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Chapter 16 - A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis

Published online by Cambridge University Press:  15 March 2024

By
Brian Malcolm McKenzie
Edited by
Roland Dix ,
Stephen Dye  and
Stephen M. Pereira
Roland Dix
Affiliation:
Gloucestershire Health and Care NHS Foundation Trust, Gloucester
Stephen Dye
Affiliation:
Norfolk and Suffolk Foundation Trust, Ipswich
Stephen M. Pereira
Affiliation:
Keats House, London
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Summary

This chapter proposes that a psychological model based on disturbed internal cognitive appraisals and social reinforcement has sufficient flexibility to formulate challenging behaviour within the ward environment. Disturbance of appraisals is likely to have a traumatic basis which has solidified into powerful beliefs which influence the transferential projections of the patient to the treating team and ward situation. It is the patient’s distorted view of the ‘social -emotional situation’ that drives behaviour – rationale within the context of distorted beliefs. Tools for analysing and formulating the challenging behaviour and suggested treatments are taken up over a number of case studies.

Keywords

challenging behaviourdistorted cognitive appraisalssocial reinforcementtrauma
Type
Chapter
Information
Psychiatric Intensive Care , pp. 205 - 215
Publisher: Cambridge University Press
Print publication year: 2024

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