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Towards an integrated psychotherapeutic approach in psychosis: three case studies
Author(s) -
Rothwell Neil,
Duffy Louise
Publication year - 1999
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/(sici)1099-0879(199907)6:3<227::aid-cpp201>3.0.co;2-j
Subject(s) - generalizability theory , psychosis , psychology , schizophrenia (object oriented programming) , psychotherapist , clinical psychology , cognition , psychiatry , developmental psychology
Whilst there are now controlled studies supporting the effectiveness of cognitive behaviour therapy in psychosis, the effective components of the therapy are unclear. It is possible that certain core factors may have a central role in effectiveness. Integrative models of therapy typically consist of such factors in the form of a list of clinical strategies. A similar format is used here to develop an empirically derived, integrative approach to therapy with clients who have been diagnosed as psychotic. The approach is illustrated by three case studies of individuals with a long history of schizophrenia and poor response to psychotropic medication. These also provide a preliminary evaluation. Using the SCL‐90‐R as the outcome measure, the clients each reported a symptom reduction of around 50% after 50–80 sessions of therapy, which was maintained at 10 month follow‐up. Factor scores of the SCL‐90‐R are used to examine differences in the change processes of the three people. The generalizability and limitations of this study are discussed. Copyright © 1999 John Wiley & Sons, Ltd.