[From case formulation to relapse prevention : a systematic cognitive therapy of schizophrenia.]

This paper discusses the current status of cognitive therapy research in schizophrenia. After reviewing the extent of the evidence base indicating the efficacy of CT in this disorder, the typical process of therapy is outlined. The key techniques of CT in schizophrenia are described along with typical case examples and caveats concerning possible blocks in therapy. The key techniques described are engaging, developing explanations, introducing doubt, peripheral questioning, behavioural homework experiments, schema focussed approaches and relapse prevention. CT for schizophrenia is proposed as an acceptable, effective and safe adjunct to neuroleptic and other psychosocial interventions.