadingsSpiegler, M., & Guevremont, D. (2010). Antecedents of contemporary behavior

therapy. In Contemporary behavior therapy (pp. 16-30). Belmont, CA: Thompson/Wadsworth.

Thyer, B. (2008). Respondent learning theory. In B. Thyer (Ed.), Comprehensive handbook of social work and social welfare: Human behavior in the social environment, Volume 2 (pp. 39-56). Hoboken, NJ: John Wiley & Sons, Inc.

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3 BEHAVIORAL THEORY – THE NEXT EVOLUTIONOperant learning and conditioning; social learning theory; case application

Required Readings:Burton, D.L., & Meezan, W. (2004). Revisiting recent research on social learning

theory as an etiological proposition for sexually abusive male adolescents. Journal of Evidence-Based Social Work, 1(1), 41-79.

Wong, S. (2008). Operant learning theory. In B. Thyer (Ed.,) Comprehensive handbook of social work and social welfare: Human behavior in the social environment, Volume 2 (pp. 69-85). Hoboken, NJ: John Wiley & Sons, Inc.

Recommended ReadingsGrusec, J. (1992). Social learning theory and developmental psychology: The

legacies of Robert Sears and Albert Bandura. Developmental Psychology, 28, 776-786.

Morris, E., Smith, N., & Altus, D. (2005). B.F. Skinner’s contributions to applied behavior analysis. The Behavior Analyst, 28, 99-131.

4 HISTORY AND BASIC TENETS OF COGNITIVE THEORY: THE CONSTRUCTIVIST PARADIGMThe motor theory of the mind; Constructing our internal reality; the meditational model; the cognitive ABC; Focus on explanatory concepts

Required ReadingsBeck, J. (2011). Introduction to cognitive behavior therapy. In Cognitive therapy:

Basics and beyond (2nd ed.) (pp. 1-16). New York, NY: The Guilford Press.

Chatterjee, P., & Brown, S. (2011). Cognitive theory and social work treatment. In F.J. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (5th ed.) (pp. 103-116). New York, NY: Oxford University Press.

Recommended ReadingsBeck, A. (1988). Tapping the internal communications; Cognitive content of the

emotional disorders; Principles of cognitive therapy; and Techniques of cognitive therapy. In Cognitive therapy and the emotional disorders (pp. 24-46, 76-101, 213-305) New York, NY: Meridian.

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Dryden, W., & Ellis, A. (2001). Rational emotive behavior therapy. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapies (pp. 295-348). New York, NY: The Guilford Press.

Lyddon, W. (1995). Cognitive therapy and theories of knowing: A social constructionist view. Journal of Counseling and Development, 73, 579-585.

5 THEORY BUILDING AND PUTTING IT ALL TOGETHER: CONTRIBUTIONS OF SOCIAL WORKERS TO COGNITIVE AND BEHAVIORAL THEORIES AND MODELSContributions of social workers; combining behavioral and cognitive theories into one unified model

** IN CLASS CONCEPT TEST ** Behavioral and cognitive theories

Required ReadingsBerlin, S. (1996). Constructivism and the environment: A cognitive-integrative

perspective for social work practice. Families in Society, 77, 326-335.

Thomlison, R.J., & Thomlison, B. (2011). Cognitive behavior theory and social work treatment. In F.J. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (5th ed.) (pp. 77-102). New York, NY: Oxford University Press.

Wright et al. – Chapter 1: Basic principles of cognitive-behavioral therapy

Recommended ReadingsBerlin, S. (2002). Clinical social work practice: A cognitive-integrative

perspective. New York, NY: Oxford University Press.

Gambrill, E. (1995). Behavioral social work: Past, present and future. Research on Social Work Practice, 5, 460-484.

Thyer, B. (1987). Contingency analysis: Toward a unified theory for social work practice. Social Work, 32, 150-157.

6 CASE FORMULATION WITH COGNITIVE AND BEHAVIORAL THEORIES Behavioral Analysis and Cognitive Conceptualization. Creating a case formulation.

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Required ReadingsBeck, J. (2011). Cognitive conceptualization. In Cognitive therapy: Basics and

beyond (2nd ed.) (pp. 29-45). New York, NY: The Guilford Press.

Spiegler, M., & Guevremont, D. (2010). Behavioral assessment. In Contemporary behavior therapy (pp. 77-112). Belmont, CA, Thompson/Wadsworth.

Wright et al. – Chapter 3: Assessment and case formulation

Recommended ReadingsBlankenstein, K., & Segal, Z. (2001). Cognitive assessment: Issues and methods.

