Oxford Guide to Metaphors in Cbt. Building Cognitive Bridges (Oxford Guides to Cognitive Behavioural Therapy)

ABOUT THIS BOOK

• Brings together in one place hundreds of tried and tested metaphors that have been used to great success by therapists throughout the world
• Shows the reader how and when metaphors can be used, helping them to understand when to introduce metaphors within their interactions with clients
• Accessibly written, with many illustrations to help the reader understand the potential power of metaphors within CBT

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 a new 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 to get 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't run 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 to improvement, 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 brings together 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.

Readership: Cognitive Behaviour Therapists; psychiatrists

AUTHOR INFORMATION

Richard Stott, Institute of Psychiatry, London, Warren Mansell, School of Psychological Sciences, University of Manchester, UK, Paul Salkovskis, Centre for Anxiety Disorders and Trauma, Insitute of Psychiatry, London, UK, Anna Lavender, Division of Psychological Medicine and Psychiatry, Institute of Psychiatry, London, UK, and Sam Cartwright-Hatton, School of Psychological Sciences, University of Manchester, UK

REVIEWS

"'Oxford Guide to Metaphors in CBT: Building Cognitive Bridges is a remarkable, memorable, and continually fascinating book, one that will be on my repeated reference list for Year to come.'Robert Leahy, Clinical Professor of Psychology in Psychiatry at Weil-Cornell University Medical College, USA "

"'I came away from Reading this book with a deeply enriched appreciation of the value of metaphors that will significantly impact on my clinical work. This is a book of Wisdon and great practical value that therapists of all backgrounds can benefit from. Undoubtedly destined to become a classic, and metaphorically speaking "a bright star to guide us."'Paul Gilbert, Professor of Clinical Psychology, University of Derby, UK "

"'This is a great contribution to the cognitive therapy literature, which will be welcomed by both students and experienced practitioners in the field. A book full of wisdom and humour, it shows how the deepest aspects of human language can reach across the apparent divide between therapist and patient towards a shared understanding that transforms live.'Mark Williams, Professor of Clinical Psychology, University of Oxford, UK "

"'The Oxford Guide to Metaphors in CBT is a truly exciting book, breaking much new ground in a very accessible way, and providing a fascinating theoretical background. The use of pictures is particularly engaging. This is a book I shall turn to again and again, and it is easy to imagine how the material could be shared with clients with different disorders, to enhance engagement, formulation and change.'Ann Hackman, University Department of Psychiatry, Oxford, and Oxford Cognitive Therapy Centre, UK"

TABLE OF CONTENTS

Acknowledgements
1: Introduction
2: Historical Roots, Theory and Conceptualisation
3: Clinical use of metaphor
4: The Principles, Format and Context of CBT
5: Conceptualising Cognition and Metacognition
6: Depression
7: Anxiety Disorders
8: Bipolar Disorders and Mood Swings
9: Psychosis
10: Eating Disorders
11: Interpersonal difficulties
12: Working with Parents
13: Clinical Art and Clinical Science of Metaphor in CBT: Future Directions
References