2. COGNITIVE BEHAVIOUR THERAPY FOR PEOPLE WITH PSYCHOSIS

Abstract

Describes contemporary practice in cognitive behavioral therapy (CBT) for psychosis, discuss its theoretical underpinnings, aims, and methods, and review outcome research. The general aims of CBT for people with psychosis are 3-fold: to reduce the distress and disability caused by psychotic symptoms, to reduce emotional disturbance, and to help the person to arrive at an understanding of psychosis in order to promote the active participation of the individual in the regulation of risk of relapse and social disability. The authors conceptualize therapy as a series of 6 stages: (1) building and maintaining a therapeutic relationship, (2) cognitive-behavioral coping strategies, (3) developing a new understanding of the experience of psychosis, (4) addressing delusions and hallucinations, (5) addressing negative self-evaluations, anxiety, and depression, and (6) managing risk of relapse and social disability. The authors have found that the approach is highly acceptable to people, who often reported that the detailed discussion of their beliefs and experiences, is immensely valued. The authors conclude by discussing training and research issues. (PsycINFO Database Record (c) 2016 APA, all rights reserved)