Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-25T21:17:29.172Z Has data issue: false hasContentIssue false

Emotional management therapy in early psychosis

Published online by Cambridge University Press:  06 August 2018

Bettina Hodel
Affiliation:
Psychiatric University Services, Berne Middle-West, Switzerland
Hans D. Brenner
Affiliation:
Psychiatric University Services, Berne Middle-West, Switzerland
Marco C. G. Merlo
Affiliation:
Psychiatric University Services, Berne Middle-West, Switzerland
Jeffrey F. Teuber
Affiliation:
USA State Hospital, Atascadero, California, USA

Abstract

Background Emotional management therapy (EMT) aims to improve handling of emotional stress in schizophrenia. It consists of two sub-programmes: the first includes relaxation techniques, the second stress coping skills.

Method A pilot study of EMT in 19 patients with early psychosis produced positive results and a post-hoc study of 16 patients was commenced.

Results EMT showed positive results, with chronic patients improving more than patients with early psychosis.

Conclusion EMT can be effective in early psychosis, especially for cognitive functioning.

Type
Research Article
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Bäumler, G. (1974) Lern-und Gedächtnistest LGT-3. Göttingen: Hofgrefe.Google Scholar
Bellack, A. S. (1989) A comprehensive model for the treatment of schizophrenia. In A Clinical Guide for the Treatment of Schizophrenia (ed. Bellack, A. S.), pp. 121. New York: Plenum.Google Scholar
Bellack, A. S. (1996) Defizitäres Sozialverhalten und Training sozialer Fertigkeiten: Neue Entwicklungen und Trends. In Integrative Therapie der Schizophrenie (eds Böker, W. & Brenner, H. D.), pp. 191202. Bern: Huber.Google Scholar
Bellack, A. S., Mueser, K. T., Wade, J. L., et al (1992) The ability of schizophrenics to perceive and cope with negative affect. British Journal of Psychiatry, 160, 473480.CrossRefGoogle ScholarPubMed
Bleuler, E. (1950) Dementia Praecox of the Group of Schizophrenias (trans J. Zinkin). New York: International University Press.Google Scholar
Brenner, H. D., Hodel, B., Kube, G. L., et al (1987) Kognitive Therapie bei Schizophrenen: Problemanalyse und empirische Ergebnisse. Nervenarzt, 58, 7283.Google Scholar
Brenner, H. D., Roder, V., Hodel, B. L., et al (1994) Integrated Psychological Therapy for Schizophrenic Patients (IPT). Seattle: Hofgrefe and Huber.Google Scholar
Dahl, G. (1986) Reduzierter Wechsler-lntelligenztest (WIP); Testzentrale der Schweizer Psychologen. Bern: Huber.Google Scholar
Emmenegger, D. (1992) Traurig oder fröhlich. Die Beurteilung von emotionalen Gesichtsausdrücken und der Effekt des Bezugssystems bei schizophrenen Patientinnen und Patienten. Diploma work, Department of Psychology, University Fribourg, Switzerland.Google Scholar
Fahrenberg, J., Kuhn, M., Kulick, B., et al (1997) Repeated psychological measurement. Diagnostica, 23, 1536.Google Scholar
Falloon, I. R. H. (1987) Cognitive and behavioral interventions in the self control of schizophrenia. In Psychosocial Treatment of Schizophrenia (eds Strauss, J. S., Böker, W. & Brenner, H. D.), pp. 180190. Toronto: Huber.Google Scholar
Feinberg, T. E., Rifkin, A., Schaffer, C., et al (1986) Facial discrimination and emotional recognition in schizophrenia and affective disorders. Archives of General Psychiatry 43, 276279.Google Scholar
Fischer, W. (1978) Struktur und Funktion erzählter Lebensgeschichten. In Soziologie des Lebenslaufs (ed. Hohli, M.), pp. 331338. Darmstadt: Luchterhand.Google Scholar
Gaebel, W. & Wölwer, W. (1992) Facial expression and emotional face recognition in schizophrenia and depression. European Archives of Psychiatry and Clinical Neuroscience, 242, 3652.Google Scholar
Heimberg, C., Gur, R. & Erwin, R. J. (1992) Facial emotion discrimination: III. Behavioral findings in schizophrenia. Psychiatry Research, 42, 253265.Google Scholar
Hellewell, J. S. E., Connell, J. & Deakin, J. F.W. (1994) Affect judgement and facial recognition memory in schizophrenia. Psychopathology, 27, 255261.CrossRefGoogle ScholarPubMed
Hodel, B., Zanello, A. & Brenner, H. D. (1995) Zur Weiterentwicklung des Integrierten Psychologischen Therapieprogrammes für schizophrene Patienten (IPT): Eine Vergleichsstudie zwischen der Neuentwicklung “Bewältigung von maladaptiven Emotitonen” und dem IPT-Unterprogramm “Kognitive Differenzierung”. In Neuere Entwicklung in der Behandlung schizophrener Psychosen in Neuere Entwicklung in der Behandlung schizophrener Psychosen (eds Bender, W., Hubmann, W. & Mohr, F.), pp. 259275. München-Haar: VTS.Google Scholar
Hodel, B., Zanello, A. & Brenner, H. D. (1996) Ein Trainingsprogramm, zur Bewältigung von maladaptiven Emotionen bei schizophren Erkrankten; Erste Ergebnisse und Erfahrungen. Nervenarzt, 67, 564571.Google Scholar
