In 1988, the Deparunent of Psychology at San Diego State University initiated the first in a planned conference series on Contemporary Issues in Clinical Psychology. It was decided that the focus of this first conference would be depression. Consequently, a number of distinguished scholars were invited to San Diego to discuss contemporary theoretical, empirical, and treatment issues in depressive disorders. This volume contains the results of this conference. Each chapter remains true to the original presentation, although each has been extensively reworked by the authors for inclusion in a book format, and in some cases co-authors have aided in revisions for the volume. Given the sheer quantity and impressive quality of contemporary research, it may not be possible to overstate the impact of psychological approaches on our understanding of depressive disorders. Accordingly, the aim of this conference was, within the limited amount of time available for such an endeavor, to chronicle the current status of the psychology of depression. In inviting participants to this forum, no attempt was made to reflect only certain theoretical views. Contemporary psychological theory and research in depression, however, are dominated by cognitive viewpoints, and the influence of cognitive perspectives is thus unmistakable throughout the present volume.

This book presents an analysis of contemporary society based on the experimental and interpretative models produced by the experimental analysis of behavior, in order to think about the ways in which current social contingencies can affect the life of individuals making them more depressive. It addresses the phenomenon of depression in a broad way. From its conception as a scientific concept to sociological explanations to explain its emergence, the book presents in a very well founded way the necessary knowledge to clarify, understand, and seek treatment and prevention for this major social evil. The authors begin with a description of the current diagnostic parameters of major depressive disorder followed by alarming global epidemiological data showing that depression has affected all races, social classes, genders and creeds. They then address the topic departing from an approach based on the experimental analysis of behavior, but also in dialogue with other philosophical and conceptual traditions, to show how current social relationships contribute to the development of major depressive disorder. Depression as a Cultural Phenomenon in Postmodern Society will be a valuable tool for health professionals looking for a wider approach to depression prevention and treatment. An approach that looks not only to the isolated individual, but takes into account the whole social context that contributes to cause or to prevent major depressive disorder.

Based on decades of theory, research, and practice, this seminalbook presents a detailed and comprehensive review, evaluation, andintegration of the scientific and empirical research relevant toAaron T. Beck's cognitive theory and therapy of depression. Sinceits emergence in the early 1960s, Beck's cognitive perspective hasbecome one of the most influential and well-researchedpsychological theories of depression. Over 900 scientific andscholarly references are contained in the present volume, providingthe most current and exhaustive evaluation of the scientific statusof the cognitive theory of depression. Though the application of cognitive therapy has been welldocumented in the publication of treatment manuals, the cognitivetheory of depression has not been presented in a unified manneruntil the publication of this book. Coauthored by the father ofcognitive therapy, Scientific Foundations of Cognitive Theory andTherapy of Depression offers the most complete and authoritativeaccount of Beck's theory of depression since the publication ofDepression: Causes and Treatment in 1967. Through its elaborationof recent theoretical developments in cognitive theory and itsreview of contemporary cognitive-clinical research, the bookrepresents the current state of the art in cognitive approaches todepression. As a result of its critical examination ofcognitive-clinical research and experimental informationprocessing, the authors offer many insights into the futuredirection for research on the cognitive basis of depression. The first half of the book focuses on a presentation of theclinical phenomena of depression and the current version ofcognitive theory. After outlining important questions that havebeen raised with the diagnosis of depression, the book then tracesthe historical development of Beck's cognitive theory and therapythrough the 1960s and '70s. It presents the theoretical assumptionsof the model and offers a detailed account of the most currentversion of the cognitive formulation of depression. The second half of the book provides an in-depth analysis of theempirical status of the descriptive and vulnerability hypotheses ofthe cognitive model. Drawing on over three decades of research, thebook delves into the scientific basis of numerous hypothesesderived from cognitive theory, including negativity, exclusivity,content specificity, primacy, universality, severity/persistence,selective processing, schema activation, primal processing,stability, diathesis-stress, symptom specificity, and differentialtreatment responsiveness. "In 1967 the first detailed description of the cognitive theory ofdepression was published in Depression: Causes and Treatment by oneof us, Aaron T. Beck. The basic concepts of the theory laid out inthat volume still provide the foundation for the cognitive model 30years later. As well the first systematic investigations of thetheory described in the 1967 volume contributed to a paradigmaticshift in theory, research, and treatment of depression thatresulted in a very vigorous and widespread research initiative onthe cognitive basis of depression. The present book is intended toprovide a comprehensive and critical update of the developments incognitive theory and research on depression that have occurredsince the initial publication in the 1960s."--David A. Clark, fromthe Preface.

