Psychosis implies an alteration of one's reality, with specific beliefs and sensory experiences that affect one's judgment and capacity to function socially. Previously, medication alone was believed to attenuate or eliminate psychotic symptoms; however, more than two decades of empirical evidence now support the use of cognitive behavior therapy (CBT) for psychosis, including group CBT for psychosis. Group CBT for Psychosis offers the first published group therapy module of its kind and is suitable for a broad range of mental health professionals. Group therapy for people with psychosis is often recommended given its cost-efficiency and indirect benefits such as improved social skills and social support, yet delivery of this group intervention necessitates specialized skills and knowledge not typically included as part of most clinical training programs. This book offers thorough descriptions of relevant techniques, clinical vignettes, and worksheets for use in group sessions. Individual chapters focus on the basics of CBT for psychosis, essential elements of group therapy, explaining the CBT model in a group context, techniques for various symptoms, measuring change, common obstacles to group CBT for psychosis, and much more. Group CBT for Psychosis will be a valuable resource for psychiatrists, psychologists, psychiatric nurses, occupational therapists, social workers, and graduate students in these fields. Professors and supervisors teaching clinical skills, such as how to run groups or how to conduct CBT in groups with people with psychotic disorders, will also find this book very useful.
Could CRT provide the first structured method of alleviating cognitive deficits associated with schizophrenia? Cognitive Remediation Therapy for Schizophrenia describes the background and development of this new psychological therapy and demonstrates how it provides the first structured help to overcome the thinking problems associated with schizophrenia. In three sections, the book covers the theoretical and empirical underpinning of cognitive remediation therapy and explores its application. Part I, 'The Development of Therapy', provides the historical context and theoretical background to the therapy and emphasizes the value of rehabilitating cognitive deficits. In Part II, 'Improving Cognitive Processes', the process and effects of changing cognition are examined. Finally, in Part III, 'The Process of Therapy', the authors provide a clinical guide to the delivery of cognitive remediation therapy and use case examples to support its efficacy. This book is the first to describe an individual cognitive remediation therapy programme based on a clear model of the relationship between thinking and behaviour. It will be of both academic and clinical value to all those health professionals and clinical academics who want not only to understand the relationships between thought and action but also to intervene to improve therapy.
Til Wykes BACKGROUND The recent publication of several surveys on violence was the impetus for this book. The first was carried out in 1986 by the Health and Safety Commission Health Services Advisory Committee (1987). They conducted a comprehensive survey of the inddence of violence to 5000 workers in five separate health districts. The results from the 3000 people who eventually replied made many in the caring professions worried. One in 200 workers had suffered a major injury following a violent attack during the previous year and a further one in ten needed first aid following an assault. Other surveys also showed high risks: of sodal service staff, 6% had suffered an attack in the past 5 years (Saunders, 1987), and sodal workers were at even high er risk. 29% had been assaulted in the last 3 years (Rowett, 1986). In addition, 4% of general practitioners had experienced an attack resulting in injury in the past year (D'Urso and Hobbs, 1989). Clinical psychologists were also at risk - 53% had been assaulted at least once during their professional career and 18% in the past year (Perkins, 1991). Media reports of extreme violence seem to be the tip of the iceberg. Many staff are attacked and some of these attacks have serious physical or psychological consequences that interfere with the victim' s ability to return to their full working capadty. This loss of highly trained staff should be recognized by employers and the community.
Could CRT provide the first structured method of alleviating cognitive deficits associated with schizophrenia? Cognitive Remediation Therapy for Schizophrenia describes the background and development of this new psychological therapy and demonstrates how it provides the first structured help to overcome the thinking problems associated with schizophrenia. In three sections, the book covers the theoretical and empirical underpinning of cognitive remediation therapy and explores its application. Part I, 'The Development of Therapy', provides the historical context and theoretical background to the therapy and emphasizes the value of rehabilitating cognitive deficits. In Part II, 'Improving Cognitive Processes', the process and effects of changing cognition are examined. Finally, in Part III, 'The Process of Therapy', the authors provide a clinical guide to the delivery of cognitive remediation therapy and use case examples to support its efficacy. This book is the first to describe an individual cognitive remediation therapy programme based on a clear model of the relationship between thinking and behaviour. It will be of both academic and clinical value to all those health professionals and clinical academics who want not only to understand the relationships between thought and action but also to intervene to improve therapy.
Psychosis implies an alteration of one's reality, with specific beliefs and sensory experiences that affect one's judgment and capacity to function socially. Previously, medication alone was believed to attenuate or eliminate psychotic symptoms; however, more than two decades of empirical evidence now support the use of cognitive behavior therapy (CBT) for psychosis, including group CBT for psychosis. Group CBT for Psychosis offers the first published group therapy module of its kind and is suitable for a broad range of mental health professionals. Group therapy for people with psychosis is often recommended given its cost-efficiency and indirect benefits such as improved social skills and social support, yet delivery of this group intervention necessitates specialized skills and knowledge not typically included as part of most clinical training programs. This book offers thorough descriptions of relevant techniques, clinical vignettes, and worksheets for use in group sessions. Individual chapters focus on the basics of CBT for psychosis, essential elements of group therapy, explaining the CBT model in a group context, techniques for various symptoms, measuring change, common obstacles to group CBT for psychosis, and much more. Group CBT for Psychosis will be a valuable resource for psychiatrists, psychologists, psychiatric nurses, occupational therapists, social workers, and graduate students in these fields. Professors and supervisors teaching clinical skills, such as how to run groups or how to conduct CBT in groups with people with psychotic disorders, will also find this book very useful.
This text provides a succinct clinical overview of key areas pertinent to the holistic treatment of people with schizophrenia and in particular, puts firmly back onto the agenda the importance of psychosocial treatments.
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