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Cognitive-Behavioral Therapy of Schizophrenia

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Overview

Cognitive-behavioral therapy has been successfully employed in the treatment of such problems as depression, panic disorder, and phobias. Now, providing a promising approach to patients with the most intractable problems, this book details the practical application of cognitive-behavioral therapy to the pervasive disorder of schizophrenia. The techniques described in this book, drawn from relevant theory and research, are designed to complement other treatments for schizophrenia, including medication, rehabilitation, and family therapies. Making a clear distinction between the diagnosis of schizophrenia and the debilitating label of insanity, the authors contend that people with this disorder are not inherently irrational, but instead, suffer from a circumscribed set of irrational beliefs. The book presents easily learned techniques that professionals can employ to help patients alleviate the impact of these beliefs and start drawing upon the strengths and rationality they do possess to improve their daily lives. Illustrated with numerous case examples, the book describes how to work with the person to construct credible explanations of distressing and disabling symptoms; explore the personal significance of life events and circumstances and their interactions with the person's strengths and vulnerabilities; introduce reality testing for hallucinations and delusions; disentangle thought disorder and ameliorate negative symptoms; and demystify psychotic symptoms for individuals and their families. It also clearly delineates the relationship of thought, identity, insight, and coping strategies to schizophrenia. An invaluable resource for all professionals working with people suffering from schizophrenia - from psychologists, psychiatrists, and residential care workers to social workers, occupational therapists, and nursing staff - this practical and accessible text is also essential reading for students in these fields.

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher

"The basic message the authors convey, that psychotic patients can be engaged and worked with from a cognitive-behavioral perspective and that delusions and hallucinations are in many instance changeable and not immutable, is a valuable one. Finally, Kingdon and Turkington's enthusiasm for their work with patients and encouragement to other therapists adds a nice touch." --Kim T. Mueser, Department of Psychiatry, Dartmouth Medical School, New Hampshire-Dartmouth Psychiatric Research Center, Concord, NH

"There have always been people who were able to come to reasonable terms with unreasonable experiences and there have always been relatives and friends who were able to help them do so. People who suffer from schizophrenia have found it particularly difficult to struggle through on their own and their families often feel powerless to help. This book shows how both parties, and professional health workers, how a rational approach to distressing symptoms can supplement and sometimes supplant other methods of treatment. It is worth reading." --John Wing, CBE, MD, PhD, FRCPsych, The Royal College of Psychiatrists

"The authors have developed an important approach to the psychological and social treatment of people with schizophrenia. The book is extremely well written and draws impressively from a wide range of valuable data." --John S. Strauss, MD, Yale University Department of Psychiatry

"This book will give a 'shot in the arm' to clinicians interested in working with psychotic patients....When I first started using and talking about cognitive therapy in the early 1960s, I thought that this therapy would be largely limited to patients with various neuroses, such as depression, anxiety disorder, phobias, and the like. When professionals at seminars and conferences asked me to state the conditions for which cognitive therapy was not indicated, I would say, 'Schizophrenia.' It is such a pleasant surprise now to see that I was wrong--cognitive therapy does have a direct application to this disorder....It is my expectation that the present volume will make this approach available to a vast army of mental health workers who are struggling with the difficult problems of this disorder and, at the same time, will provide new hope for patients with schizophrenia." --From the Foreword by Aaron T. Beck, MD

"Our understanding of the biological basis of schizophrenic illnesses has expanded rapidly in recent years. Antipsychotic medications remain the mainstay of treatment, but many people suffering from schizophrenia can also benefit from cognitive-behavioral therapy. Drs. Kingdon and Turkington provide an excellent review of the theoretical background of these treatments as well as useful illustrations of these techniques in operation. Cognitive-behavioral treatments have replaced the older, and largely invalid, psychoanalytical approaches to the psychological treatment of psychosis. The addition of these new psychological techniques to our improved pharmacological therapies provides considerable hope for the schizophrenia sufferer." --Robin M. Murray, M.D., D.Sc.

Booknews
Shows how cognitive-behavioral therapy, which has been used successfully for depression, panic disorders, and phobias, can also be combined with traditional therapies to treat schizophrenia. Defining schizophrenia as a circumscribed set of irrational beliefs, presents easily learned techniques by which the professional can help patients alleviate the impact of those beliefs on their daily lives. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780898623352
  • Publisher: Guilford Publications, Inc.
  • Publication date: 1/28/1994
  • Pages: 212
  • Product dimensions: 6.28 (w) x 9.31 (h) x 0.70 (d)

Meet the Author


David G. Kingdon, PhD ,Bassetlaw Hospital ,England
Douglass Turkington,PhD ,Bassetlaw Hospital ,England
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Table of Contents


Introduction.
Part I: Theoretical Background.
1. Explanations of Schizophrenia.
2. Cultural Context.
3. Vulnerability and Life Events.
4. Suggestibility.
5. Thinking.
6. Language.
7. Identity.
8. Hallucinations.
9. Coping Strategies.
10. Negative Symptoms.
11. Insight.
12. Fears.
13. Psychological Treatment in Schizophrenia.
Part II: Process of Therapy.
Study 1. The Man Who Was Controlled by a Satellite. Prerequisite Experience. Assessment.
Study 2. The Man and the Moon. Explanations.
Study 3. Overwork and Vulnerability. Eliciting Distorted Thoughts.
Study 4. Ordering Thoughts in Thought Disorder. Delusions.
Study 5. "I'll Be No More a Rover."
Study 6. "I'm 150 years old." Specific Delusional Content.
Study 7. The Chinese Connection.
Study 8. Thoroughly Schizophrenic.
Study 9. The Mistaken Inventor.
Study 10. Religious Significance and Strange Associations. Passivity.
Study 11. Out of Control. Thought Interface. Hallucinations.
Study 12. "It's Just My Schizophrenia Playing Up." Identity. Negative Symptoms. Communication.
Study 13. "Brain Waves" and "Hyperthought". Humor. Anxiety Management. Homework. Coping Strategies. Decatastrophization. Medication. Structure of Sessions. The Treatment Context. Therapists' Need for Support. Overall Goals.
Evaluation and Evolution
References
Index.
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