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Groups of Emotional Psychotherapy for Patients with Schizophrenia

Published online by Cambridge University Press:  15 April 2020

A. Suchocka Capuano
Affiliation:
Service de Psychiatrie, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint-Georges Cedex, France
A. Karar
Affiliation:
Service de Psychiatrie, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint-Georges Cedex, France
A. Georgin
Affiliation:
Service de Psychiatrie, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint-Georges Cedex, France
A. Ponseti Gaillochon
Affiliation:
Service de Psychiatrie, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint-Georges Cedex, France
S. Bouyakoub
Affiliation:
Service de Psychiatrie, Centre Hospitalier Intercommunal de Villeneuve Saint Georges, Villeneuve Saint-Georges Cedex, France

Abstract

Introduction

Patients with schizophrenia (PWS) have difficulties in identification, expression and emotional management. Social withdrawal and difficulty of managing their relationships with others are the result of emotional hypersensitivity of PWS. Avoidance of emotional experiences may play a protective role in the short term but becomes the amplifier of emotional distress in the long term depending on the model of Barlow and Allen.

Objectives

To improve identification, expression and emotional management in PWS.

Aims

PWS learn to identify, name and express their emotions, and their use in social interactions.

Methods

Groups of psychotherapy for PWS 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. Three groups of four patients participated in six therapy sessions.

Results

In the group of PWS hospitalized, the emotional flexibility (EF) was improved. However, the nomination of emotions remained still difficult. Two groups were followed by extramural therapy. In the first, there is no difference in the scores of the FE before and after their participation. However, in the second extramural group, a half of the patients improved their score FE. In all three groups, we observed clinically less avoidance of emotional experience after working in therapy groups.

Conclusion

The use of emotional identification and engaged coping facilitates interpersonal communication and emphasizes the social integration of PWS. Work on emotional avoidance could prevent from maintenance and increase of emotional distress.

Type
Article: 1647
Copyright
Copyright © European Psychiatric Association 2015
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