Cognitive Behavioral Therapy

Citation preview

Topic Better Living

Subtopic Personal Development

Cognitive Behavioral Therapy: Techniques for Retraining Your Brain Course Guidebook Professor Jason M. Satterfield

University of California, San Francisco

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-DVRQ06DWWHU¿HOG3K' Professor of Clinical Medicine University of California, San Francisco

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URIHVVRU -DVRQ 0 6DWWHU¿HOG LV 3URIHVVRU of Clinical Medicine, Director of Social and Behavioral Sciences, and Director of Behavioral Medicine in the Division of General Internal Medicine at the University of California, San Francisco (UCSF). He received his B.S. in Brain Sciences from the Massachusetts Institute of Technology with a special minor in Psychology from Harvard University. He completed his Ph.D. in Clinical Psychology at the University of Pennsylvania (Penn), where he worked with Dr. Martin Seligman on cognitive models of bias, risk taking, depression, and DJJUHVVLRQ3URIHVVRU6DWWHU¿HOGZDVWUDLQHGDVDFRJQLWLYHEHKDYLRUDOWKHUDSLVW at Penn’s Center for Cognitive Therapy under the supervision of Drs. Aaron 7%HFN-XGLWK%HFNDQG5REHUW'H5XEHLV3URIHVVRU6DWWHU¿HOGFRPSOHWHG his internship and postdoctoral fellowship at UCSF at San Francisco General Hospital with Drs. Ricardo Muñoz, Jeanne Miranda, and Jacqueline Persons LQ WKH 'HSDUWPHQW RI 3V\FKLDWU\ ,Q  3URIHVVRU 6DWWHU¿HOG DFFHSWHG D position in the UCSF Division of General Internal Medicine to focus on the intersection of psychological factors and physical health. 3URIHVVRU 6DWWHU¿HOG¶V FOLQLFDO ZRUN KDV LQFOXGHG DGDSWDWLRQV RI FRJQLWLYH behavioral therapy for underserved, medically ill populations and psychological interventions for patients with serious chronic illness. He currently directs the UCSF Behavioral Medicine Unit, which integrates mental and behavioral health services into adult primary care. 3URIHVVRU6DWWHU¿HOG¶VUHVHDUFKDQGHGXFDWLRQDOLQWHUHVWVLQFOXGHLQWHJUDWLQJ social and behavioral science in medical education, disseminating and implementing evidence-based behavioral practices in primary care settings, and developing educational strategies to address health-care disparities. His current projects include using digital technology to facilitate behavior change, supporting interprofessional education, promoting social and emotional i

intelligence for physicians, developing screening and brief interventions for substance abuse, and integrating the social and behavioral sciences in medical VFKRRODQGPHGLFDOUHVLGHQF\FXUULFXOD3URIHVVRU6DWWHU¿HOGLVDPHPEHURI the Behavioral and Social Science Consortium for Medical Education and the Council for Training in Evidence-Based Behavioral Practice, both of which are funded by the National Institutes of Health. 3URIHVVRU 6DWWHU¿HOG¶V ERRN A Cognitive-Behavioral Approach to the Beginning of the End of Life and the accompanying patient workbook, Minding the Body, were recognized as Self-Help Books of Merit by the Association for Behavioral and Cognitive Therapies. He also is the associate editor of the best-selling textbook Behavioral Medicine: A Guide for Clinical Practice (4th edition). His special clinical publications include treatment models for cognitive behavioral therapy, treatment adaptations to improve cultural competence, and a transdisciplinary model to promote evidencebased behavioral practices in medicine, including interventions for smoking, weight management, drug abuse, and chronic disease management. Professor 6DWWHU¿HOG LV FRDXWKRU RI D UHFHQW UHSRUW GHWDLOLQJ WKH UROH RI EHKDYLRUDO science in medicine, and he served on the Behavioral and Social Science Subcommittee that revised the Medical College Admission Test (MCAT)— work that was featured in the New England Journal of Medicine and The New York Times. 3URIHVVRU 6DWWHU¿HOG FXUUHQWO\ GLUHFWV WKH 6RFLDO DQG %HKDYLRUDO 6FLHQFHV curriculum for all UCSF medical students and internal medicine residents. He has been nominated for multiple teaching awards at UCSF, including the Robert H. Crede Award for Excellence in Teaching and the Kaiser Award for Excellence in Teaching, and he received the Academy of Medical Educators Cooke Award for the Scholarship of Teaching and Learning. He is often competitively selected to teach at national conferences for a wide variety of health professionals, including physicians, nurses, social workers, and psychologists. 3URIHVVRU 6DWWHU¿HOG JUHZ XS LQ 0LGGOH7HQQHVVHH DQG ZDV WKH ¿UVW LQ KLV family to attend college. After living in Boston and Philadelphia for school, he moved in 1994 to San Francisco. He is an avid traveler and enjoys a large FLUFOHRIIULHQGVDQGIDPLO\Ŷ ii

Table of Contents

,1752'8&7,21 Professor Biography ............................................................................i Disclaimer .......................................................................................... vi Course Scope .....................................................................................1 /(&785(*8,'(6 /(&785( Cognitive Behavioral Foundations ......................................................3 /(&785( 4XDQWL¿HG6HOI$VVHVVPHQWIRU7KHUDS\ .......................................... 11 /(&785( 6HWWLQJ7KHUDSHXWLF*RDOV ................................................................18 /(&785( 7KLUG:DYH&RJQLWLYH%HKDYLRUDO7KHUDS\ .......................................25 /(&785( Stress and Coping ............................................................................33 /(&785( $Q[LHW\DQG)HDU ..............................................................................40 /(&785( 7UHDWLQJ'HSUHVVLRQ .........................................................................47 /(&785( $QJHUDQG5DJH ...............................................................................55 /(&785( $GYDQFHG&RJQLWLYH%HKDYLRUDO7KHUDS\ .........................................63

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Table of Contents /(&785( Positive Psychology..........................................................................69 /(&785( +HDOLQJ7UDXPDWLF,QMXULHV ................................................................76 /(&785( )RUJLYHQHVVDQG/HWWLQJ*R .............................................................84 /(&785( Digging Deep and Finding Meaning .................................................91 /(&785( &RJQLWLYH%HKDYLRUDO7KHUDS\DQG0HGLFLQH ....................................97 /(&785( 6WD\LQJRQWKH:DJRQ ....................................................................105 /(&785( 7KLQNLQJ+HDOWK\:HLJKWDQG1XWULWLRQ .......................................... 113 /(&785( %HKDYLRUDO7KHUDS\IRU&KHPLFDO$GGLFWLRQV ..................................122 /(&785( *HWWLQJD*RRG1LJKW¶V6OHHS .........................................................131 /(&785( Mastering Chronic Pain ..................................................................139 /(&785( %XLOGLQJDQG'HHSHQLQJ5HODWLRQVKLSV ...........................................148 /(&785( &RQVWUXFWLYH&RQÀLFWDQG)LJKWLQJ)DLU...........................................156 /(&785( 7KULYLQJDW:RUNWKURXJK%HKDYLRUDO+HDOWK ...................................163 iv

Table of Contents /(&785( 'HYHORSLQJ(PRWLRQDO)OH[LELOLW\ .....................................................171 /(&785( Finding the Best Help .....................................................................179 6833/(0(17$/0$7(5,$/ &ULVLV5HVRXUFHV ............................................................................186 %LEOLRJUDSK\ ....................................................................................189 ,PDJH&UHGLWV .................................................................................213

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