Includes bibliographical references (pages 323-334) and indexes.

Cognitive appraisal theory. What makes difficult clients difficult -- Motivation and attachment -- Basic CAT concepts: personotypic affect, justifying cognitions, and security-seeking behaviors -- Patterns of personality -- The difficult client revisited -- Cognitive appraisal therapy. The CAT assessment -- Interventions based on the CAT model -- Affect-based interventions -- Additional interventions involving cognition, behavior, adjunctive medication, and therapeutic impasses -- The process of CAT (case studies) -- Applications of CAT. CAT with personality-disordered clients -- Working with borderline personality-disordered clients -- Couples therapy -- CAT group therapy -- Working with "difficult" parents.

"I know that I am doing therapy correctly and well, so why aren't some of my clients changing?" "Why do I feel anxious when I think about my next session with that difficult client?" When psychotherapy stalls, it's time to try new ideas. The authors' experience with difficult clients -- uncooperative, hostile, uncommitted to change -- gave them a new perspective on working with therapeutic impasses. Papers describing Cognitive Appraisal Therapy have appeared in many books and journals, and now for the first time these ideas are compiled into a single volume. Heavily influenced by the psychothe.

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