Course: Theory and Practice of Cognitive Behavior Therapy: #

1 Course: Theory and Practice of Cognitive Behavior Therapy: #18.821.625 Instructor: G. Terence Wilson, Ph.D. Spring 2018-3 credits Goals: The goals of this course are to provide: (1) coverage of the theoretical foundations of contemporary cognitive behavior therapy (CBT); (2) an analysis of the development and empirical evaluation of evidence-based CBT treatments; (3) an introduction to critical methodological issues in the design and evaluation of psychological treatment outcome research; and (4) a focus on core therapeutic issues in the clinical practice and implementation of cognitive behavior therapy for adult disorders. Examination: Take-home final examination, consisting of short essay questions. Recommended Text: Barlow, D. H. (2014). Clinical handbook of psychological disorders. 5th.Ed. New York: Guilford Press. Rutgers mandated statement on Academic Integrity: http://academicintegrity.rutgers.edu/academic-integrity-at-rutgers/ Required Rutgers statement on Accommodation Rutgers University welcomes students with disabilities into all of the University's educational programs. In order to receive consideration for reasonable accommodations, a student with a disability must contact the appropriate disability services office at the campus where you are officially enrolled, participate in an intake interview, and provide documentation: https://ods.rutgers.edu/students/documentation-guidelines. If the documentation supports your request for reasonable accommodations, your campus s disability services office will provide you with a Letter of Accommodations. Please share this letter with your instructors and discuss the accommodations with them as early in your courses as possible. To begin this process, please complete the Registration form on the ODS web site at: https://ods.rutgers.edu/students/registration-form

2 Course Outline and Reading Assignments Week 1 History and Current Status Bandura, A. (2004). Swimming against the mainstream: The early years from chilly tributary to transformative mainstream. Behaviour Research and Therapy, 42, 613-630. Rachman, S. (2015). The evolution of behavior therapy and cognitive behavior therapy. Behaviour Research and Therapy, 64, 1-8. Handout from the Behavior Therapist Weeks 2 and 3 Behavioral Assessment: State-of-the-Art Principles and Procedures Wilson, G.T. powerpoint slide handout What is Evidence-based Treatment? Wilson, G. T. (1996). Manual-based treatments: The clinical application of research findings. Behaviour Research and Therapy, 34, 295-315. Wilson, G.T. powerpoint handout Expanded Criteria for Selecting Specific Treatments for Individual Patients Wilson, G.T. powerpoint handout

3 Week 4 Principles and Procedures of Behavior Change Anxiety Disorders Abramowitz, J.S. (2013). The practice of exposure therapy: Relevance of cognitivebehavioral theory and extinction theory. Behavior Therapy, 44, 548-558. Bouton, M. E. (2000). A learning theory perspective on lapse, relapse, and the maintenance of behavior change. Health Psychology, 19, 57-63. Craske, M.G. et al. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10-23. Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5-S27. Graham, B. M., Callaghan, B. L., & Richardson, R. (2014). Bridging the gap: Lessons we have learnt from the merging of psychology and psychiatry for the optimisation of treatments for emotional disorders. Behaviour Research and Therapy, 62, 3-16. Olatunji, B. O., Deacon, B. J., & Abramowitz, J. S. (2009). The cruelest cure? Ethical issues in the implementation of exposure-based treatments. Cognitive and Behavioral Practice 16, 172-180. Week 5 Panic Disorder Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder. JAMA, 83, 2529-2536.

4 DVD: David Clark and the Treatment of Panic Disorder Week 6 Social Anxiety Disorder NICE. (2013). Social anxiety disorder: Recognition, assessment and treatment (clinical guideline 159)., London, UK: National Institute for Clinical Excellence. www.nice.org. Goldin, P. R., Jazaieri, H., Ziv, M., Kraemer, H., Heimberg, R. G., & Gross, J. J. (2013). Changes in positive self-views mediate the effect of cognitive-behavioral therapy for social anxiety disorder. Clinical Psychological Science, 1(3), 301-310. Leichsenring, F., Salzer, S., Beutel, M. E., et al. (2013). Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: A multicenter randomized controlled trial. American Journal of Psychiatry, 170, 759-767. Stangier, U., Schramm, E., Heidenreich, T., Berger, M., & Clark, D. M. (2011). Cognitive therapy vs interpersonal psychotherapy in social anxiety disorder: A randomized controlled trial. Archives of General Psychiatry, 68, 692-700. Week 7 Posttraumatic Stress Disorder Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P., Turner, S., & Yule, W. (2010). Do all psychological treatments really work the same in posttraumatic stress disorder? Clinical Psychology Review, 30, 269-276. Ehlers, A., Grey, N., Wild, J., Stott, R., Liness, S., Deale, A., Handley, R., et al. (2013).

