Cognitive Behaviour Therapy of Schizophrenia: The amenability of delusions and hallucinations to reasoning
Open accessAbstract
Cognitive behavioural techniques used in schi.zopbrenia have generally been developed pragmatically in clinical settings.Despite the effectiveness of antipsychotic drugs in acute schizophrenia and in preventing relapse, many patients continue to have persistent positive and negative symptoms.Even drugs such as clozapine for resistant symptoms only appear effective in up to a third of those for whom they are indicated.Side-effects also present major problems.Poor compliance occurs in up to 75% with first episode schizophrenia (Kissling, 1992)and up to 50% of patients dischargedfrom hospital fail to take even 75% of medication prescribed (Buchanan, 1992).Controlled studies have been unable to demonstrate the efficacy of psychodynamic psychotherapy in schizophrenia.
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Delusions exist on a spectrum and may be monothematic or polythematic.
“delusions exist on a spectrum (Kingdon & Turkington, 1994) and may be monothematic (concerning a single theme) or polythematic (concerning various themes, e.g., feeling persecuted, on a divine mission, etc.) (Coltheart, 2013).”
From Are Attributions of Consciousness to AI Chatbots Epistemically Innocent? (2026) · cites this paper as Kingdon & Turkington, 1994
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- Authors
- Kingdon, D., Turkington, D., & John, C.
- Affiliations
- St Nicholas Hospital (GB)
- Durham University (GB)
- Corresponding author
- Kingdon, David
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 1994-05
- Volume
- 164
- Issue
- 5
- Pages
- 581-587
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2013453471
- Cited by
- 133
- References
- 48
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 2 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 1 · 2012: 7
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- cognitive behavioral therapy, schizophrenia, negative symptoms, clozapine, medication non-adherence, psychodynamic psychotherapy, relapse prevention
- MeSH terms
- Delusions, Hallucinations, Humans, Reality Testing, Schizophrenia, Schizophrenic Psychology, Thinking, Cognitive Behavioral Therapy
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