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Cognitive Therapy for Delusions, Voices and Paranoia

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Internationally respected authors, actively working in this area, establish theoretical reasons for extending cognitive therapy to these symptoms. This includes a justification for looking at symptoms rather than syndromes, first-person accounts of delusions and hallucinations along with an analysis of why the cognitive approach is ideally suited to the study and treatment of these disabling disorders. Describes how to make a cognitive assessment of both hallucinations and delusions and which measures to use. Contains new research and methods of managing these severe psychoses.

Hardcover

First published June 4, 1996

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Displaying 1 - 2 of 2 reviews
Profile Image for Alastair Kemp.
32 reviews10 followers
February 28, 2021
Covers Paul Chadwick and other's ABC model of CBT for delusions, voices and paranoia.
Reasonably practical variation of Beck's model, with more emphasis on listening understanding and working with the meaning that voice hearer's and other symptoms that people with psychotic diagnoses often struggle with. Along with the models similar to those developed by groups like Intervoice and the Hearing Voices Network.
It focuses on the relation of belief to the processing of ideation based on the meaning that people give to the cause and effect of their emotions and feelings in relation to their experience in the world.

However it is still CBT and whilst giving more pragmatic ways of dealing with the trauma of sufferers, it is still CBT and is subject to the question of longitudinal studies.

There may be reasons why even though it addresses the 'beliefs' that are formed as a defence mechanism with regards long term trauma and distressing emotions, I wonder if both a more psychotherapeutic approach is needed to tackle the more underlying distal issues, rather than 'fix' what the result of this distal issue with regards more 'proximate' issues.

In only doing so it only deals with the dopamine rewards system, given the tendency to rely on this to deal with unpleasant feelings when life is 'difficult', no matter the positives in this method, I can't see this working without addressing social and economic issues at a social support level (social work, finances, etc), if this shifts people into a better life circumstance, then there is may be the possibility to tip the client, along with self-compassion methods, into more serotonin/ oxytocin maintaining systems (although by know means guaranteed), but otherwise, there is reason to suspect that in 3 or more year follow ups there may be a return to earlier behaviour, or new but by no means better, defence mechanisms.
Profile Image for Jaimini Mehta.
123 reviews2 followers
March 22, 2022
Some very good ideas and learning but also a bit dated as practice and theory has moved on but definitely would recommend if working with psychosis.
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