The future of cognitive–behavioural therapy for psychosis: not a quasi-neuroleptic
Max Birchwood,Peter Trower +1 more
TLDR
The way forward is to abandon the neuroleptic metaphor of CBT for psychosis and to develop targeted interventions that are informed by the growing understanding of the interface between emotion and psychosis.Abstract:
Some 20 trials of cognitive - behavioural therapy (CBT) for psychosis have re-established psychotherapy as a credible treatment for psychosis. However, it is not without its detractors and problems, including uncertainty about the nature of its active ingredients. We believe that the way forward is to abandon the neuroleptic metaphor of CBT for psychosis and to develop targeted interventions that are informed by the growing understanding of the interface between emotion and psychosis.read more
Citations
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Suspicious minds: The psychology of persecutory delusions
TL;DR: The empirical literature on psychological processes associated with persecutory thinking in clinical and non-clinical populations is comprehensively reviewed and the threat anticipation cognitive model of persecutory delusions is presented, which is hypothesised to arise from an interaction of emotional processes, anomalous experiences and reasoning biases.
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Emotion and psychosis: Links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations
Ben Smith,David Fowler,Daniel Freeman,Paul Bebbington,Hannah Bashforth,Philippa Garety,Graham Dunn,Elizabeth Kuipers +7 more
TL;DR: Mood, self-esteem and negative evaluative beliefs should be considered when conceptualising psychosis and designing interventions, and evidence for the role of emotion in schizophrenia spectrum-disorders is provided.
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Cognitive-behavioural therapy and family intervention for relapse prevention and symptom reduction in psychosis: randomised controlled trial {
TL;DR: Generic CBT for psychosis is not indicated for routine relapse prevention in people recovering from a recent relapse of psychosis and should currently be reserved for those with distressing medication-unresponsive positive symptoms.
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Dissociation, Trauma, and the Role of Lived Experience: Toward a New Conceptualization of Voice Hearing.
TL;DR: It is argued that available evidence suggests that VH experiences, including those in the context of psychotic disorders, can be most appropriately understood as dissociated or disowned components of the self that result from trauma, loss, or other interpersonal stressors.
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Childhood trauma and increased stress sensitivity in psychosis
TL;DR: Lardinois et al. as discussed by the authors found that a history of childhood trauma in patients with psychosis is associated with increased stress reactivity later in life, suggestive for an underlying process of behavioural sensitization.
References
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Cognitive therapy for the prevention of psychosis in people at ultra-high risk: randomised controlled trial.
Anthony P. Morrison,Paul French,Walford L,Shôn Lewis,A. Kilcommons,Joanne Green,Sophie Parker,Richard P. Bentall +7 more
TL;DR: Cognitive therapy appears to be an acceptable and efficacious intervention for people at high risk of developing psychosis.
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A trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: I. Outcome.
Nicholas Tarrier,Richard Beckett,Sue Harwood,Amanda L. Baker,Lawrence Yusupoff,Itziar Ugarteburu +5 more
TL;DR: A controlled trial of two cognitive-behavioural treatments to alleviate residual hallucinations and delusions in schizophrenic patients showed significant reductions in pyschotic symptoms compared with those in the waiting period, who showed no improvement.
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Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations.
TL;DR: It is concluded that study needs to be made of the interaction between psychotic and neurotic processes in the development of delusions and hallucinations, and that neurotic and psychotic disorders may have common maintenance processes.
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Cognitive approach to depression and suicidal thinking in psychosis. 1. Ontogeny of post-psychotic depression.
TL;DR: The results provided support for the validity of two of the three course patterns of depression in schizophrenia, including PPD, which occurs de novo without concomitant change in positive or negative symptoms.
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Pathways to emotional dysfunction in first-episode psychosis
TL;DR: It was Bleuler who first argued that problems of affect lie at the heart of schizophrenia and that the symptoms the authors all focus on — the hallucinations and delusions — are merely ‘accessory’ and common to many.