About the Author ix Foreword x
Preface xii
Story: The Hundredth Monkey xiv
Acknowledgments xv
PART I THEORY 1
1 What is CBT? 3
Introduction 3
CBT Techniques 4
Empirical Evidence 5
2 What is Positive CBT? 7
Introduction 7
Shortcomings of the Problem-Solving Paradigm 8
Story 2.1: How to Not Be Unhappy 10
Towards a Strengths and Solutions Paradigm 10
Notes on Learning Theory 16
Story 2.2: I Can Choose 16
Changing Role of the Therapist 16
Differences Between Traditional CBT and Positive CBT - An Overview 17
Story 2.3: Looking for Problems? 17
3 Possibilities of Positive CBT 19
Introduction 19
What is Positive in Traditional CBT? 20
Possibilities of Positive CBT 31
4 Two Positive Sources 34
Introduction 34
Source 1: Positive Psychology 35
Story 4.1: The Power of Positive Emotions 41
Source 2: Solution-Focused Brief Therapy 41
Story 4.2: Do Something Different for a Change 42
Story 4.3: Working from the Future Back 49
Short Comparison Between Positive Psychology and Solution-Focused Brief Therapy 50
Empirical Evidence 50
Neuroscience 51
Story 4.4: The Drip System 55
The Body 59
PART II APPLICATIONS 61
5 Enhancing the Therapeutic Alliance 63
Introduction 63
Building a Positive Alliance 64
Offering Acknowledgment 65
Story 5.1: Acknowledging the Problem 66
Enhancing Hope 66
Story 5.2: The Archer 69
Story 5.3: The Power of Hope 70
Reinforcing Strengths and "What Works" 70
Enhancing Cooperation 72
Story 5.4: Misery I Love You! 74
Story 5.5: Everybody, Somebody, Anybody, and Nobody 76
6 Assessment 77
Introduction 77
Case Conceptualization 77
Assessing Goals 79
Story 6.1: Top Performers 86
Assessing Problems, Complaints, and Constraints 87
Assessing Strengths and Resources 88
Assessing Progress, Motivation, Hope, and Confi dence 90
Story 6.2: At the Car Wash 92
Assessing Motivation to Change 93
Positive Self-monitoring 93
Positive Functional Behavior Analysis 95
7 Changing the Viewing 99
Introduction 99
Acknowledging Feelings and the Past 99
Changing What the Client is Paying Attention to 101
Story 7.1: Finding the "Bright Spots" 102
Story 7.2: The Dog I Feed Most 110
Story 7.3: Shake it Off and Step Up 111
Focusing on What the Client Wants in the Future 114
Challenging Unhelpful Beliefs 115
Using a Spiritual Perspective 124
8 Changing the Doing 128
Introduction 128
Story 8.1: For a Change Do Something Different 128
Changing Repetitive Patterns 129
Story 8.2: Sail Away From the Safe Harbor 130
Noticing What the Client is Doing When Things are Going Better 131
Story 8.3: Chocolate-chip Cookies 133
9 Changing the Feeling 138
Introduction 138
Reducing Negative Emotions 138
Building Positive Emotions 140
Balancing Positive and Negative Emotions 145
Story 9.1: Consider a Sail-boat 147
Story 9.2: The Nun Study 148
Positive Emotions in the Medical Setting 148
10 Homework Assignments 152
Introduction 152
General Suggestions 153
Basic Homework Assignments 156
Self-monitoring 157
Behavioral Experiments 160
Routine Outcome Measurement 165
Story 10.1: Brilliant Insights 166
Refl ecting on the Session 170
11 Subsequent Sessions 173
Introduction 173
Progress 174
Behavior Maintenance 180
Failures 185
Story 11.1: Ten Million Dollars Lost 190
Concluding Therapy 190
