(cid:69)(cid:102)(cid:119)(cid:102)(cid:109)(cid:112)(cid:113)(cid:110)(cid:102)(cid:111)(cid:117)(cid:98)(cid:109) (cid:68)(cid:112)(cid:104)(cid:111)(cid:106)(cid:117)(cid:106)(cid:119)(cid:102) (cid:67)(cid:102)(cid:105)(cid:98)(cid:119)(cid:106)(cid:112)(cid:115)(cid:98)(cid:109) (cid:85)(cid:105)(cid:102)(cid:115)(cid:98)(cid:113)(cid:122) (cid:120)(cid:106)(cid:117)(cid:105)(cid:33)(cid:66)(cid:101)(cid:118)(cid:109)(cid:117)(cid:116) RT56005.indb 1 3/26/07 2:19:15 PM RT56005.indb 2 3/26/07 2:19:15 PM (cid:69)(cid:102)(cid:119)(cid:102)(cid:109)(cid:112)(cid:113)(cid:110)(cid:102)(cid:111)(cid:117)(cid:98)(cid:109) (cid:68)(cid:112)(cid:104)(cid:111)(cid:106)(cid:117)(cid:106)(cid:119)(cid:102) (cid:67)(cid:102)(cid:105)(cid:98)(cid:119)(cid:106)(cid:112)(cid:115)(cid:98)(cid:109) (cid:85)(cid:105)(cid:102)(cid:115)(cid:98)(cid:113)(cid:122) (cid:120)(cid:106)(cid:117)(cid:105)(cid:33)(cid:66)(cid:101)(cid:118)(cid:109)(cid:117)(cid:116) (cid:75)(cid:98)(cid:111)(cid:102)(cid:117)(cid:33)(cid:78)(cid:47)(cid:33)(cid:91)(cid:98)(cid:115)(cid:99) New York London RT56005.indb 3 3/26/07 2:19:15 PM Routledge Routledge Taylor & Francis Group Taylor & Francis Group 270 Madison Avenue 2 Park Square New York, NY 10016 Milton Park, Abingdon Oxon OX14 4RN © 2007 by Taylor & Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business Printed in the United States of America on acid‑free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number‑10: 0‑415‑95600‑5 (Softcover) International Standard Book Number‑13: 978‑0‑415‑95600‑0 (Softcover) No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging‑in‑Publication Data Zarb, Janet M. Developmental cognitive behavioral therapy with adults / Janet Zarb. p. ; cm. ISBN‑13: 978‑0‑415‑95600‑0 (pb : alk. paper) ISBN‑10: 0‑415‑95600‑5 (pb : alk. paper) 1. Cognitive therapy. 2. Developmental disabilities. 3. Developmental psychology. I. Title. [DNLM: 1. Cognitive Therapy‑‑methods. 2. Adult‑‑psychology. 3. Human Development. 4. Psychopathology. WM 425.5.C6 Z36d 2007] RC489.C63Z37 2007 616.89’14‑‑dc22 2006038314 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the Routledge Web site at http://www.routledge‑ny.com RT56005.indb 4 3/26/07 2:19:16 PM DeDication To George  RT56005.indb 5 3/26/07 2:19:16 PM RT56005.indb 6 3/26/07 2:19:17 PM contents Chapter 1 Introducing the Developmental Cognitive Behavioral Therapy Approach 1 Chapter 2 Developmental Cognitive Behavioral Therapy Assessment Strategies 19 Chapter 3 Developmental Cognitive Behavioral Therapy Intervention Strategies 47 Chapter 4 Maladaptive Developmental Patterns Affecting Occupational Functioning 87 Chapter 5 Maladaptive Developmental Patterns Affecting Social Relationships 125 Chapter 6 Maladaptive Developmental Patterns Affecting Intimate Partner and Family Functioning 147 References 191 Index 199 ii RT56005.indb 7 3/26/07 2:19:17 PM RT56005.indb 8 3/26/07 2:19:17 PM 1 introDucing the Developmental cognitive Behavioral therapy approach The aim of this book is to introduce a new psychotherapy approach that combines conventional cognitive therapy with a lifespan developmen- tal psychopathology perspective. The major focus will be on treatment of adult role difficulties contributing to mental health problems. This approach examines the relationship between depression, anxiety, per- sonality disorders, and other psychological problems and the client’s difficulties in performing expected adult roles and tasks. It adopts a developmental psychopathology framework that considers behav- ioral and emotional problems in relation to normative sequences and achievements for particular ages and stages across the life cycle. This new approach will be referred to as Developmental Cognitive Behavorial Therapy, or Developmental CBT. The initial phase of Developmental CBT adopts the most studied and commonly used CBT model developed by Aaron Beck and his col- leagues and expanded by other therapists over the past forty years (e.g., Beck, 1976; Beck & Emery, 1985; Beck & Freeman, 1990; Beck et al., 1979; Beck, J., 1995; Meichenbaum, 1994; Padesky, 1994; Young, Beck, & Weinberger, 1993). This model is also frequently referred to as cognitive therapy (CT). The primary difference between the new Developmental CBT approach espoused in this book and traditional CBT approaches is the addition of a developmental phase of assessment and treatment that focuses on the client’s inadequate resolution of normative psychosocial developmental tasks and transitions of earlier life stages. This approach evolved from a common observation by the author and other clinicians that a substantial proportion of people seeking therapy are experienc-  RT56005.indb 1 3/26/07 2:19:18 PM