The future of cognitive-behavioural therapy for psychosis: not a quasi-neuroleptic
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Summary: Some 20 trials of cognitive-behavioural therapy (CBT) for psychosis have re-established psychotherapy as a credible treatment for psychosis. However, it is not without its detractors and problems, including uncertainty about the nature of its active ingredients. We believe that the way forward is to abandon the neuroleptic metaphor of CBT for psychosis and to develop targeted interventions that are informed by the growing understanding of the interface between emotion and psychosis.
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Single-symptom therapies target only one specific psychotic symptom.
“the development of single-symptom therapies [11] which target only one specific psychotic symptom”
From Increasing access to CBT for psychosis patients: A feasibility, randomised controlled trial evaluating brief, targeted CBT for distressing voices delivered by assistant psychologists (GiVE2) (2020) · cites this paper as [11]
The Abstract (page unavailable) calls for targeted interventions, and the section on CBT for emotional dysfunction in psychosis lists specific treatment foci. Neither passage says these therapies target only one psychotic symptom; the listed foci also include distress, depression, anxiety and relapse prevention. (LLM, conf=0.79)
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- Authors
- Birchwood, M., & Trower, P.
- Affiliations
- Birmingham and Solihull Mental Health NHS Foundation Trust (GB)
- University of Birmingham (GB)
- Corresponding author
- Birchwood, Max
- ORCID
- Birchwood, Max
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2006-02
- Volume
- 188
- Issue
- 2
- Pages
- 107-108
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2152897532
- Cited by
- 175
- References
- 19
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 7 · 2020: 7 · 2019: 12 · 2018: 8 · 2017: 14 · 2016: 9 · 2015: 9 · 2014: 18 · 2013: 11 · 2012: 7
- 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 › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- cognitive behavioral therapy, psychosis, psychotherapy, active ingredients, targeted interventions, treatment efficacy
- MeSH terms
- Affective Disorders, Psychotic, Anxiety Disorders, Cognition, Depressive Disorder, Emotions, Forecasting, Humans, Psychotic Disorders, Stress, Psychological, Cognitive Behavioral Therapy
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