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FIRST EPISODE PSYCHOSIS: TWO CASES TO ILLUSTRATE THE ROLE OF COGNITIVE BEHAVIOUR THERAPY IN MAKING SENSE OF UNUSUAL EXPERIENCES

Published online by Cambridge University Press:  14 June 2004

Katy A. Grazebrook ,
Ronald Siddle ,
Karen Leadley ,
Julie Everitt ,
Andy Benn ,
Gillian Haddock ,
Peter K. Kinderman  and
Nick Tarrier
Katy A. Grazebrook
Affiliation:
University of Manchester, UK
Ronald Siddle
Affiliation:
University of Manchester, UK
Karen Leadley
Affiliation:
University of Manchester, UK
Julie Everitt
Affiliation:
University of Manchester, UK
Andy Benn
Affiliation:
University of Manchester, UK
Gillian Haddock
Affiliation:
University of Manchester, UK
Peter K. Kinderman
Affiliation:
University of Manchester, UK
Nick Tarrier
Affiliation:
University of Manchester, UK
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Abstract

This paper describes two cases involving the use of cognitive behavioural therapy (CBT) to treat the positive symptoms of schizophrenia. In both cases the individuals were experiencing acute psychotic symptoms during their first admission to hospital. Each case illustrates how CBT was used to tackle a particular issue pertinent to the delivery of treatment at this early stage in the development of an individual's experiences of psychotic symptoms. Case one describes therapy with a young person of 17 where developmental issues are pertinent; case two describes the use of therapy to engage a person whose symptoms have ostensibly remitted. In both cases the promotion of understanding of the origin of their experiences was vital to the conduct of therapy. The implications of these issues to conducting therapy with this client group and the methods used to overcome them are discussed with reference to the future developments of cognitive behavioural therapy for use with this client group.

Keywords

Acute psychosisfirst episode psychosiscognitive behaviour therapytherapeutic allianceformulationstress-vulnerability model
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 32 , Issue 3 , July 2004 , pp. 331 - 345
Copyright
© 2004 British Association for Behavioural and Cognitive Psychotherapies

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