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A Good Starting Point
Jim Pretzer · 10/10/96 at 7:52 PM ET
COGNITIVE THERAPY FORUM ARCHIVE
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A Good Starting Point
It might seem that the idea of using Cognitive Therapy with schizophrenia is absurd... Are we going to try to get psychotics to write down their hallucinations and come up with rational responses to them? Actually, CT can be used effectively with schizophrenia if appropriate adjustments are made. Even if CT had no impact on psychotic symptomatology, many schizophrenics also have problems with anxiety, depression, and/or poor social skills which can benefit from treatment. However, we can also work to help the client get better at recognizing their symptoms and to cope with them more effectively and we can do a lot to improve compliance with medication. Interesting work is being done on interventions that directly address symptoms such as delusions or hallucinations.CT with schizophrenia works best as part of a comprehensive treatment program which includes appropriate medication and social services. The book about CT with schizophrenia which I like best is: Perris, C. (1989). Cognitive Therapy with Schizophrenic Patients. New York: Guilford. You can also find two extended case examples (along with many case examples of CT with other problems) in: Freeman, A. & Dattilio, F.M. (1992). Comprehensive Casebook of Cognitive Therapy. New York: Plenum.This is an area where thereÕs a considerable amount of ongoing research and where further developments are likely. Maybe some colleagues who work in this area will comment about their experiences and references they've found useful.
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