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This chapter aims to offer the reader an understanding of
negative symptoms, such as low motivation and blunting of emotions.
Techniques are described to help gradually lift these distressing
Written specifically with sufferers and carers in mind, to help them understand and apply the basic concepts of cognitive therapy for psychosis.Illustrates what it is like to have common psychosis and how people's lives can be restored using therapy.Increases understanding of how the psychosis started, and the factors that worsen symptoms or increase the likelihood of relapse.Helps the sufferer learn how to control symptoms and delay or prevent relapse.Includes features and exercises to help sufferers explore their own beliefs and feelings to reflect on the way they cope.Helps carers know what to say and what to do.Provides a resource for mental health professionals working with patients, to introduce the approach, support ongoing therapy and make the most efficient use of appointment time.
The efficacy of cognitive–behavioural therapy for schizophrenia is
established, but there is less evidence for a group format.
To evaluate the effectiveness of group cognitive – behavioural therapy
In all, 113 people with persistent positive symptoms of schizophrenia
were assigned to receive group cognitive – behavioural therapy or
treatment as usual. The primary outcome was positive symptom improvement
on the Positive and Negative Syndrome Scales. Secondary outcome measures
included symptoms, functioning, relapses, hopelessness and
There were no significant differences between the cognitive-behavioural
therapy and treatment as usual on measures of symptoms or functioning or
relapse, but group cognitive – behavioural therapy treatment resulted in
reductions in feelings of hopelessness and in low self-esteem.
Although group cognitive – behavioural therapy may not be the optimum
treatment method for reducing hallucinations and delusions, it may have
important benefits, including feeling less negative about oneself and
less hopeless for the future.
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