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Coping Strategy Enhancement (CSE): A Method of Treating Residual Schizophrenic Symptoms

Published online by Cambridge University Press:  16 June 2009

Nicholas Tarrier ,
Susan Harwood ,
Lawrence Yusopoff ,
Richard Beckett  and
Amanda Baker
Nicholas Tarrier
Affiliation:
Department of Psychology, University of Sydney
Susan Harwood
Affiliation:
Department of Psychology, Prestwich Hospital, Manchester
Lawrence Yusopoff
Affiliation:
National Drug and Alcohol Research Centre, University of New South Wales
Richard Beckett
Affiliation:
National Drug and Alcohol Research Centre, University of New South Wales
Amanda Baker
Affiliation:
National Drug and Alcohol Research Centre, University of New South Wales
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Extract

A method of teaching coping skills to patients with schizophrenia who experience unremitting psychotic symptoms is described. This method (Coping Strategy Enhancement CSE) is based on a thorough behaviour analysis of each symptom and the assessment of any coping strategy the subject may already employ. The subject is then systematically trained in the use of appropriate coping strategies in response to the occurrence of their psychotic symptoms. Two case studies are described in which CSE was used. Both patients showed considerable improvements over treatment. In one patient improvement continued at 6 month follow-up, in the other there was some deterioration at follow-up. Possible reasons for these results were discussed.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 18 , Issue 4 , October 1990 , pp. 283 - 293
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

