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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
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Cognitive-behaviour therapy and schizophrenia.

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Summary
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Cognitive-behavioural therapy for psychosis (CBTp) effectively targets residual psychotic symptoms like hallucinations and delusions. Recent re-examinations question its role solely as an adjunct to medication, broadening treatment possibilities.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Psychotic symptoms, often associated with schizophrenia, can persist after acute treatment.
  • Residual symptoms like hallucinations and delusions significantly impact daily life.
  • Cognitive-behavioural therapy for psychosis (CBTp) was developed to address these persistent symptoms.

Purpose of the Study:

  • To review the evolution and efficacy of CBTp for psychosis.
  • To explore recent re-evaluations of CBTp's treatment effects and targets.
  • To examine the changing role of CBTp in the context of medication for psychosis.

Main Methods:

  • Review of randomized controlled trials (RCTs) of CBTp.
  • Analysis of cost-effectiveness data for CBTp.
  • Examination of current clinical guidelines and recent research findings.

Main Results:

  • CBTp has demonstrated success in randomized controlled trials since the early 1990s.
  • Evidence supports the cost-effectiveness of CBTp in various healthcare systems.
  • National guidelines, such as NICE in the UK, recommend CBTp for schizophrenia patients.

Conclusions:

  • CBTp is an established psychological treatment for residual psychotic symptoms.
  • Recent research prompts a re-evaluation of CBTp's scope and its relationship with medication.
  • The field is evolving, with ongoing exploration of psychological interventions for psychosis.