Group cognitive behavioral therapy for delusions: Helping patients improve reality testing

被引：25
作者：
Landa Y. [1 ,3 ]
Silverstein S.M. [2 ]
Schwartz F. [1 ]
Savitz A. [1 ]
机构：
[1] Weill Medical College of Cornell University, Department of Psychiatry, White Plains, NY 10605
来源：
Journal of Contemporary Psychotherapy | 2006年 / 36卷 / 1期
关键词：
Cognitive behavioral; Delusions; Group; Psychosis; Psychotherapy; Schizophrenia;
D O I：
10.1007/s10879-005-9001-x
中图分类号：
学科分类号：
摘要：
Group Cognitive Behavior Therapy (CBT) was used to treat residual delusions in patients with schizophrenia. Initially all patients (N = 6) reported delusions of various types, such as persecution, body/mind control, grandiosity, and religious themes. The group format allowed patients to share their experiences and beliefs, thereby eliminating shame and providing support and coping strategies; as well as allowing for peer-peer discussion of irrationalities and inconsistencies in each other's beliefs. After 13 sessions there was a statistically significant reduction in delusional conviction, unhappiness associated with thinking about a delusion, intensity of distress associated with delusion, and an increased ability to dismiss a delusional thought. © 2006 Springer Scienc+Business Media, Inc.
引用
收藏
页码：9 / 17
页数：8
相关论文
共 36 条
  • [1] Beck A.T., Cognitive Therapy and the Emotional Disorders, (1952)
  • [2] Beck A.T., Cognitive Therapy and the Emotional Disorders, (1976)
  • [3] Bentall R.P., Cognitive biases and abnormal beliefs: Towards a model of persecutory delusions, The Neuropsychology of Schizophrenia, (1994)
  • [4] Bentall R.P., Kinderman P., Kaney S., The self, attributional processes and abnormal beliefs: Towards a model of persecutory delusions, Behaviour Research and Therapy, 32, pp. 331-341, (1994)
  • [5] Chadwick P.D.J., Lowe C.F., The measurement and modification of delusional beliefs, Journal of Consulting and Clinical Psychology, 58, pp. 225-232, (1990)
  • [6] Chadwick P.D.J., Birchwood M.J., Trower P., Cognitive Therapy for Delusions, Voices and Paranoia, (1996)
  • [7] Chadwick P.D.J., Sambrooke S., Rasch S., Davies E., Challenging the omnipotence of voices: Group cognitive therapy for voices, Behaviour Research and Therapy, 38, pp. 993-1003, (2000)
  • [8] Ellis A., Reason and Emotion in Psychotherapy, (1962)
  • [9] Haddock G., McCarron J., Tarrier N., Faragher E.B., Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS), Psychological Medicine, 29, 4, pp. 879-889, (1999)
  • [10] Hustig H., Hafner R., Persistent auditory hallunications and their relationship to delusionals of mood, Journal of Nervous and Mental Diseases, 178, pp. 264-267, (1990)
1234