In K.Dobson (Ed.). Handbook of cognitive-behavioral therapies (pp. 40-85). New York, NY: Guilford.

7 UNDERSTANDING THE CHANGE PROCESSTreatment planning; educating about the process; setting the stage for change; goal setting; EBP process and its role in treatment planning.

Required ReadingsWright et al. – Chapter 2: The therapeutic relationship

Wright et al. – Chapter 4: Structuring and educating.

Recommended ReadingsZayfert, C., & Becker, C.B. (2008). Assessment, case formulation, and treatment

planning. In Cognitive-behavioral therapy for PTSD: A case formulation (pp. 21-43). New York, NY: The Guilford Press.

8 FROM THEORY TO TECHNIQUE IN BEHAVIORAL THEORYFrom theory to model; concepts that explain “how to” facilitate change through external stimulus and reinforcement. Focus on change concepts. Acceleration and deceleration.

Required ReadingsGambrill, E. (2004). Concepts and methods of behavioral treatment. In D.

Granvold, (Ed.) Cognitive and behavioral treatment (pp. 32-62). Pacific Grove, CA: Brooks/Cole Publishing Company.

Spiegler, M., & Guevremont, D. (2010). The process of behavior therapy. In Contemporary behavior therapy (pp. 47-76). Belmont, CA, Thompson/Wadsworth.

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Recommended ReadingsEarly, B. (1995). Decelerating self-stimulating and self-injurious behaviors of a

student with autism: Behavioral intervention in the classroom. Social Work in Education, 17, 244-255.

Shorkey, C. (2004). Use of behavioral methods with individuals recovering from substance dependence. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 135-158). Pacific Grove, CA: Brooks/Cole Publishing Company.

9 CONCEPTUALIING CHANGE IN BEHAVIORAL THEORIESCognitive-Behavioral treatment of anxiety – emphasis on respondent techniques of behavioral theory.

** CASE FORMULATION PAPER DUE **

Required ReadingsBeck J. (2011). Behavioral activation. In Cognitive therapy: Basics and beyond

(2nd ed.) (pp. 80-99). New York, NY: The Guilford Press.

Wright et al. – Chapter 6: Behavioral methods I: Improving energy, completing tasks, and solving problems.

Wright et al. – Chapter 7: Behavioral methods II: Reducing anxiety and breaking patterns of avoidance.

Recommended ReadingsBerlin, S. (2002). Changing environmental events and conditions; and Changing

behaviors. In Clinical social work practice: A cognitive-integrative perspective (pp. 279-349). New York, NY: Oxford University Press.

Spiegler, M., & Guevremont, D. (2010). Cognitive-behavioral therapy: Coping skills. In Contemporary behavior therapy (pp. 346-382). Belmont, CA: Thompson/Wadsworth.

Whittal, M., Thordarson, D., & McLean, P. (2005). Treatment of obsessive-compulsive disorder: Cognitive behavior therapy vs. exposure and response prevention. Behavior Research and Therapy, 43, 1559-1576.

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10 FROM THEORY TO TECHNIQUE IN COGNITIVE THEORYFrom theory to model; concepts that explain “how to” facilitate change through internally accessing, eliminating, or thinking different mediating thoughts; making meaning. Focus on change concepts

Required ReadingsWright et al. - Chapter 5: Working with automatic thoughts

Wright et al. - Chapter 8: Modifying Schemas

Recommended ReadingsBerlin, S. (2002). Explicit and implicit memories. In Clinical social work

practice: A cognitive-integrative perspective (pp. 70-93). New York, NY: Oxford University Press.

DeRubeis, R., Tang, T., & Beck, A. (2001). Cognitive therapy. In K. Dobson (Ed.), Handbook of cognitive-behavioral therapy (pp. 349-392). New York, NY: The Guilford Press.

11 CONCEPTUALIZING CHANGE IN COGNITIVE THEORIES Identifying and modifying core beliefs.

Required ReadingsBeck, J. (2011). Identifying and modifying intermediate beliefs, Identifying and

modifying core beliefs, and Imagery. In Cognitive therapy: Basics and beyond (2nd ed.) (pp. 198-255 and 277-293). New York, NY: The Guilford Press.

Recommended ReadingsBledsoe, S., & Grote, N. (2006). Treating depression during pregnancy and the

postpartum: A preliminary meta-analysis. Research on Social Work Practice, 16, 109-120.

Dattilio, F. (2005). The restructuring of family schemas: A cognitive-behavior perspective. Journal of marital and family therapy, 31(1), 15-30.

Nurius, P., & Berlin, S (2004). Treatment of negative self-concept and depression. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 249-271). Pacific Grove, CA: Brooks/Cole.

