Cognitive therapy, with its clear-cut measurable techniques, has been a welcome innovation in recent years. However, the very specificity that lends itself so well to research and training has minimized the role of the therapeutic relationship, making it difficult for therapists to respond flexibly to different clinical situations. What is needed is an approach that focuses on the underlying mechanisms of therapeutic change, not just on interventions. In this practical and original book, two highly respected clinician-researchers integrate findings from cognitive psychology, infant developmental research, emotion theory, and relational therapy to show how change takes place in the interpersonal context of the therapeutic relationship and involves experiencing the self in new ways, not just altering behavior or cognitions. Making use of extensive clinical transcripts accompanied by moment-to-moment analyses of the change process, the authors illustrate the subtle interaction of cognitive and interpersonal factors. They show how therapy unfolds at three different levels―in fluctuations in the patient's world, in the therapeutic relationship, and in the therapist's inner experience―and provide clear guidelines for when to focus on a particular level. The result is a superb integration of cognitive and interpersonal approaches that will have a major impact on theory and practice. A Jason Aronson Book

It is particularly gratifying to prepare a second edition of a book, because there is the necessary impli cation that the first edition was well received. Moreover, now an opportunity is provided to correct the problems or limitations that existed in the first edition as well as to address recent developments in the field. Thus, we are grateful to our friends, colleagues, and students, as well as to the reviewers who have expressed their approval of the first edition and who have given us valuable input on how the revision could best be structured. Perhaps the first thing that the reader will notice about the second edition is that it is more extensive than the first. The volume currently has 41 chapters, in contrast to the 31 chapters that comprised the earlier version. Chapters 3, 9, 29, and 30 of the first edition either have been dropped or were combined, whereas 14 new chapters have been added. In effect, we are gratified in being able to reflect the continued growth of behavior therapy in the 1980s. Behavior therapists have addressed an ever-increasing number of disorders and behavioral dysfunctions in an increasing range of populations. The most notable advances are taking place in such areas as cognitive approaches, geriatrics, and behavioral medicine, and also in the treatment of childhood disorders.

This volume, like the other eight in the Current Issues in Autism series, grew from our annual TEACCH conference. The book is not, however, simply a compilation of conference proceedings. Instead, selected con ference participants whose work has already achieved national and inter national recognition were asked to develop chapters around their pre sentations. Other recognized experts in areas relevant to the conference theme were also asked to contribute chapters. Although we were not able to include all of the workers who have contributed to the theme, this volume represents our best effort to pull together for our readers the most current knowledge and state of the art practices. Although aspects of cognition, learning, and behavioral motivation have been touched on for relevance to autism in other books in this series, the growing integration of behavioral and cognitive theories has greatly enriched our educational interventions on behalf of autism. While this volume does not include all the fascinating facets of this recent integration, we believe that it offers useful information to teachers, parents, and re searchers on some of the progress produced by their interaction.

1. Psychodynamic Psychotherapy with Children: Current Status and Guidelines for Future Research.- 1. Nonbehavioral Child Psychotherapy.- 2. Brief Abstracts of Research Providing Findings on the Factors Affecting the Process and Outcome of Parent and Child Psychotherapy.- 2.1. Psychotherapeutic Treatment of the Maladjusted Child in the Ordinary School.- 2.2. The Outcome of Psychotherapeutic Intervention with Delinquent Boys.- 2.3. Outcome of Child Psychotherapy as a Function of Frequency of Session.- 2.4. Concluding Remarks.- 3. Guidelines in Formulating Nonbehavioral Child Psychotherapy Research.- 3.1. Defining the Conceptual Link between the Characteristics of the Children and Families Being Treated and the Nature of the Therapeutic Process.- 3.2. The Research Design and Hypotheses.- 4. Concluding Remarks.- 5. References.- 2. Cognitive Mediators of the Outcome of Psychotherapy with Children.- 1. Rationale for This Review.- 2. Method Used to Identify Studies.- 3. Theoretical Perspectives on a Linkage between Cognitive Factors and Therapy Outcomes.- 4. Research on Cognitive Capacity as a Mediator of Therapy Effects.- 4.1. The Problem of Age as a Mediator.- 4.2. Mental Age.- 4.3. Piagetian Cognitive Level.- 4.4. Intelligence.- 5. Research on Cognitions as Mediators of Therapy Effects.- 5.1. Causal Attributions.- 5.2. Locus of Control.- 5.3. Control-Related Beliefs.- 6. Research on the Malleability of Child Cognitions.- 7. Research on the Effects of Modifying Child Cognitions.- 8. Summary and Critique of the Evidence.- 9. Recommendations for Future Research.- 10. References.- 3. Improving the Peer Relationships of Rejected Children.- 1. Introduction.- 2. The Characteristics of Peer-Rejected Children.- 2.1. Definition.- 2.2. Correlates.- 2.3. Critical Features.- 2.4. Clinical Implications.- 3. Models of Peer Rejection and Treatment Approaches.- 3.1. Social Skills Deficits Model.- 3.2. Negative Behavior Model.- 3.3. Reputation Model.- 3.4. Integrated Model.- 4. Clinical Issues.- 4.1. Assessing Peer Relations without Sociometrics.- 4.2. Gaining Access to Peer Groups.- 4.3. Developmental Considerations.- 5. Conclusions.- 6. References.- 4. Diversion from the Juvenile Justice System: Research Evidence and a Discussion of Issues.- 1. Background Considerations.- 1.1. The Specific Context of the Adolescent Diversion Project.- 2. Developing the Original Model.- 2.1. Participant Youth.- 2.2. Student Volunteers.- 2.3. Intervention Model.- 2.4. Results.- 2.5. Conclusions from the Phase One Project.- 3. Phase Two of ADP Development.- 3.1. Youths Involved in Phase Two.- 3.2. Project Operation in Phase Two.- 3.3. Results from Phase Two.- 4. Phase Three of ADP Development.- 4.1. Youths Involved in Phase Three.- 4.2. Project Operation in Phase Three.- 4.3. Results from Phase Three.- 5. Phase Four of ADP Development.- 5.1. Youths Involved in Phase Four.- 5.2. Project Operation in Phase Four.- 5.3. Results from Phase Four.- 6. Critical Issues in the Operation of Diversion Programs.- 6.1. Clinical and Administrative Issues.- 7. Concluding Comments.- 8. References.- 5. Parental Child Abduction: The Problem and Possible Solution.- 1. Introduction.- 1.1. Epidemiology of Child Abduction.- 1.2. Effects on the Child.- 1.3. Possible Solutions.- 2. The Florida Project.- 2.1. Procedures.- 2.2. Outcome.- 3. The National Project.- 3.1. Changes in Procedures.- 3.2. Outcome.- 4. Discussion.- 5. References.- 6. Genetic Factors in Childhood Psychopathology: Implications for Clinical Practice.- 1. Introduction.- 1.1. Advance of Genetic Knowledge.- 1.2. Intelligence and Genetics.- 1.3. Mental Retardation.- 2. Personality and Psychopathology.- 2.1. Normal Personality.- 2.2. Genetic Factors in Behavioral Disorders.- 2.3. Child Psychopathology.- 3. Prevention of Mental Illness.- 4. Social and Ethical Problems Raised by the New Genetic Information.- 5. Other Ethical Issues.- 6. Conclusions.- 7. References.- 7. Obesity of Infancy and Early Childhood: A Diagnostic Schema.