Oxford Guide to Metaphors in CBT: Building Cognitive Bridges

Paperback | June 10, 2010

byRichard Stott, Warren Mansell, Paul Salkovskis

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The business of cognitive therapy is to transform meanings. What better way to achieve this than through a metaphor? Metaphors straddle two different domains at once, providing a conceptual bridge from a problematic interpretation to a fresh new perspective that can cast one's experiences in anew light. Even the simplest metaphor can be used again and again with different clients, yet still achieve the desired effect. One such example is the 'broken leg' metaphor for depression. Clients with depression are understandably frustrated with their symptoms. They may often push themselves toget better or tell themselves that they should be better by now. As a therapist, it is fair to ask, would the client be so harsh and demanding on herself after getting a broken leg? A broken leg needs time to heal and you need to begin to walk on it gradually as it builds up in strength. "You can'trun before you can walk", and if you try, you are likely to make it worse. For many clients this simple metaphor is enlightening, changing their view of their symptoms as a sign of their own laziness and worthlessness, to a view of them as part of an understandable illness, that while open toimprovement, cannot get better over night. This book shows just how metaphors can be used productively in CBT as an integral part of the treatment. It describes the use of metaphors for a wide range of problems, including anxiety and depression, and provides countless examples of metaphors that have been used by others in CBT. It bringstogether in one place hundreds of metaphors that experienced therapists have used to great success. It will be a valuable sourcebook for all cognitive behaviour therapists, as well as those training in CBT.

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The business of cognitive therapy is to transform meanings. What better way to achieve this than through a metaphor? Metaphors straddle two different domains at once, providing a conceptual bridge from a problematic interpretation to a fresh new perspective that can cast one's experiences in anew light. Even the simplest metaphor can b...

Richard Stott is Research Cognitive Therapy Specialist at the Institute of Psychiatry in London. Warren Mansell is Senior Lecturer in Psychology at the School of Psychological Sciences at the University of Manchester, UK. Paul Salkovskis is Professor at the Centre for Anxiety Disorders and Trauma at the Institute of Psychiatry in Lond...
Format:PaperbackDimensions:252 pages, 9.21 × 6.14 × 0.01 inPublished:June 10, 2010Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199207496

ISBN - 13:9780199207497

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Table of Contents

Acknowledgements1. Introduction2. Historical Roots, Theory and Conceptualisation3. Clinical use of metaphor4. The Principles, Format and Context of CBT5. Conceptualising Cognition and Metacognition6. Depression7. Anxiety Disorders8. Bipolar Disorders and Mood Swings9. Psychosis10. Eating Disorders11. Interpersonal difficulties12. Working with Parents13. Clinical Art and Clinical Science of Metaphor in CBT: Future DirectionsReferences

Editorial Reviews

"a remarkable summary of the current clinical practice of cognitive behavior therapy." --American Journal of Psychiatry