O’Connor, K., Brault, M., Robillard, S. Loiselle, J, Borgeat, F., & Stip, E. (2001). Evaluation of a cognitive-behavioral program for the management of chronic and habit disorders. Behavior Research and Therapy, 39, 667-668.

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12 PUTTING IT ALL TOGETHER: CHANGE IN THE CBT MODEL Social work’s person-in-environment perspective; change in the person; mediating thoughts as factors of person

Small group activities working on case application and materials

Required ReadingsMuroff, J. (2007). Cultural diversity and cognitive behavior therapy. In T. Ronen

& A. Freeman, (Eds.) Cognitive behavior therapy in clinical social work practice (pp. 109-146). New York, NY: Springer Publishing Company, LLC.

Worthless, I.M., Competent, U.R., & Lemonde-Terrible, O. (2002). Cognitive therapy training stress disorder: A cognitive perspective. Behavioural and Cognitive Psychotherapy, 30, 365-374.

Wright et al. – Chapter 9: Common problems and pitfalls: Learning from the challenges of therapy

Recommended ReadingsAbramowitz, J.S., Brigidi, B.D., & Roche, K.R. (2001). Cognitive-behavioral

therapy for obsessive-compulsive disorder: A review of the treatment literature. Research on Social Work Practice, 11, 357-372.

Berlin, S. (2002). The fundamentals of personal change. In Clinical social work practice: A cognitive-integrative perspective (pp. 175-206). New York, NY: Oxford University Press.

Brewin, C. (2006). Understanding cognitive behaviour therapy: A retrieval competition account. Behaviour Research and Therapy, 44, 765-784.

13 APPLICATION OF COGNITIVE AND BEHAVIORAL THEORIES TO PARTICULAR POPULATIONS

** FINAL ASSIGNMENT DUE **

Required ReadingsRead 2 of the following that interest you the most.

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(Please let me know if there is topic that interests you that is not here and I can try to find it for you.)

Butterfield, W.H., & Cobb, N.H. (2004). Cognitive-behavioral treatment of children and adolescents. In D.K. Granvold (Ed.),Cognitive and behavioral treatment (pp. 65-89). Pacific Grove, CA: Brooks/Cole Publishing Company.

Daoud, L., & Tafrate, R.C. (2007). Depression and suicidal behavior: A cognitive behavior therapy approach for social workers. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 401-418). New York, NY: Springer Publishing Company.

Cohen, J.A., Mannarino, A.P., & Deblinger, E. (2006). The TF-CBT model: How it works. In Treating trauma and traumatic grief in children and adolescents (pp. 32-45). New York, NY: The Guilford Press.

Gaudiano, B.A. (2005). Cognitive behavior therapies for psychotic disorders: Current empirical status and future directions. Clinical Psychology: Science and Practice, 12, 33-50.

Granvold, D.K. (2007). Working with couples. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 303-327). New York, NY: Springer Publishing Company.

Himle, J.A. (2007). Cognitive behavior therapy for anxiety disorders. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 375-399). New York, NY: Springer Publishing Company.

Malkinson, R. (2007). Grief and bereavement. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 521-550). New York, NY: Springer Publishing Company.

Myers, L.L. (2007). Eating disorders. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 551-570). New York, NY: Springer Publishing Company.

Roche, V. (2007). Medical settings. In T. Ronen, & A. Freeman (Eds.), Cognitive behavior therapy in clinical social work practice (pp. 571-590). New York, NY: Springer Publishing Company.

Shipherd, J.C., Street, A.E., Resick, P.A. (2006). Cognitive therapy for posttraumatic stress disorder. In V.M. Follette & J.I. Ruzek (Eds.), Cogitive-behavioral therapies for trauma (pp. 96-116). New York, NY: The Guilford Press.

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Turkington, D., Dudley, R., Warman, D.M., & Beck, A.T. (2004). Cognitive-behavioral therapy for schizophrenia. Journal of Psychiatric Practice, 10, 5-16.

Walsh, B.W. (2006). Cognitive treatment. In Treating self-injury: A practical guide. New York, NY: Guilford Press.

14 ENDINGS Termination, transfer of skills, and relapse prevention in cognitive-behavioral. Is there countertransference in cognitive-behavioral therapy? What happened to strengths? “It’s all good”: Cognitive and Behavioral theories are not the silver bullet.

Required ReadingsBeck, J. (2011). Termination and relapse prevention; and Treatment Planning. In

Cognitive therapy: Basics and beyond (2nd ed.) (pp. 294-345). New York, NY: The Guilford Press.

