Cover image for Treatment for chronic depression : cognitive behavioral analysis system of psychotherapy (CBASP)
Treatment for chronic depression : cognitive behavioral analysis system of psychotherapy (CBASP)
McCullough, James P.
Personal Author:
Publication Information:
New York : Guilford Press, [2000]

Physical Description:
xxii, 326 pages : illustrations ; 24 cm
Format :


Call Number
Material Type
Home Location
Item Holds
RC489.C63 M33 2000 Adult Non-Fiction Central Closed Stacks
RC489.C63 M33 2000 Adult Non-Fiction Non-Fiction Area

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This volume describes the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), a research-based approach designed to motivate chronically depressed patients to change and to help them develop needed problem-solving and relationship skills. Integrating elements of cognitive-behavioral and interpersonal therapy, this approach has been shown to be as effective as medication treatment in a recent 12-site national study with 681 chronically depressed outpatients. Even more significant, a combination of CBASP and pharmacotherapy produced a response rate of 85%--unprecedented for any large-scale randomized clinical trial of its kind--and demonstrated for the first time the superiority of combination treatment to either psychotherapy or pharmacotherapy alone. Filled with detailed case examples, the volume presents clear, step-by-step guidelines for using CBASP. Also discussed are ways to measure treatment outcomes; issues in research, training, and supervision; and managing common crises and problems in treatment.

Author Notes

James P. McCullough, Jr., PhD, received his doctorate from the University of Georgia. He is a fellow of the American Psychological Association and was elected a Diplomate in Clinical Psychology by the American Board of Psychological Forensic Examiners. He is currently codirector of the Adult Psychotherapy Clinical Training Program at Virginia Commonwealth University, where he is also Professor of Psychology and Psychiatry and Executive Director of the Unipolar Mood Disorders Institute. An award-winning educator and researcher, Dr. McCullough has taught clinical psychology graduate students since 1970. His areas of special interest are dysthymia, double depression, and chronic major depression, particularly diagnostic criteria; unipolar diagnostic category psychosocial comparisons; and cognitive and single-case methodology evaluating both private practice and research. He is the author of many publications, including Treatment for Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy .

Reviews 1

Choice Review

In this breakthrough book, McCullough (Virginia Commonwealth Univ.) challenges many longstanding assumptions about treating chronic depression specifically, and about the therapeutic setting in general. The author provides impressive clinical research findings that demonstrate the efficacy of combining psychopharmacological and cognitive behavioral treatments. Second, he convincingly demonstrates that closeness to one's client does not necessarily impede therapeutic progress and may, in fact, be essential in some cases for progress to occur. McCullough's case examples provide excellent guidance on how to develop and maintain such closeness without jeopardizing progress. The author does a fine job of teasing out the complex factors that come together and result in chronic depression. In addition, the concrete examples illustrate the complex methods that must be used if treatment is to be successful. Of great value to those in the helping professions (e.g., clinical work, counseling, nursing, or social work), this volume is also highly recommended for upper-division undergraduate and graduate students of psychology. R. E. Osborne; Indiana University East

Table of Contents

I CBASP and the Psychopathology of the Patient
1 A Therapist's Problems with a Chronically Depressed Patient
2 Introduction to Chronically Depressed Patients and the CBASP Program
3 Understanding the Psychopathology of Chronically Depressed Patients
4 Course Patterns, Comorbidity, and Psychological Characteristics
II CBASP Method and Procedures
5 Strategies to Enhance Motivation for Change
6 Elicitation Phase of Situational Analysis
7 Remediation Phase of Situational Analysis
8 Using the Therapist-Patient Relationship to Modify Behavior
9 Measuring Acquisition Learning and Generalized Treatment Effects
III History and Other Aspects of CBASP
10 CBASP Emergence on the National Scene
11 Training CBASP Psychotherapists
12 Comparison of CBASP to Beck's Cognitive Therapy and Klerman's Interpersonal Psychotherapy Models
13 Resolving Common Patient Problems and Crises
Appendix A Therapist Prompts for Administering Situational Analysis (PASA)
Appendix B Rating Scales for Adherence Monitoring and for Evaluating the Quality of the Interpersonal Relationship
Appendix C Rating the Presence of Optimal CBASP Psychotherapist Qualities and Abilities