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This book provides a practical framework for using a person based cognitive therapy approach for addressing the range of problems experienced by people with psychosis. Chapters 1-4 provide a context for the approach and chapters 5-12 cover the clinical application of the approach. Key features include; the integration of the author’s work on Mindfulness (simple meditation technique that is similarly creating a lot of interest at present) for people with psychosis; inclusion of the two-chair method; plus a chapter on group therapy.
Emerging from cognitive behavioural traditions, mindfulness and acceptance-based therapies hold promise as new evidence-based approaches for helping people distressed by the symptoms of psychosis. These therapies emphasise changing the relationship with unusual and troublesome experiences through cultivating experiential openness, awareness, and engagement in actions based on personal values. In this volume, leading international researchers and clinicians describe the major treatment models and research background of Acceptance and Commitment Therapy (ACT) and Person-Based Cognitive Therapy (PBCT), as well as the use of mindfulness, in individual and group therapeutic contexts. The book contains discrete chapters on developing experiential interventions for voices and paranoia, conducting assessment and case formulation, and a discussion of ways to work with spirituality from a metacognitive standpoint. Further chapters provide details of how clients view their experiences of ACT and PBCT, as well as offering clear protocols based on clinical practice. This practical and informative book will be of use to clinicians and researchers interested in understanding and implementing ACT and mindfulness interventions for people with psychosis.
This book offers a new approach to understanding and treating psychotic symptoms using Cognitive Behavioural Therapy (CBT). CBT for Psychosis shows how this approach clears the way for a shift away from a biological understanding and towards a psychological understanding of psychosis. Stressing the important connection between mental illness and mental health, further topics of discussion include: the assessment and formulation of psychotic symptoms how to treat psychotic symptoms using CBT CBT for specific and co-morbid conditions CBT of bipolar disorders. This book brings together international experts from different aspects of this fast developing field and will be of great interest to all mental health professionals working with people suffering from psychotic symptoms.
Psychologists, psychotherapists, psychiatrists and nurses are increasingly involved in treatments which include psychological therapy, and particularly cognitive therapy, for serious mental disorders. The aim of this book is to guide such professionals towards better practice by treating the individual symptoms of delusions, voices and paranoia, rather than by the categorisation of schizophrenia. The authors provide an introduction to their cognitive model and show how therapy depends crucially on the collaborative relationship with the client. While earlier approaches to these distressing symptoms depended on an overall model of schizophrenia which emphasised fundamental discontinuities with normal thought and psychological processes, the authors? approach is supported by substantial research that indicates that delusions, voices and paranoia lie on a continuum of differences in thought and behaviour, and do not arise from fundamentally different psychological processes. This book offers a practical, research-based and essentially hopeful approach to the assessment and treatment of psychotic disorders and also an argument for the development of a person model for treatment, which is based on the person?s enduring psychological vulnerabilities. This book appears in The Wiley Series in Clinical Psychology Series Editor: J. Mark G. Williams University of Wales, Bangor, UK
There have been exciting new developments in the treatment of schizophrenia and related psychoses in recent decades. Clinical guidelines increasingly recommend that patients be offered evidence-based psychosocial treatments in addition to medications, as such interventions can produce greater improvements and may prevent relapses better compared with medications alone. In parallel with these recent advancements, an evolution in the way cognitive-behavioral therapies are being conceptualized and implemented has occurred due to the incorporation of novel strategies that promote psychological processes such as acceptance and mindfulness. While there are a variety of acceptance/mindfulness approaches being developed to address psychosis, there is not currently a dominant approach. In Incorporating Acceptance and Mindfulness into the Treatment of Psychosis, Brandon Gaudiano brings together the researchers and clinicians working at the cutting edge of acceptance/mindfulness therapies for psychosis to compare and contrast emerging approaches and discuss them within the context of the more traditional cognitive-behavioral interventions. The book includes a section that focuses on six distinct treatment models that incorporate acceptance and mindfulness strategies for psychosis and a section that provides a synthesis and analysis of acceptance/mindfulness approaches to psychosis. It concludes with recommendations for moving the research forward in a constructive and responsible way. This volume will be an important resource for researchers and clinicians interested in gaining a deeper understanding of mindfulness- and acceptance-based approaches and newer psychosocial treatments for severe mental illness.