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References

Alford, O. S., Fleece, L. and Rothblum, E. (1982). Hallucinatory-delusional verbalisations: Modification in a chronic schizophrenic by self-control and cognitive restructuring. Behavior Modification 17, 637–644.Google Scholar
Benjamin, L. S. (1989). Is chronicity a function of the relationship between the person and the auditory hallucination. Schizophrenia Bulletin 15, 291–310.CrossRefGoogle ScholarPubMed
Breier, A. and Strauss, J. S. (1983). Self-control in psychotic disorders. Archives of General Psychiatry 40, 1141–1145.CrossRefGoogle ScholarPubMed
Brett-Jones, J., Garety, P. and Hemsley, D. (1987). Measuring delusional experiences: A method and its application. British Journal of Clinical Psychology 26, 257–265.CrossRefGoogle ScholarPubMed
Buss, A. H. and Lang, P. J. (1965). Psychological deficits in schizophrenia: I, Affect, reinforcement and concept attainment. Journal of Abnormal Psychology 70, 2–24.CrossRefGoogle ScholarPubMed
Carr, V. (1988). Patients' techniques for coping with schizophrenia: An exploratory study. British Journal of Medical Psychology 61, 339–352.CrossRefGoogle ScholarPubMed
Cohen, C. I. and Berk, B. S. (1985). Personal coping styles of schizophrenic out-patients. Hospital & Community Medicine 36, 407–410.Google Scholar
Curson, D. A., Barnes, T. R. E., Bamber, R. W., Platt, S. D., Hirsch, S. R. and Duffy, J. D. (1985). Long term depot maintenance of chronic schizophrenic out-patients. British Journal of Psychiatry 297, 819–822.Google Scholar
Curson, D. A., Patal, M., Liddle, P. F. and Barnes, T. R. E. (1988). Psychiatric morbidity of a long stay hospital population with chronic schizophrenia and implications for community care. British Medical Journal 297, 819–822.CrossRefGoogle ScholarPubMed
Davis, J. M. (1975). Overview: Maintenance therapy in psychiatry: 1. Schizophrenia. American Journal of Psychiatry 13, 1237–1254.Google Scholar
Davis, J. R., Wallace, C. J., Liberman, R. P. and Finch, B. E. (1976). The use of brief isolation to suppress delusional and hallucinatory speech. Journal of Behavior Therapy and Experimental Psychiatry 7, 269–275.CrossRefGoogle Scholar
Estroff, S. E. (1989). Self, identity and subjective experiences of schizophrenia. Schizophrenia Bulletin 15, 179–196.CrossRefGoogle ScholarPubMed
Falloon, I. R. H. and Talbot, R. (1981). Persistent auditory hallucinations: Coping mechanisms and implications for management. Psychological Medicine 11, 329–339.CrossRefGoogle ScholarPubMed
Fonagy, P. and Slade, P. D. (1982). Punishment vs. negative reinforcement in the aversive conditioning of auditory hallucinations. Behaviour Research and Therapy 20, 483–492.CrossRefGoogle ScholarPubMed
Fowler, D. and Morley, S. (1989). The cognitive-behavioural treatment of hallucinations and delusions: A preliminary study. Behavioural Psychotherapy 17, 267–282.CrossRefGoogle Scholar
Harrow, M. and Silverstein, M. L. (1977). Psychotic symptoms in schizophrenia after the acute phase. Schizophrenia Bulletin 3, 608–616.CrossRefGoogle ScholarPubMed
Heinrichs, D. W. (1988). The treatment of delusions in schizophrenic patients. In Delusional Beliefs. Oltmanns, T. F. and Maher, B. A. (Eds), New York: Wiley.Google Scholar
Hemsley, D. (1986). Psychological treatment of schizophrenia. In A Handbook of Clinical Psychology. Lindsay, S. and Powell, G. (Eds), London: Gower.Google Scholar
Johnstone, E., Owens, D., Gold, A., Crow, T. and McMillan, F. (1984). Schizophrenic patients discharged from hospital. British Journal of Psychiatry 145, 586–590.CrossRefGoogle ScholarPubMed
Lamontagne, Y., Audet, N. and Elie, R. (1983). Thought stopping for delusions and hallucinations: A pilot study. Behavioural Psychotherapy 11, 177–184.CrossRefGoogle Scholar
Leff, J. P. and Vaughn, C. (1985). Expressed Emotion in Families. New York: Guilford Press.Google Scholar
Liberman, R. P., Teigan, J., Patterson, R. and Baker, V. (1973). Reducing delusional speech in chronic paranoid schizophrenics. Journal of Applied Behaviour Analysis 6, 57–64.CrossRefGoogle ScholarPubMed
Lukoff, D., Neuchterlein, K. H. and Ventura, J. (1986). Manual for expanded brief psychiatric rating scale (BPRS). Schizophrenia Bulletin 12, 594–602.Google Scholar
Marzillier, J. and Birchwood, M. (1981). Behavioural treatment of cognitive disorders. In: Future Perspectives in Behavior Therapy. Michelson, L., Herson, M. and Turner, S., (Eds). New York, Plenum Press.Google Scholar
Meichenbaum, D. and Cameron, R. (1973). Training schizophrenics to talk to themselves: A means of developing attentional control. Behavior Therapy 4, 515–534.CrossRefGoogle Scholar
Silverstein, M. L. and Harrow, M. (1978). First rank symptoms in the post-acute schizophrenic: A follow-up. American Journal of Psychiatry 135, 1481–1486.Google Scholar
Slade, P. D. (1972). The effects of systematic desensitisation on auditory hallucinations. Behaviour Research and Therapy 10, 85–91.CrossRefGoogle ScholarPubMed
Slade, P. D. and Bentall, R. P. (1988). Sensory Deception: Towards Scientific Analysis of Hallucinations. London: Croom Helm.Google Scholar
Tarrier, N. (1987). An investigation of residual psychotic symptoms in discharged schizophrenic patients. British Journal of Clinical Psychology 26, 141–143.CrossRefGoogle ScholarPubMed
Tarrier, N. (1990 a). Psychological treatment of schizophrenic symptoms. In: Schizophrenia: An Overview and Practical Handbook. Kavanagh, D. (Ed.). London: Chapman and Hall (in press).Google Scholar
Tarrier, N. (1990 b). Psychological approaches to the management of schizophrenia (submitted for publication).Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C., Bamrah, J. S., Porceddu, K., Watts, S. and Freeman, H. (1988). The community management of schizophrenia: A controlled trial of a behavioural intervention with families to reduce relapse. British Journal of Psychiatry 153, 532–542.CrossRefGoogle ScholarPubMed
Tarrier, N., Barrowclough, C., Vaughn, C., Bamrah, J. S., Porceddu, K., Watts, S. and Freeman, H. (1989). Community management of schizophrenia. A two year follow-up of a behavioural intervention with families. British Journal of Psychiatry 154, 625–628.CrossRefGoogle ScholarPubMed
Tress, K. H., Bellenis, C., Brownlow, J. M., Livinston, G. and Leff, J. P. (1987). The present state examination change rating scale. British Journal of Psychiatry 150, 201–207.CrossRefGoogle ScholarPubMed
Van Putten, T., Crumpton, E. and Yale, C. (1976). Drug refusal in schizophrenia and the wish to be crazy. Archives of General Psychiatry 33, 1443–1446.CrossRefGoogle ScholarPubMed
Watts, F. N., Powell, G. E. and Austin, S. V. (1973). The modification of abnormal beliefs. British Journal of Medical Psychology 46, 359–363.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. and Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and Catego Programme. Cambridge, Cambridge University Press.Google Scholar
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