Review of Treating chronic depression with disciplined personal involvement: Cognitive behavioral analysis system of psychotherapy (CBASP).

Psychotherapy ◽  
2008 ◽  
Vol 45 (3) ◽  
pp. 416-417
Author(s):  
David J. Hellerstein
Keyword(s):  
Chronic Depression ◽  
Cognitive Behavioral ◽  
Behavioral Analysis ◽  
Personal Involvement ◽  
Analysis System

Cognitive Behavioral Analysis System of Psychotherapy for Chronic Depression

2019 ◽  
pp. 303-322
Author(s):  
James P. McCullough ◽  
Elisabeth Schramm
Keyword(s):  
Chronic Depression ◽  
Cognitive Behavioral ◽  
Behavioral Analysis ◽  
Learning Goals ◽  
Future Directions ◽  
Personal Involvement ◽  
Therapy Relationship ◽  
Analysis System ◽  
Interpersonal Model

The cognitive behavioral analysis system of psychotherapy (CBASP) is designed specifically for chronic depression and is based on Donald Kiesler’s interpersonal model, with the role of the psychotherapist being administered from a disciplined personal involvement perspective. To achieve its learning goals, CBASP has been operationalized such that the two major goals are learned in an acquisition learning manner criterion. Patients are taught throughout treatment that the lessons of CBASP are intended to be “lifelong” lessons that must be practiced daily to reduce psychopathology. This chapter reviews CBASP’s fundamental tenets, assessment, applicability, change processes, therapy relationship, and key methods. The chapter concludes with a detailed case example, outcome research, and future directions.

scholarly journals Two-Year Follow-Up after Treatment with the Cognitive Behavioral Analysis System of Psychotherapy versus Supportive Psychotherapy for Early-Onset Chronic Depression

2019 ◽  
Vol 88 (3) ◽  
pp. 154-164 ◽  
Author(s):  
Elisabeth Schramm ◽  
Levente Kriston ◽  
Moritz Elsaesser ◽  
Thomas Fangmeier ◽  
Ramona Meister ◽  
...  
Keyword(s):  
Early Onset ◽  
Chronic Depression ◽  
Cognitive Behavioral ◽  
Behavioral Analysis ◽  
Supportive Psychotherapy ◽  
Analysis System

CS05-04 - Cognitive behavioral analysis system of psychotherapy (CBASP)

2011 ◽  
Vol 26 (S2) ◽  
pp. 1785-1785
Author(s):  
M. Berger ◽  
E.-L. Brakemeier ◽  
E. Schramm
Keyword(s):  
Psychological Treatment ◽  
Social Problem Solving ◽  
Chronic Depression ◽  
Cognitive Behavioral ◽  
Behavioral Analysis ◽  
Inpatient Setting ◽  
Analysis System ◽  
Major Depressive Episodes ◽  
Depressive Episodes ◽  
Significant Superiority

Chronic depression accounts for roughly a third of all mood disorders. It is a particularly disabling disorder, which is associated with greater comorbidity and suicidality, more significant impairments in functioning, and increased health care utilization than acute major depressive episodes. In the past, chronic depression was often considered as treatment-resistant since traditional pharmacological and psychological treatment approaches show at most modest success. In addition, relatively few psychotherapy studies have focused on chronic (mostly dysthymia) forms of depression. However, in chronic Major Depression a specific form of psychotherapy, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), proved to be equally effective than medication; the combination of CBASP and medication revealed significant superiority over both monotherapies.CBASP-developed by James McCullough-is the only psychotherapeutic intervention specifically designed for chronic depression. The approach integrates behavioral, cognitive, psychodynamic, and interpersonal strategies. It focuses on problems resulting from an inhibition of maturation in early childhood often caused by early traumatization by using the therapeutic relationship in a disciplined personal way. In addition, other interpersonal strategies are applied to overcome preoperational thinking. By means of a specific behavioral technique, the Situation Analysis, patients learn to focus on the consequences of their behavior and to use efficient social problem-solving. The techniques of CBASP will be demonstrated.Results of two pilot studies will be presentedFirst, a randomized pilot outpatient study comparing CBASP with the interpersonal psychotherapy (IPT) in early onset chronically depressives was conducted showing significant superiority of CBASP against IPT. Second, a first open pilot study in the inpatient setting investigated a new modified multidisciplinary CBASP inpatient program. The data of the first patients suggest that the three-month CBASP inpatient program is a feasible and effective treatment for severely chronically depressed patients with severly to extreme traumatization.

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