Friday, January 3, 2020

Cognitive Behavioural Therapy and Family Interventions for...

Cognitive Behavioural Therapy and Family Interventions for Psychosis Psychosocial treatments for schizophrenia are not new in the research literature. Psychological treatments have been previously used in the treatment of schizophrenia. For example in terms of behaviour therapy, operant approaches such as token economy programmes were used in the 1960s and 1970s to improve the behaviour of patients in long stay hospitals. However, the evidence suggests that the clinical gains were limited and did not generalise beyond the therapeutic setting and also did not address delusional convictions (Alford 1986; Himadi et al 1991). Other psychological treatments for schizophrenia can be traced to early†¦show more content†¦These interventions are also beneficial to relatives, and are effective in improving the quality of the family environment (Penn Mueser 1996). Psychosocial interventions are aimed at empowering patients, and, as Slade Haddock (1996) have pointed out, since the 1980s, the task of the therapist was no longer to change the behaviour o f the patient but rather to help the client to change their own behaviour, if they wish to do so. This chapter provides an overview of family interventions and cognitive behavioural therapy (CBT) for psychotic symptoms. There has been a lot of research and clinical interest in the effectiveness of CBT for patients with psychosis. Unfortunately, the provision of family interventions in routine services has been disappointing, despite vigorous training programmes. Notwithstanding some notable exceptions in the UK, such as Bath (Smith Velleman, 2002) and Somerset (Stanbridge et al, 2003), increasing the availability of family work remains a challenge for most service providers. The aim is not to provide a comprehensive academic review of family interventions and CBT for serious mental illness. 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