Using cognitive behaviour therapy techniques with people who hold delusional beliefs : Cox - Oct 2019

[Sly Saint]

People experiencing psychosis who are deemed treatment resistant are not always given access to evidence-based psychological therapies, in particular cognitive behaviour therapy (CBT). It has been suggested that CBT has many benefits for people experiencing psychosis, yet it is not always effective due to entrenchment of beliefs.

This article uses a case study approach to increase awareness of CBT skills, particularly cognitive exploration and reappraisal with delusional material, to support mental health practitioners in their work with this client group. It describes assessment, formulation and techniques using CBT for psychosis (CBTp) with a service user, focusing on cognitive interventions used with delusional beliefs. Findings include a marked reduction in psychopathology, indicated via clinical measures and self-report. These results challenge notions associated with psychosis chronicity and illustrate how cognitive interventions can reduce service user distress.

https://journals.rcni.com/mental-he...old-delusional-beliefs-mhp.2019.e1397/abs#R29

 

[Andy]

Given the title I thought it might be about BPS researchers being brought to their senses

 

[Peter T]

Given the title I thought it might be about BPS researchers being brought to their senses

I suspect these delusions are very resistant to any intervention.

 

[John Mac]

Given the title I thought it might be about BPS researchers being brought to their senses

Maybe its typo and it should read:
Using cognitive behaviour therapy techniques "by" people who hold delusional beliefs

 

[Barry]

Given the title I thought it might be about BPS researchers being brought to their senses

That makes the rather unfortunate presumption there are senses that can be brought to.

 

[alktipping]

reappraisal with delusional material pot and kettle comes to mind

 

[dangermouse]

Given the title I thought it might be about BPS researchers being brought to their senses

If only

 

[DigitalDrifter]

It has been suggested that CBT has many benefits for people experiencing psychosis, yet it is not always effective due to entrenchment of beliefs.

Sounds like they are blaming the patients for lack of efficacy of their treatment, something quacks like to do.

When I was sectioned in 2014 they told me my severe ME was psychosis and made me exercise.

After I was discharged I made a complaint because they made my ME permanently worse (I can no longer get to the bathroom for a poo), in their response they classed my incarceration as a success story because they saw me walking around and talking to other inmates/patients. They said because nothing showed up on tests it was only logical to assume it must be psychological. My complaints were over-ruled and they got away with it.

Now I have to live in fear that one day they will section me again, making my condition even worse and making life unbearable. In August 2016 I had a psychiatrist come round telling me (without any evidence) that I was somatizing and need to go to a specialist somatization clinic to get CBT/GET.

 

[Sid]

The expansion of the CBT lobby into medical illnesses like schizophrenia (with disastrous consequences for patients who require medical treatment for their severe symptoms) is really just a turf war between psychologists and psychiatrists.

 

[Daisymay]

I'm so sorry you have had to endure that abuse DigitalDrifter, it sounds terrible, my heart goes out to you x