This best-selling, practical, evidence-based guide to the cognitive behavioural approach takes you step-by-step through the process of counselling, from initial contact with the client to termination and follow up. The book follows a skills-based format based around the Bordin and Dryden model of bonds, goals, tasks and views, with expanded case material to further illustrate links between theory and practice. This third edition includes new content on: • the working alliance — what it is and why it is so important • challenges and pitfalls in the counselling process • when to challenge and when not to challenge clients beliefs • emotional problems such as shame, guilt and jealousy as well as anxiety, depression and anger. Drawing on their own extensive experience and contemporary research, the authors provide a concise overview of the cognitive behavioural approach, with new material on emotional problems rarely covered in practitioner guides, a strong emphasis on the therapeutic alliance, and updated bibliographic references throughout.
Chapter 9: Middle Stage III – Imagery Rescripting: Changing Distressing Memories
Middle Stage III – Imagery Rescripting: Changing Distressing Memories
Task 16. The Imagery Change Option
One of the main difficulties in making progress in CBC is that clients continue to report the head–gut problem; that they understand intellectually that there is, for example, no real danger, but they still feel intensely anxious. Both inference-level and evaluation-level (B) interventions can often successfully overcome this problem, but sometimes clients fail to carry out the homework required to change their beliefs (B) because the anxiety or other unhealthy negative emotion is still so intense that they continue to avoid, escape or withdraw (C).
Recent research has shown that this can happen because the actual memory of the adverse event (A) contains ...