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Emotional avoidance process in patients with schizophrenia and bipolar disorder. New module: Emotional body's sensations and meta-cognitive work on the interpretation of delusional thinking

Published online by Cambridge University Press:  23 March 2020

A. Suchocka Capuano
Affiliation:
Centre hospitalier intercommunal de Villeneuve–Saint-Georges, consultations de psychiatrie, Villeneuve–Saint-Georges, France
A. Karar
Affiliation:
Centre hospitalier intercommunal de Villeneuve–Saint-Georges, consultations de psychiatrie, Villeneuve–Saint-Georges, France
A. Ponseti Gaillochon
Affiliation:
Centre hospitalier intercommunal de Villeneuve–Saint-Georges, consultations de psychiatrie, Villeneuve–Saint-Georges, France
A. Georgin
Affiliation:
Centre hospitalier intercommunal de Villeneuve–Saint-Georges, consultations de psychiatrie, Villeneuve–Saint-Georges, France
C. Bungener
Affiliation:
Université Paris Descrates, institut de psychologie, Boulogne-Billancourt, France
G. Dorard
Affiliation:
Université Paris Descrates, institut de psychologie, Boulogne-Billancourt, France
S. Bouyakoub
Affiliation:
Centre hospitalier intercommunal de Villeneuve–Saint-Georges, consultations de psychiatrie, Villeneuve–Saint-Georges, France
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Abstract

Introduction

Psychological processes play a mediating role in the development of psycho-pathological disorders depending on the Kinderman's model. Excessive use of emotional avoidance becomes, following the model of Barlow and Allen, the booster of emotional distress at long term. Dysfunctional meta-cognitive processes in turn influence the inadequate interpretations of life experiences.

Objective

To improve identification, expression and emotional management in patients with schizophrenia (PWS) and patients with bipolar disorder (PWBD).

Aims

Introduction of exposition for the emotional body's sensations. This work on emotional awareness by images and sounds prepare to role-playing and to exposure in real life.

Methods

Groups of psychotherapy for adults PWS and PWBD was implemented. The techniques used are those of cognitive behavioral therapy CBT (Beck) and emotional therapies (Barlow): columns Beck tailored, role-playing, psycho-emotional and breathing. Four groups of four patients participated in six therapy sessions.

Results

An increase in emotional flexibility is observed two weeks after the group work (Wilcoxon P = 0.025). Work on emotional identification facilitates the relaxation of the avoidance process while promoting social skills. The new format includes nine sessions three additional sessions on the emotional body sensations. Meta-cognitive work on the interpretation of the delusional thinking has been inserted.

Conclusion

The experience of this pilot study provides encouraging results. The transdiagnostic approach referring to the alterations of this common psychological process finds use with PWS and PWBD.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV1098
Copyright
Copyright © European Psychiatric Association 2016

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Emotional avoidance process in patients with schizophrenia and bipolar disorder. New module: Emotional body's sensations and meta-cognitive work on the interpretation of delusional thinking
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Emotional avoidance process in patients with schizophrenia and bipolar disorder. New module: Emotional body's sensations and meta-cognitive work on the interpretation of delusional thinking
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