Reflecting major contemporary developments in theory and clinical practice, the second edition of this authoritative guide has been significantly rewritten with 85% new material. Cognitive therapy (CT) pioneer Aaron T. Beck and associates provide cutting-edge knowledge about the cognitive model of depression and the most effective, lasting ways to reduce clients' suffering. The volume links clearly explained theoretical principles to specific therapeutic strategies. Techniques for identifying, examining, and changing the thoughts, beliefs, and behaviors that give rise to depression and related disorders are illustrated with compelling vignettes and sample dialogues. New to This Edition *Reflects the maturation of CT for treating more complicated presentations, including patients with chronic depression or underlying personality disorders. *Brings therapists up to date on schema-focused approaches as well as classic cognitive and behavioral interventions. *Incorporates data from basic research and many dozens of clinical trials. *All-new vignettes and a chapter-length case example. *Greater attention to the therapeutic relationship and to longer-term treatment.

Depression, a highly common clinical disorder, is an important and clinically relevant topic for both clinical researchers and practitioners to address, because of its prevalence, impact on the individual and society, association with other mental and physical health problems and the social contexts in which it develops. Depression ranks in Germany and central Europe as the third among the leading mental disorders and world-wide is a leading cause of disability. It is estimated that 8.3 % of the German population is depressed within a year (11.2 % women, 5.5 % men). These statistics mean that 4 million people per year are depressed in Germany alone (one year prevalence). According to the WHO, over 300 million people world-wide experience depression and in the USA the financial burden of this disorder, due to disability and work absenteeism, reaches Depression is also becoming more frequent over time and has a high risk of recidivism –particularly since its most common form, Major Depressive Disorder (DSM-5; ICD10) tends to occur in episodes. For example, 20% to 40% of people become depressed again within two years after their first depressive episode, meaning that a major aim of any therapeutic intervention should be to prevent future relapses. Depression also shows very high comorbidities with other mental and physical health conditions. Its overlap with anxiety pathology is so high that clinicians are concerned with whether the two disorder categories are indeed distinct or if they show substantial etiological overlap. Depression is also associated with heart disease and even cancer, making it a risk factor for mortality and morbidity that needs to be identified early and addressed effectively. In addition to Major Depressive Disorder, the often severe Bipolar Disorder, and the chronic form of Depression referred to as dysthymia are additional mood disorders that among them require careful differential diagnosis. They also lead to questions regarding their common or distinct etiological mechanisms. In order to gain a better understanding of Depression as a clinical disorder, one needs to look at it as a multifaceted phenomenon. Depression is a neurobehavioral condition, and one has to be up to date and have solid understanding of its biological substrate, at a genetic, neuronal, hormonal and pharmacological level. Depression is also a socio-demographic phenomenon, and one needs to examine its epidemiology, that might contain significant cues towards its clearer understanding. It is more prevalent, for example, in certain regions, climates, age groups and genders (much more prevalent in women, with age of appearance in young adulthood but also presents as a significant problem for youth and the elderly), is associated with stereotypes and stigma and can be the aftermath of crises, trauma and loss. The etiology of Depression remains under scrutiny, though recently much more knowledge is emerging from contemporary neuroimaging, genotyping and data science methods. Different neural and behavioral systems may be involved contributing to the significant heterogeneity within the disorder. Social roles, stressors, attachment patterns, family support and social networks, and individual (e.g. gender linked) vulnerabilities may contribute significantly towards increasing risk for developing depression. Different therapeutic approaches, like those stemming from the psychoanalytic/psychodynamic perspectives and those stemming from the cognitive/behavioral (2nd and 3rd wave) tradition focus on the components of etiology considered most dominant. As science progresses with clearer evidence regarding the important etiological factors and their interactions, these different perspectives, each with its own contribution, may need to take new developments into consideration, adapt and even begin to converge. These different aspects of the topic of Depression, which are central to the scientific aims of clinical scientists, but also permeate the way clinicians approach assessment, diagnosis, case formulation and treatment, become the focus of the present volume. Following a conference held at the University of Cyprus, in Nicosia, Cyprus in October 2019, which included presentations by internationally renowned experts in the field on these various aspects of Depression, the idea of extending the topics presented and discussed at the meeting into more elaborated and substantive chapters and synthesizing them into an edited volume was generated. The aim was to fill a substantive gap, with a volume that would be beneficial to a wider, interdisciplinary audience of clinicians, trainees and researchers with examine the different aspects of Depression. In this Edited volume, with contributions from prominent experts in the field, we propose to discuss the subject of conceptualizing and treating Depression and related conditions (e.g. Suicide, Bipolar Disorder) from different theoretical perspectives and after taking into consideration current research into the etiology and maintenance of this condition. Chapters on theoretical perspectives of treatment cover a wide range of approaches, that could be broadly clustered under behavioural and psychodynamic points of view. Perspectives discussed in this volume are psychodynamic therapy, 2nd waver CBT, acceptance and commitment therapy and mentalization therapy. Special topics with great relevance to treatment, include treatment in different levels of care (e.g. partial hospital setting; prevention of suicide; working with cancer patients). The book provides a unique combination of current empirical findings on etiology of depression and suicide, treatment considerations and practical recommendations, treatment in different settings and combination of different theoretical perspectives that can enrich a therapists’ repertoire of tools for understanding and approaching depression. The book describes various theoretical approaches without adhering to anyone but with an effort to highlight common underlying themes like issues of loss, self-esteem, guilt, grief and emotion regulation as these permeate the various perspectives. In this way the book presents a combination of science and practice and of various views that constitute an excellent resource of researchers, clinicians and students of mental health professions. In a final chapter the two editors, Drs. Christos Charis and Georgia Panayiotou, make an effort to impartially integrate information from the various perspectives, highlighting the utility of each approach to address specific vulnerability and etiological factors discussed in the book. In this regard, the volume stresses the idea of the need for continuous and open dialogue between perspectives, theories, levels of investigation, research areas, practitioner needs and scientific views to help make progress in treatment and address this complex and multi-faceted phenomenon in the service of patients, their carers and societies in general.

