Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-19T04:35:57.677Z Has data issue: false hasContentIssue false

Individual cognitive–behavioural interventions in early psychosis

Published online by Cambridge University Press:  06 August 2018

Gillian Haddock*
Affiliation:
Department of Clinical Psychology, University of Manchester
Anthony P. Morrison
Affiliation:
Department of Psychology, Prestwich Hospital, Manchester
Richard Hopkins
Affiliation:
Department of Psychiatry, University of Manchester
Shôn Lewis
Affiliation:
Department of Psychiatry, University of Manchester
Nicholas Tarrier
Affiliation:
Department of Clinical Psychology, University of Manchester
*
Correspondence: Gillian Haddock, Academic Department of Clinical Psychology, University of Manchester, Tameside General Hospital, Ashton-under-Lyme OL6 9RW

Abstract

Background Cognitive-behavioural treatments have previously been explored in the treatment of chronic psychotic problems, but recently, the effectiveness of these treatments has been investigated with regard to recent onset and acute psychosis.

Method The literature relating to cognitive-behavioural treatments in psychosis is explored and the application of the approach to recent onset psychosis is described in detail.

Results There appears to be a growing body of evidence that the advances made in the treatment of people with chronic treatment resistant psychosis can be similarly applied to people with recent onset and acute psychosis.

Conclusions Cognitive-behavioural treatments are feasible with recent onset psychotic patients although further evaluation of their effectiveness is necessary.

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

Beck, A.T., Rush, A. J., Shaw, B. F., et al (1979) Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Bentall, R. P., Haddock, G. & Slade, P. D. (1994) Psychological treatment of auditory hallucinations: from theory to therapy. Behavior Therapy, 25, 5166.Google Scholar
Buchanan, A., Reed, A., Wesseley, S., et al (1993) Acting on delusions. II: the phenomenological correlates of acting on delusions. British Journal of Psychiatry 163, 7781.Google Scholar
Chadwick, P. & Lowe, F. (1990) The measurement and modification of delusional beliefs. Journal of Consulting and Clinical Psychology 58, 225232.Google Scholar
Chadwick, P. & Birchwood, M. (1994) The omnipotence of voices. A cognitive approach to auditory hallucinations. British Journal of Psychiatry 164, 190201.Google Scholar
Day, J. C., Wood, G., Dewey, M., et al (1995) A self rating scale for measuring neuroleptic side-effects: validation in a group of schizophrenic patients. British Journal of Psychiatry 166, 650653.CrossRefGoogle Scholar
Delespaul, P. A. E. G. (1995) Assessing Schizophrenia in Daily Life – The Experience Sampling Method. Maastricht: Universitaire Pers Maastricht.Google Scholar
Drury, V., Birchwood, M., Cochrane, R., et al (1996) Cognitive therapy and recovery from acute psychosis. I. Impact on symptoms. British Journal of Psychiatry 169, 593601.Google Scholar
Garety, P., Fowler, D., Kuipers, L., et al (1994) Cognitive–behavioural therapy for drug resistant psychosis. British Journal of Medical Psychology, 67, 259271.Google Scholar
Haddock, G., Bentall, R. P. & Slade, P. D. (1993) Psychological treatment of auditory hallucinations: two case studies. Behavioural and Cognitive Psychotherapy 21, 335346.Google Scholar
Haddock, G. & Slade, P. D. (1996) Focusing versus distraction approaches in the treatment of persistent auditory hallucinations. In Cognitive–Behavioural Interventions with Psychotic Disorders (eds Haddock, G. & Slade, P. D.). London: Routledge.Google Scholar
Hogg, L. (1996) Psychological treatments for negative symptoms. In: Cognitive–Behavioural Interventions with Psychotic Disorders (eds Haddock, G. & Slade, P. D.). London: Routledge.Google Scholar
Kemp, R., Hayward, P., Applewhaite, G., et al (1996) Compliance therapy in psychotic patients: Randomised controlled trial. British Medical Journal, 312, 345349.Google Scholar
Kingdon, D. & Turkington, D. (1991) The use of cognitive–behaviour therapy with a normalising rationale in schizophrenia. Journal of Nervous and Mental Disease, 179, 207211.Google Scholar
Kingdon, D. & Turkington, D. (1994) Cognitive–Behavioural Therapy of Schizophrenia. London: Lawrence Erlbaum Associates.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1997) A standardised psychiatric assessment scale for chronic psychiatric patients. Acta Psychiatrica Scandinavica, 55, 299308.Google Scholar
Kuipers, E., Garety, P., Fowler, D., et al (1997) The London–East Anglia randomised controlled trial of cognitive behaviour therapy for psychosis I: Effects of the treatment phase. British Journal of Psychiatry, 171, 319327.Google Scholar
Linszen, D. H., Dingemans, P. M., Van der Does, A. J., et al (1996) Treatment, expressed emotion and relapse in recent onset schizophrenia and related disorders. Psychological Medicine, 26, 333342.Google Scholar
Margo, A., Hemsley, D. R. & Slade, P. D. (1981) The effects of varying auditory input on schizophrenic hallucinations. British Journal of Psychiatry, 139, 122127.Google Scholar
Miller, W. R. & Rollnick, S. (1991) Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guilford Press.Google Scholar
Milton, F., Patwa, V. K. & Hafner, R. J. (1978) Confrontation versus belief modification in persistently deluded patients. British Journal of Medical Psychology, 51, 127130.Google Scholar
Morrison, A., Haddock, G. & Tarrier, N. (1995) Intrusive thoughts and auditory hallucinations. Behavioural and Cognitive Psychotherapy, 23, 265280.CrossRefGoogle Scholar
Mulhall, D.J. (1978) Manual for the Personal Questionnaire Rapid Scaling Technique. Windsor: NFER Publishing Company.Google Scholar
Nelson, H. E., Thrasher, S. & Barnes, T. R. E. (1991) Practical ways of alleviating auditory hallucinations. British Medical Journal, 302, 307.Google Scholar
Overall, J. & Gorham, D. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.Google Scholar
Persuad, R. & Marks, I. (1995) A pilot study of exposure control of chronic auditory hallucinations in schizophrenia. British Journal of Psychiatry, 167, 4550.CrossRefGoogle Scholar
Rosenberg, M. (1965) Society and the Adolescent Self-image. Princeton, NJ: Princeton University Press.Google Scholar
Tarrier, N. (1992) Management and modification of residual psychotic symptoms. In Innovations in the Psychological Management of Schizophrenia (eds Birchwood, M. & Tarrier, N.). Chichester: Wiley.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., et al (1993) A trial of two cognitive–behavioural methods of treating drug resistant residual psychotic symptoms in schizophrenic patients: I Outcome. British Journal of Psychiatry, 162, 524532.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Zubin, J. & Spring, B. (1977) Vulnerability – a new view of schizophrenia. Journal of Abnormal Psychology, 86, 103126.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.