Granvold, D., & Wodarski, J. (2004). Cognitive and behavioral treatment: Clinical issues, transfer of training, and relapse prevention. In D. Granvold (Ed.), Cognitive and behavioral treatment (pp. 353-375). Pacific Grove, CA: Brooks/Cole.

Wright et al. – Chapter 11: Building competence in cognitive-behavior therapy

Recommended ReadingsMyers, L., & Thyer, B. (1997). Should social work clients have the right to

effective treatment? Social Work, 42, 288-298.

Spiegler, M., & Guevremont, K. (2010). Third-generation behavior therapies: Acceptance and mindfulness-based interventions; and Contemporary behavior therapy in perspective: Strengths and challenges. In Contemporary behavior therapy (pp.383-418 and 471-493). Belmont, CA: Thompson/Wadsworth.

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APPENDIX ABIO-PSYCHO-SOCIAL-SPIRITUAL CASE FORMULATION

Objective: The objective of this assignment is for the student to demonstrate the ability to organize and describe case material using cognitive and behavioral theories.

Assignment:The student should identify a case, either from their field work or some other helping role to use for the paper. A brief bio-psycho-social-spiritual summary of the case should be provided (2-3 pages) that includes the presenting problem of the case as if it were being placed in a medical chart. Please see the guide that is placed under Assignments on the blackboard site. Using some of the examples used in class as a guide the student should write up a case formulation in a narrative form (NOT handed in a completed chart). First, describe the case using behavioral theory, including the terms and concepts of the theory. Second, describe the case using a cognitive theory lens, also using the concepts and terms of the theory. Then using the combined CBT approach, describe the case in a NON-JARGON/CLIENT FRIENDLY manner. The connection between the thoughts, feelings, and behaviors should be clear as the student explains why the person is feeling, thinking and behaving in the way that they present to the worker.

This paper should be no more than 7-8 pages.

Grading Criteria:

The student has Possible Pts.

Clearly described the client and the client’s presenting issues and concerns addressing each area described in the assessment description (2-3 pages)

15

Clearly identified the target issue (i.e., a behavior, a feeling, a reaction) including the frequency, duration, intensity, and any other descriptors that help “paint a picture” of the main issue. (approximately 1 paragraph)

10

Explained the issue from a behavioral theory lens – Use terms here from the theory(1-1 1/2 pages)

20

Explained the issue from a cognitive theory lens - Use terms here from the theory(1-1 1/2 pages)

20

The working hypothesis/case formulation: Links the formative influences to the current issue Is comprehensive and provides an accurate clinical summation of

the relevant issues that are currently influencing the situation of the client using the CBT framework.

Is written in client-friendly language Provides at least one example of the CBT cycle

(approximately ¾-1 page)

25

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The paper is well written with no errors 10TOTAL 100

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APPENDIX BTREATMENT PLAN AND CRITIQUE

Objective:The aim of this assignment is for student to demonstrate their ability to link their assessment and formulation to an appropriate treatment plan and using the principles of evidence-based practice, critique the plan.

Assignment: Using the case from the first assignment, this assignment asks students to develop a treatment plan to address ONE issue using the assessment and formulation developed from the first assignment and following the format that was provided in the class ppts and in the examples provided. In this assignment, students should pay close attention to linking their assessment to their interventions. The interventions should address the difficulties presented by the client as outlined in the assessment. Students should be mindful of the interventions being appropriate and feasible for the individual issues of that client, considering culture, spirituality, gender identity, class, sexual orientation, race, and ethnicity. The final section of the paper uses the EBP process to critique the proposed plan. Please refer to the grading criteria below.

This paper should be no more than 4-5 pages with 3-5 references.

Grading Criteria:

The student has: Possible Pts.

Written a Behavioral Goal in which The goal addresses the target issue, written in positive language The goal, objectives, and interventions are all written in SMART format The proposed 2 objectives are clear indicators of goal achievement and are not limited to

ONLY client self-report The proposed 3-5 interventions are consistent with behavioral theory

(20 pts. Total)555

5Written a Cognitive Goal in which

The goal addresses the target issue, written in positive language The goal, objectives, and interventions are all written in SMART format The proposed 2 objectives are clear indicators of goal achievement and are not limited to

ONLY client self-report The proposed 3-5 interventions are consistent with cognitive theory

(20 pts. Total)555

5Included treatment goals that pay attentive to issues of individual differences in clients 10

Used the EBP process to critically think about an appropriate intervention approach for this client that includes a discussion of the research, client factors, and clinician expertise

20

Provided a critique of the current proposed treatment plan for their client based on the EBP process 20

Followed APA formatting correctly 5

Turned in a paper that is free of errors 5

TOTAL 100

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