Schizophrenia is a multifaceted disorder that can affect many aspects of the sufferer's life. Recent advances in the use of cognitive—behaviour therapy as an adjunct treatment for schizophrenia have been shown to result in significant improvements in psychotic symptoms. However, to date, much less attention has been paid to other co-morbid and emotional disorders that often co-exist with psychosis and that can be a severe burden to the sufferer. This article briefly reviews clinical trials of cognitive—behavioural treatments for schizophrenia and their outcome and then goes on to describe clinically important co-morbid or associated clinical problems: social anxiety, posttraumatic stress disorder (PTSD), depression and suicide risk. Because the psychotic symptoms usually receive priority, there has been little in the cognitive—behavioural literature on the nature and treatment of these co-morbid disorders. The nature of these problems and issues relating to their treatment are discussed.

In this study, selective memory-processing of self-referent and other-referent information in depressed children was examined. A control group (N = 50) and a depressed group (N = 22) were given two intentional self-referent encoding tasks, in which participants were presented with positive and negative adjectives. In the first experiment, participants were given self-referent and structural instructions. The second experiment included a self-referent instruction and an other-referent instruction. The encoding tasks were followed by a recall task. The results of the first experiment supported the selective processing hypothesis for self-referent information in depressed children and adolescents. However, the recall ratios of positive and negative information after focusing on self and others in the second experiment revealed that depressed children diverted their attention away from negative self-referent information and displayed memory-processing similar to nondepressed children.

There is evidence to suggest that illness representations are associated with chronic illness outcomes. Accordingly, several authors have recommended that interventions aimed at improving illness outcomes should include an illness-representations component. While a few researchers have attempted to develop such interventions for chronic illness and chronic pain, no such intervention has been developed for individuals with systemic lupus erythematosus (SLE), a chronic auto-immune illness which results in a variety of negative physical and psychological symptoms. This article reports on a pilot program that investigated the feasibility of a cognitive and behavioural—based intervention for treating SLE which included an illness-representations-change component. The effectiveness of the intervention compared to usual treatment for SLE was evaluated. Also investigated was whether changed illness representations had a beneficial effect on physical health and psychological wellbeing. It was found that the intervention did change participants' treatment control and emotional representations, and that perceived stress was reduced following the intervention. The importance of these findings is discussed, two rival hypotheses for the findings obtained are explored and directions for future research are suggested.

Cognitive variables hypothesised to be mediating obsessive—compulsive behaviour include an overestimation of the probability and consequences of danger, a sense of overinflated personal responsibility for harm to oneself or others, a belief in the overimportance of thoughts, a lack of confidence in memory, an intolerance of uncertainty and a need to control thoughts. In the present study, the relationship between these variables and improvement in OCD symptoms was examined. Fourteen obsessive—compulsives with checking concerns completed a 12-session treatment program of exposure and response prevention (ERP). Before and after treatment, subjects completed the Maudsley Obsessional-Compulsive Inventory (MOCI) and a self-rating of severity (SER), and each week they completed the Yale-Brown Obsessive Compulsive Scale (YBOCS) and answered seven questions that were used to rate their beliefs in the six cognitive domains outlined above. Changes in perception of danger, intolerance of uncertainty and need to control thoughts all correlated significantly with improvement in symptoms. Moreover, significant changes in these variables occurred immediately prior to or concurrent with major symptom improvement, supporting the possibility that they are mediators of the disorder. Changes in ratings of responsibility, overimportance of thoughts and confidence in memory were not related to improvements in compulsive checking on any scale and, in the case of responsibility, ratings actually increased (i.e., worsened) in the week prior to major improvement in symptoms. For most subjects, major reductions in responsibility ratings only took place after symptom reduction. The implications of these findings for the role of these variables in mediating obsessive—compulsive checking are discussed.

Parents of children with anxiety disorders (n = 45) and parents of nonclinical children (n = 33) were interviewed regarding the rearing of two children in their family. The purpose of the study was to determine whether overprotective parenting, according to parent report, occurs specifically in the context of relationships with the anxiety-disordered child or whether parents also perceive themselves to be overprotective of the anxious child's sibling. Self-reports of overprotection by parents of anxious children were also compared to self-reports of overprotection by parents of nonclinical children. Mothers in the clinical group were more likely to report that they were more protective of the anxious child than they were to report being either more protective of the sibling or equally protective of both children. Both mothers and fathers in the clinical group were no more likely than nonclinical parents to perceive themselves as being more protective overall than other parents.