Customer Reviews
Outstanding - By: A. M. Wood, 16 Dec 2004 
This is one of the finest books that I have ever read. It is invaluable for both an introduction to CBT & as a handbook for experienced researchers & clinical professionals. I cannot rate it too highly. Whilst I would not normally use a book publishedin 1989, this book is so good that this is not really an issue.
CONTENT NOW DATED - By: , 04 Oct 2001 
Whereas this book was once an essential guide to the best of cognitive therapy, it is by now certainly out dated & urgentlyin need of a second edition. There have been huge advancesin understandings within cognitive therapyin the years since this book was first published (1989)and interventions are improving all the time.I do not think that this book offers the best of the therapy any longer though, it will have historical significance as the first UK published book on cognitive approaches to treatment.
Change in behavior leads to change in cognition - By: berntlundby@hotmail.com, 06 Jun 2001 I do not agree with the review above. The book is not an encyclopedia of cognitive therapy. It is a brief, practical handbook. It is on this basis it should be evaluated. Starting chapters with diagnostic categories is not incompatible with treating patients with an open, hypothesis testing mind! Organizing therapautic procedures simply works better this way. A focus on behavioral change is not unusual, after all, most studies on effective components of cognitive therapy point to behavior as the interventionist key.
Strong on behavioural approaches, weak on cognitive - By: , 06 Dec 2000 
With four editors & a dozen contributorsin all, this book represents a collection of points of view. The unifying element seems to be that all the contributors are experienced clinical practitioners of behaviour therapy who arein the midst of coming to terms with the encroach of cognitive approaches on their established models of practice. So if you read this book hoping to gain insight into behavioural therapies & into the place of psychological therapyin a clinical psychiatric setting, you will be well pleased with its wide scope & practicality. But if you are hoping to understand how cognitive behaviour therapy (CBT) appliesin this setting, you are likely to be either disappointed or misled -- disappointed if you already understand CBT, misled if you are reading this book to find out about it.
The writing style is clear & direct throughout. This book concentrates on what really happens & explains with examples. It refers you to other sources for details of the underlying theory. At the same time the style is curiously distant, like an old-fashioned textbook. If you are familiar with the philosophy of CBT, with the idea of people beingin charge of their own selves, then these authors read like passive victims of their own profession. For example, Melanie Fennell writing on depression tells us that, "The [initial] interview, which normally takes 1 - 1½ hours, comes after diagnostic assessment & evaluation of suitability for treatment as outlined above" (p176) as if she has no choicein the matter. It would have been much more interesting to understand Melanie's reasons for workingin this way rather than some other way, but that is not this book's style.
On the cognitive aspects of therapy the book makes a promising start. Chapter 1, "Development & principles", outlines the progress of ideas starting, a little surprisingly, from Charles Darwin, through to A.T. Beck's work on negative automatic thoughts & the cognitive triad. In the remainder of the book, though, these newer ideas rarely resurface. A telling passagein Chapter 2, "Cognitive-behavioural assessment", explains how the widely-used Antecedents -- Behaviours & beliefs -- Consequences model can be applied to a patient's smoking habit. It explains the antecedent & the behaviour, then leaps to the consequence without mentioning the belief element, the cognitive part.
The chapter that comes closest to incorporating cognitive ideas is Chapter 6, "Depression". Even here, while cognition plays a partin the therapist's assessment & evaluation of the patient, it is missing from the suggested treatment schemes, which are purely behavioural. A colleague once described to me patients of hers who had inappropriately received purely behavioural therapyin the past as "not cured, but going through the motions of what a cured person could do." So for me this lack is the book's most disappointing feature.
The structure of the book has its problems, too. Though the chapters at the start & end are generally applicable, all the rest are based on categories of diagnosis. Starting each chapter with a diagnosis & going on to read about the initial assessment has an odd feel to it, because of course a wise therapist commences an assessment with an open mind, prepared to revise any prior diagnosis. Also, while the book is wide-rangingin the scope of diagnoses covered, it is by no means comprehensive. For example, if you want to dip into it for a few hints before tackling your first case of post-traumatic stress disorder, you will not find that, or even stress,in the index. You might feel you were close enough with Chapter 3, "Anxiety states", but it's hard to be sure.
The clinical setting, too, is incompletely covered. Even though Chapter 7, "Somatic Problems", warns, "Careful co-ordination with all other professionals involved is the key...", neither it nor any other chapter tells you how to achieve this coordination. The authors must surely have valuable views on referrals, on reporting back to referring clinicians, on standard diagnostic classifications like DSM-IV, on the effects of prior therapies, & so forth, but they are not giving anything away on these topics.
To summarize, this book is packed with clear information on a wide range of psychiatric conditions. Subtitled "A Practical Guide", it appears to be practical, authoritative & comprehensive. Butin various ways it is not. Most significantly of these, it fails to integrate cognition to the extent that you would expect from the title, so that if you were to rely on itin the treatment of your patients you would be discouraged from offering them some of the most effective therapeutic interventions around.