5 Implementation of cognitive therapy for PTSD in routine clinical care: Effectiveness and moderators of outcome in a consecutive sample. Behaviour Research and Therapy, 51, 742-752. Foa, E. B., Gillihan, S. J., & Bryant, R. A. (2013). Challenges and successes in dissemination of evidence-based treatments for posttraumatic stress: Lessons learned from prolonged exposure therapy for PTSD. Psychological Science in the Public Interest Supplement, 14(2), 65-111. Handout Treatment Protocols: Foa, E., & Hembree, E. (2007). Prolonged exposure therapy for PTSD, New York: Oxford University Press. Zayfert, C., & Becker, C. B. (2007). Cognitive-behavioral therapy for PTSD: A case formulation approach. New York: Guilford Press. Weeks 8-9 Depression DeRubeis, R. J., Hollon, S. D., Amsterdam, J. D., Shelton, R. C., Young, P. R., Salomon, R. M., O Reardon, J. P., Lovett, M. L., Gladis, M. M., Brown, L. L., & Gallop, R. (2005). Cognitive therapy vs. medications in the treatment of moderate to severe depression. Archives of General Psychiatry, 62, 409-416. Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O Reardon, J. P., Lovett, M. L., Young, P. R., Haman, K. L., Freeman, B. B., & Gallop, R. (2005). Prevention of relapse following cognitive therapy versus

6 medications in moderate to severe depression. Archives of General Psychiatry, 62, 417-422. Driessen, E., Van, H. L., Don, F. J., et al. ((2013). The efficacy of cognitive-behavioral therapy and psychodynamic therapy in the outpatient treatment of major depression: A randomized clinical trial. American Journal of Psychiatry, 170, 1041-1050. Cuijpers, P., Hollon, S. D., van Straten, A., Bockting, C., Berking, M., & Andersson, G. (2013). Does cognitive behavior therapy have an enduring effect that is superior to keeping patients on continuation pharmacotherapy? A meta-analysis. BMJ Open 2013:e002542. doi:10.1136/bmjopen-2012-002542. Craighead, W. E., & Dunlop, B. W. (2013). Combination psychotherapy and antidepressant medication treatment for depression: For whom, when, and how. Annual Review of Psychology, 65. Doi: 10.1146/annualrev.psych.121208.131653 Weeks 10-11 Depression Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., Atkins. D. C., Dunner, D. L., & Jacobson, N. S. (2006). Behavioral activation, cognitive therapy and anti-depressant medication in the acute treatment of major depression. Journal of Consulting and Clinical Psychology, 74, 658-670.

7 Moradveisi, L., Huibers, M. J. H., Renner, F., Arasteh, M., & Arntz, A. (2013). Behavioural activation v. antidepressant medication for treating depression in Iran: Randomised trial. The British Journal of Psychiatry, 202, 204-211. Patel, V., Weobong, B., Weiss, H., Anand, A., Bhat, B., Katti, B., Dimidjian, S., et al. (2017). The Halthy Activity Program (HAP), a lay counsellor delivered brief psychological intervention for severe depression in primary care in India. Lancet, 389, 176-185. Weobong, B. et al. (2017). Sustained effectiveness and cost-effectiveness of the Health Activity Programme. PLoS Medicine, 14 (9). Richards, D.A. et al. (2016). Cost and outcome of Behavioural Activation versus Cognitive Behavioural Therapy for depression (COBRA): a randomized, controlled, non-inferiority trial. Lancet. Published online July 22. Treatment Manuals: Martell, C., Dimidjian, S., & Herman-Dunn, R. (2010). Behavioral activation for depression. New York: Guilford Press. Anand et al. (2013). Healthy Activity Program (HAP) see Patel et al. (2017) reference above for free download Week 12 Clinical Issues: Resistance and Motivation to Change Wilson, G. T. & Schlam, T. (2004). The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clinical Psychology Review, 24, 361-378.

8 Vitousek, K., Watson, S., & Wilson, G. T. (1998). Enhancing motivation for change in treatment-resistant eating disorders. Clinical Psychology Review, 18, 391-420. ppt Handout Week 13 Moderators of Change Carter, J. D., Luty, S. E., McKenzie, J. M., Mujlder, R. T., Frampton, C. M., & Joyce, P. R. (2011). Patient predictors of response to cognitive behavior therapy and interpersonal psychotherapy in a randomized clinical trial for depression. Journal of Affective Disorders, 128, 252-261. Kraemer, H.C. (2006). Messages for clinicians: Moderators and mediators of treatment outcome in randomized clinical trials. American Journal of Psychiatry, 173, 672-679. Watzke, B., Rüddel, H., Jürgensen, R., Koch, U., Kriston, L., Grothgar, B., & Shulz, H. (2012). Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine health care: Randomised controlled trial. Behaviour Research and Therapy, 50, 580-587. McGrath, C. L., Kelley, M. E., Holtzheimer, P. E., Dunlop, B. W., Craighead, W. E., Franco, A. R., et al. (2013). Toward a neuroimaging treatment selection biomarker for major depressive disorder. JAMA Psychiatry, 70:8, 821-829. ppt Handout

9 Week 14 Mechanisms of Change Ilardi, S. S. & Craighead, W. E. (1994). The role of nonspecific factors in cognitivebehavior therapy for depression. Clinical Psychology: Science & Practice, 1, 138-156. Kraemer, H., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877-883. Week 15 Generalizability of Findings from Controlled Clinical Research ppt Handout ADDENDUM TO COURSE SYLLABUS 1. Course Instructor: G.T. Wilson 2. Semester and Year of Syllabus: Spring 2017 3. Official Number of Course: 821.625 4. Official Name of Course: Theory and Practice of Behavior Therapy

10 5. If relevant, ways in which you bring in experiential components into your course, including roleplays and/or videotapes of practice, the incorporation of cases from the Clinic and/or from outside practica, presentations of cases by outside speakers, etc. (If this is described in the syllabus, indicate here the relevant page numbers that contain this information.) use of dvd of the use of CBT for panic disorder; presentation of clinical cases; audirecordings of key CBT strategies 6. Full APA-style references for all the readings in the course (if these are presented in the syllabus, indicate here the relevant page numbers that contain this information): See syllabus