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Using solution‐focused therapy during a psychotic crisis: a case study
Author(s) -
Rhodes John,
Jakes Simon
Publication year - 2002
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/cpp.329
Subject(s) - conversation , judgement , psychology , psychotherapist , clinical judgement , psychoanalysis , epistemology , medicine , philosophy , communication , emergency medicine
During an assessment for therapy, one patient on an acute psychiatric ward proved to be extremely difficult to interview. He believed that demons were about to visit him, and this made conversation on the topic near impossible at first. Investigation of his beliefs resulted in him getting angry. At a later date, however, he requested meeting the first author. It was then decided to try out solution‐focused therapy. Given this new start, it was then possible to begin systematic assessment of beliefs and emotional state. Over 6 months a fluctuating pattern of change emerged. Follow‐up over 2 years suggested maintenance and considerable re‐engagement with everyday activities. Beliefs were modified yet he retained notions of possible judgement by demonic forces. Copyright © 2002 John Wiley & Sons, Ltd.