Hodel, B., Sandner, M., Brenner, H. D. (1996) Ein Training zur Bewältigung maladaptiver Emotionen bei schizophren Erkrankten. In Klinische Psychotherapie (eds Hofmann, P. & Steinbauer, M.), pp. 261269. Wien: Springer.Google Scholar
Hodel, B., Zonello, A., Welling, A. L., et al (1997) Ein Therapioprogramm zur Bewältigung von maladaptiven Emotionen bei schizophren Erkrankten: Ergebnisse einer Multicenter Studie. In Psychotherapie in der Psychiatrie (eds Munt, Ch., Linden, M. & Barnett, W.), pp. 8689. Vienna: Springer.Google Scholar
Hogarty, G. E., Kornblith, S. J. L., Greenwald, D., et al (1995) Personal therapy: a disorder-relevant psychotherapy for schizophrenia. Schizophrenia Bulletin, 21, 379393.Google Scholar
Holzman, P. S. & Bivens, L. W. (1988) Basic behavioral sciences. Schizophrenia Bulletin, 14, 423456.Google Scholar
Honigfeld, G., Gilles, R. D. & Klett, C. J. (1976) Nurses’ Observation Scale for Inpatient Evaluation. In ECDEU Assessment Manual for Psychopharmacology (ed Guy, W.), pp. 265273, Rockville, MD: USGPO.Google Scholar
Kaplan, H. I. & Sadock, B. J. (1991) Synopsis of Psychiatry. Baltimore, MD: Williams and Wilkins.Google Scholar
Kienzle, N. & Martinius, J. (1995) Modifikationen und Adaptionen des IPT für die Anwendung bei schizophrenen Jugendlichen. In IPT – Integriertes Psychologisches Therapieprogramm für schizophrene Patienten (eds Roder, V., Brenner, H. D., Kienzle, N. & Hodel, B.), pp. 171182. Weinheim: Psychologie Verlags Union.Google Scholar
Kraemer, S., Dinkhoff-Awiszus, G. & Möller, H. J. (1988) Modifikationen des Integrierten Psychologischen Therapieprogramms (IPT) In Integriertes Psychologisches Therapieprogramm für schizophrene Patienten (IPT) (eds Roder, V., Brenner, H. D., Kienzle, N. & Hodel, B.), pp. 141146. München: Psychologie Verlags Union.Google Scholar
Kraemer, S., Zinner, H.T. & Möller, H.J. (1991) Kognitive Therapie und Sozialtraining: Vergleich zweier verhaltenstherapeutischer Behandlungskonzepte für chronisch schizophrene Patienten. In Theorie und Praxis kognitiver Therapieverfahren bei chronisch schizophren Patienten (ed Schüttler, R.), pp. 102117 München: Zuckschwerdt.Google Scholar
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia (trans. Barclay, R. M.). Edinburgh: Livingstone.Google Scholar
Liberman, R. P. (1990) Social and Independent Living Skills: Basic Conversation Skills Module. Los Angeles. CA: UCLA Department of Psychiatry.Google Scholar
Liberman, R. P. (1995) Social and Independent Living Skills: The Community Re-Entry Program. Los Angeles, CA: UCLA Department of Psychiatry.Google Scholar
McGorry, P. D. (1992) The concept of recovery and secondary prevention in psychotic disorders. Australian and New Zealand Journal of Psychiatry, 26, 317 Google Scholar
Meichenbaum, D. & Cameron, R. C. (1973) Training schizophrenics to talk to themselves: A means of developing attentional controls. Behavior Therapy, 4, 515534.CrossRefGoogle Scholar
Meichenbaum, D. & Cameron, R. C. (1994) The clinical potential modifying what clients say to themselves. In Self-control: Power to the Person (eds Mahoney, M. & Thoresen, C. T.), pp. 354362. Monterey, CA: Brooks-Cole.Google Scholar
Merlo, M. C. G. (1996) Neuere Entwicklungen in der pharmakologischen und neurobiologischen Grundlagenforschung und ihre Bedeutung für die klinische Praxis. In Integrative Therapie der Schizophrenie (eds Böker, W. & Brenner, H. D.), pp. 6990. Bern: Huber.Google Scholar
Perris, C. (1989) Cognitive Therapy with Schizophrenic Patients. New York: Guilford Press.Google Scholar
Roder, V., Brenner, H. D., Kienzle, N. L., et al (1988) Integriertes Psychologisches Therapieprogramm für schizophrene Patienten (IPT). München: Psychologie Verlags Union.Google Scholar
Roder, V., Brenner, H. D., Kienzle, N. L., et al (1992) Integriertes Psychologisches Therapieprogramm für schizophrene Patienten (IPT). 2. Überarbeitete und ergänzte Auflage. München: Psychologie Verlags Union.Google Scholar
Russell, J. A. & Fehr, B. (1987) Relativity in the perception of emotion in facial expressions. Journal of Experimental Psychology, 116, 223237.Google Scholar
Süllwold, L. (1977) Symptome schizophrener Erkrankungen. Berlin: Springer.Google Scholar
Süllwold, L. & Herrlich, J. (1990) Frankfurter befindlichkeitsskala (FBS) für schizophren Erkrankte. Berlin: Springer.Google Scholar
Ventura, J., Neuchterlein, K. H., Lukoff, D. L., et al (1989) A prospective study of stressful life events and schizophrenic relapse. Journal of Abnormal Psychology, 98, 407411.CrossRefGoogle ScholarPubMed
Walker, E., McGuire, M. & Bettes, B. (1984) Recognition and identification of facial stimuli by schizophrenics and patients with affective disorders. British Journal of Clinical Psychology, 23, 3744.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.