Treating Depression

A practical and conceptual guide to treating depression using both Beckian CBT and the latest, cutting-edge third wave CBT approaches, including mindfulness and metacognitive therapy. It provides an understanding of depression and its treatment and a clear practical guidance on how to use each treatment approach.

• Covers CBT, metacognitive therapy, and third-wave behavioural approaches within one volume
• Presents the theoretical background and evidence for each approach, and describes application in a clear case study approach which clearly outlines the contrasting features of the treatments
• Includes separate chapter commentaries on the theory and clinical material covered
• Internationally renowned contributors include Arthur Nezu, David A. Clark, Robert Zettle, Keith Dobson, Ruth Baer, Adrian Wells and Robert Leahy

Peter Fisher is a Senior Lecturer in Clinical Psychology at the University of Liverpool, UK. He has published over 50 articles and book chapters on metacognitive therapy and cognitive therapy, and is the co-author with Adrian Wells ofMetacognitive Therapy: Distinctive Features(2009). He is a supervisor for the Metacognitive Therapy-Institute and has lectured and conducted workshops on metacognitive therapy nationally and internationally.

Adrian Wells is Professor of Clinical and Experimental Psychopathology at the University of Manchester, UK, and Professor in Clinical Psychology at the Norwegian University of Science and Technology, Trondheim. He is the originator of metacognitive therapy, a highly respected approach to understanding and treating psychological disorders. His publications includeCognitive Therapy of Anxiety Disorders (Wiley, 1997), which has become a benchmark text for therapists andMetacognitive Therapy for Anxiety and Depression(Guilford Press, 2008) the first treatment manual for MCT. He has published more than 200 scientific papers and articles.

List of Contributors vii

Preface ix

Section 1 Assessment, Prevalence, and Treatment Outcomes

1 The Nature of Depression 3
Martin Connor, Adrian Wells, and Peter L. Fisher

2 The Assessment of Depression 24
Arthur M. Nezu, Kelly S. McClure, and Christine M. Nezu

3 The Efficacy of Cognitive Behaviour Therapy for Depression 52
Robin B. Jarrett and Jeffrey R. Vittengl

4 Psychobiological Processes and Therapies in Depression 81
Pilar Cristancho and Michael E.Thase

Section 2 Psychological Models of Depression

5 Schema Theory in Depression 117
David A. Clark and Brendan D. Guyitt

6 Metacognitive Therapy:Theoretical Background and Model of Depression 144
Adrian Wells and Peter L. Fisher

7 Acceptance and Commitment Theory of Depression 169
Robert D. Zettle

8 The Theory Underlying Mindfulness-Based Cognitive Therapy as a Relapse Prevention Approach to Depression 194
Mark A. Lau

9 Behavioural Activation Theory 221
Roselinde H. Kaiser, Samuel Hubley, and Sona Dimidjian

10 A Critique of Theoretical Models of Depression: Commonalties and Distinctive Features 242
John R. Keefe and Robert J. DeRubeis

Section 3 Treatments for Depression

Introduction to Section 3: Case Study 265

11 Cognitive Behaviour Therapy for Depression 269
Yvonne Tieu and Keith S. Dobson

12 Metacognitive Therapy for Depression 295
Peter L. Fisher and Adrian Wells

13 Acceptance and Commitment Therapy: Application to the Treatment of Clinical Depression 319
Kirk D. Strosahl and Patricia J. Robinson

14 Treating Acute Depression with Mindfulness-Based Cognitive Therapy 344
Ruth A. Baer and Erin Walsh

15 Behavioural Activation Treatment for Depression 369
Samuel Hubley, Roselinde Kaiser, and Sona Dimidjian

16 A Critique of Therapeutic Approaches to Depression: Commonalties and Distinctive Features 393
Robert L. Leahy

Epilogue 414

Index 417