Drawing on the authors' decades of influential work in the field, this highly practical volume presents an evidence-based cognitive therapy approach for clients with schizophrenia. Guidelines are provided for collaborative assessment and case formulation that enable the clinician to build a strong therapeutic relationship, establish reasonable goals, and tailor treatment to each client's needs. Described in thorough, step-by-step detail are effective techniques for working with delusional beliefs, voices, visions, thought disorders, and negative symptoms; integrating cognitive therapy with other forms of treatment; reducing relapse risks; and enhancing client motivation. Special features include reproducible client handouts and assessment tools.
Written with clinicians in mind, this book demonstrates the use of Cognitive Behavior Therapy with individuals who are at risk of developing psychosis. Divided into three parts, the book opens with the background to the clinical trial including the rationale for the early intervention strategy, assessment strategies to identify "at risk" groups, and a review of prevention strategies. In Part II the focus is on the application of cognitive therapy for this group. Part III examines strategies for change, as well as specific issues including social isolation and relapse prevention.
Cognitive-behavioural therapy has been successfully employed in the treatment of such problems as depression, panic disorder and phobias. Providing an approach to patients with the most intractable problems, this book details the practical application of cognitive-behavioural therapy to the pervasive disorder of schizophrenia. The techniques described in this book, drawn from relevant theory and research, are designed to complement other treatments for schizophrenia, including medication, rehabilitation and family therapies.; Making a clear distinction between the diagnosis of schizophrenia and the debilitating label of insanity, the authors contend that people with this disorder are not inherently irrational but instead suffer from a circumscribed set of irrational beliefs. The book presents easily learned techniques that professionals can employ to help patients alleviate the impact of these beliefs, and start drawing upon the strengths and rationality they possess to improve their daily lives.; Illustrated with numerous case examples, this book describes how to: work with the person to construct credible explanations of distressing and disabling symptoms; explore the personal significance of life events and circumstances and their interactions with the person's strengths and vulnerabilities; introduce reality testing for hallucinations and delusions; disentangle thought Disorder And Ameliorate Negative Symptoms; And Demystify Psychotic symptoms for individuals and their families. The book also delineates the relationship of thought, identity, insight and coping strategies to schizophrenia.; This text should be of interest to professionals working with people suffering from schizophrenia - from psychologists, psychiatrists and residential care workers to social workers, occupational therapists and nursing staff - as well as to students in these fields.
ACT for Psychosis Recovery is the first book to provide a breakthrough, evidence-based, step-by-step approach for group work with clients suffering from psychosis. As evidenced in a study by Patricia A. Bach and Steven C. Hayes, patients with psychotic symptoms who received acceptance and commitment therapy (ACT) in addition to treatment as usual showed half the rate of rehospitalization as those who did not. With this important guide, you’ll learn how a patient’s recovery can be both supported and sustained by promoting acceptance, mindfulness, and values-driven action. The journey of personal recovery from psychosis is immensely challenging. Patients often struggle with paranoia, auditory hallucinations, difficulties with motivation, poor concentration and memory, and emotional dysregulation. In addition, families and loved ones may have trouble understanding psychosis, and stigmatizing attitudes can limit opportunity and create alienation for patients. True recovery from psychosis means empowering patients to take charge of their lives. Rather than focusing on pathology, ACT teaches patients how to stay grounded in the present moment, disengage from their symptoms, and pursue personally meaningful lives based on their values. In this groundbreaking book, you will learn how to facilitate ACT groups based on a central metaphor (Passengers on the Bus), so that mindfulness and values-based action are introduced in a way that is engaging and memorable. You will also find tips and strategies to help clients identify valued directions, teach clients how to respond flexibly to psychotic symptoms, thoughts, and emotions that have been barriers to living a valued life, and lead workshops that promote compassion and connection among participants. You’ll also find tried and tested techniques for engaging people in groups, particularly those traditionally seen as “hard to reach”—people who may be wary of mental health services or experience paranoia. And finally, you’ll gain skills for engaging participants from various ethnic backgrounds. Finding purpose and identity beyond mental illness is an important step in a patient’s journey toward recovery. Using the breakthrough approach in this book, you can help clients gain the insight needed to achieve lasting well-being.
"This book can help you develop a spirited savvy in recovery-oriented cognitive therapy over the course of fifteen chapters, which we have organized into three parts: The first six chapters in Part I introduce you to recovery-oriented cognitive therapy, the basic model and how it works. Building on the basics, the five chapters in Part II extend understanding, strategy, and intervention to the challenges that have historically gotten the person stuck: negative symptoms, delusions, hallucinations, communication challenges, trauma, self-injury, aggressive behavior, and substance use. The final four chapters in Part III delve deeper into specific settings and applications - individual therapy, therapeutic milieu, group therapy, and families"--