Depression is commonly thought of as a biological disorder best treated with antidepressant medications. Pharmaceutical companies and many experts promote this view as established in scientific fact. Here, Leventhal and Martell argue that there is scant actual scientific evidence for this view, and that the issue is open to considerable question. They maintain that there is very little known—they call the evidence woefully weak—regarding the role of biology in depression. Marketing by drug producers has not only led the public to accept dubious claims and over-value antidepressants, but has also led medical doctors to prescribe them excessively. Leventhal and Martell argue that the effectiveness of psychological therapy has strong scientific support in the treatment of anxiety and depression, and it is safer and results in less frequent relapse. This book will help consumers decide which treatment is best for them. It includes a list of questions to ask before accepting a prescription for antidepressant medication. Readers will find this book helpful in understanding the controversy surrounding the widespread prescription and use of antidepressants. It traces the history and science behind the pharmaceutical treatment of depression, and it presents, in accessible language, information that will empower readers to make the best choices possible regarding the treatment of their own or their loved ones' feelings of depression and anxiety. The audience for this book includes those who are depressed and considering professional help, those concerned about health care and the services offered in the mental health field, and doctors or mental health professionals who may wish to reconsider the basis for treatments they are recommending to patients. Students and scholars in psychology, clinical psychology, public health, social work, and psychiatry will also find this of interest.

A practical and conceptual guide to treating depression using both Beckian CBT and the latest, cutting-edge third wave CBT approaches, including mindfulness and metacognitive therapy. It provides an understanding of depression and its treatment and a clear practical guidance on how to use each treatment approach. Covers CBT, metacognitive therapy, and third-wave behavioural approaches within one volume Presents the theoretical background and evidence for each approach, and describes application in a clear case study approach which clearly outlines the contrasting features of the treatments Includes separate chapter commentaries on the theory and clinical material covered Internationally renowned contributors include Arthur Nezu, David A. Clark, Robert Zettle, Keith Dobson, Ruth Baer, Adrian Wells and Robert Leahy

First multi-year cumulation covers six years: 1965-70.