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Doody's Review ServiceReviewer: Steven T. Herron, MD (University of Arizona Health Sciences Center)
Description: This book addresses the previously held notion that various forms of therapy had little benefit for those with schizophrenia by discussing the approach used in patients, as well as the symptoms targeted, while incorporating it with other well-known, beneficial treatments (such as social skills training).
Purpose: After decades of thought that suggested limited benefits of therapy for patients with psychosis, researchers in the mid-l990s began to find scientific evidence indicating short-term and long-term benefits for psychotic patients receiving cognitive behavioral therapy (CBT). This work summarizes these findings and provides a framework for treatment of these patients.
Audience: Though potentially useful for anyone providing services or caring for patients with psychotic symptoms, the main beneficiaries of this book are likely to be those experienced with providing therapy (CBT or otherwise) to psychiatric patients, including students, social workers, therapists, psychologists, and psychiatrists.
Features: Chapters are written by various authors and attempt to address the many symptomatic and behavioral aspects of psychotic presentations. Case examples illustrate specific challenges in working with this population, and charts and tables are arranged to highlight important points in the text. Each chapter ends with a list of current and relevant references.
Assessment: Although I am familiar with the literature about the advantages of CBT, as well as its practice in clinical scenarios, I have had limited experience with the use of CBT for patients with psychosis. Fortunately, this book enables readers to get up to speed reasonably quickly without overwhelming them with unnecessary detail. Chapters flow well despite having multiple authors, and address many of the most common and frequently encountered symptoms noted by those with psychosis, including sleep difficulties. While not a workbook that readers can use to guide CBT sessions with patients, it provides a nice overview of the evidence supporting the use of CBT and could be helpful for any clinicians working with these challenging patients.