Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-30T17:31:11.087Z Has data issue: false hasContentIssue false
  • English
  • Français

The future of cognitive-behavioural therapy for psychosis: not a quasi-neuroleptic

Published online by Cambridge University Press:  02 January 2018

Max Birchwood  and
Peter Trower
Max Birchwood*
Affiliation:
Birmingham Early Intervention Service, Birmingham and Solihull Mental Health Trust, Birmingham
Peter Trower
Affiliation:
School of Psychology, University of Birmingham, Birmingham, UK
*
Professor Max J. Birchwood, Director, Birmingham Early Intervention Service, Birmingham and Solihull Mental Health Trust, Harry Watton House, 97 Church Lane, Aston, Birmingham B6 5UG, UK. E-mail: [email protected]
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

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.

Type
Editorials
Information
The British Journal of Psychiatry , Volume 188 , Issue 2 , February 2006 , pp. 107 - 108
Copyright
Copyright © 2006 The Royal College of Psychiatrists 

Footnotes

Declaration of Interest

None.

References

Birchwood, M. (2003) Pathways to emotional dysfunction in first-episode psychosis. British Journal of Psychiatry, 182, 373–375.Google Scholar
Birchwood, M., Gilbert, P., Gilbert, J., et al (2004) Interpersonal and role-related schemata influence the relationship with the dominant ‘voice’ in schizophrenia: a comparison of three models. Psychological Medicine, 34, 1571–1580.Google Scholar
Chadwick, P. D. & Lowe, C. F. (1990) Measurement and modification of delusional beliefs. Journal of Consulting and Clinical Psychology, 58, 225–232.Google Scholar
Freeman, D. & Garety, P. A. (2003) Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations. Behaviour Research and Therapy, 41, 923–947.Google Scholar
Gumley, A., O'Grady, M., McNay, L., et al (2003) Early intervention for relapse in schizophrenia: results of a 12-month randomized controlled trial of cognitive-behavioural therapy. Psychological Medicine, 33, 419–431.Google Scholar
Hall, P. L. & Tarrier, N. (2003) The cognitive-behavioural treatment of low self-esteem in psychotic patients: a pilot study. Behaviour Research Therapy, 41, 317–332.CrossRefGoogle ScholarPubMed
Hanssen, M. S., Peeters, F., Krabbendam, L., et al (2003) How psychotic are individuals with non-psychotic disorders? Social Psychiatry and Psychiatric Epidemiology, 38, 149–154.Google Scholar
Iqbal, Z., Birchwood, M., Chadwick, P., et al (2000) Cognitive approach to depression and suicidal thinking in psychosis: 2. Testing the validity of a social ranking model. British Journal of Psychiatry, 177, 522–528.Google Scholar
Jaspers, K. (1963) General Psychopathology (trans. Hoening, J. & Hamilton, M.). Manchester: Manchester University Press.Google Scholar
Krabbendam, L., Janssen, I., Bijl, R. V., et al (2002) Neuroticism and low self-esteem as risk factors for psychosis. Social Psychiatry and Psychiatric Epidemiology, 37, 1–6.Google Scholar
Morrison, A. P., French, P., Walford, L., et al (2004) Cognitive therapy for the prevention of psychosis in people at ultra-high risk: randomised controlled trial. British Journal of Psychiatry, 185, 291–297.CrossRefGoogle ScholarPubMed
Murray, V., McKee, I., Miller, P. M., et al (2005) Dimensions and classes of psychosis in a population cohort: a four-class, four-dimension model of schizophrenia and affective psychoses. Psychological Medicine, 35, 499–510.Google Scholar
Myin-Germeys, I., Delespaul, P. & van Os, J. (2005) Behavioural sensitization to daily life stress in psychosis. Psychological Medicine, 35, 733–741.Google Scholar
National Institute for Clinical Excellence (2002) Core Interventions in the Management of Schizophrenia in Secondary and Primary Care. London: NICE.Google Scholar
Owens, D. G. C., Miller, P., Lawrie, S. M., et al (2005) Pathogenesis of schizophrenia: a psychopathological perspective. British Journal of Psychiatry, 186, 386–393.Google Scholar
Tarrier, N. & Wykes, T. (2004) Is there evidence that cognitive-behavioural therapy is an effective treatment for schizophrenia? A cautious or cautionary tale? Behaviour Research and Therapy, 42, 1377–1401.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., et al (1993) Atrial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients. I. Outcome. British Journal of Psychiatry, 162, 524–532.CrossRefGoogle Scholar
Trower, P., Birchwood, M. & Meaden, A. (2004) Cognitive therapy for command hallucinations: randomised controlled trial. British Journal of Psychiatry, 184, 312–320.Google Scholar
Turkington, D., Kingdon, D. & Chadwick, P. (2003) Cognitive-behavioural therapy for schizophrenia: filling the therapeutic vacuum. British Journal of Psychiatry, 183, 98–99.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.