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- Title
A Model-Building Approach in Cognitive Therapy with a Woman with Chronic 'Schizophrenic Hallucinations: Why Did it Work?
- Authors
John, Carolyn H.; Turkington, Douglas
- Abstract
A single case study is used to explore the therapeutic factors contributing to symptom reduction in a 48-year-old woman with a 29-year diagnosis of ‘chronic schizophrenia’. Eight sessions of cognitive therapy were given and progress followed up over two years. The therapy was based on a model accounting for the function, thematic content and psychological maintaining mechanisms of the hallucinatory experience, which was collaboratively constructed and combined with standard cognitive-behavioural techniques. This increased the client's understanding of and control over her functional auditory hallucinations and her secondary delusional interpretation of these as ‘telepathic’ communication from Cod. The CPRS, self-report and observed behaviour showed marked symptom reduction, reduced distress and increased self-esteem and self confidence. The therapy is described in detail, as a basis for discussion of the specific and non-specific factors contributing to this outcome.
- Subjects
SCHIZOPHRENIA; HALLUCINATIONS; COGNITIVE therapy; BEHAVIOR therapy; PERSONALITY tests; PERCEPTUAL disorders; PSYCHOTHERAPY
- Publication
Clinical Psychology & Psychotherapy, 1996, Vol 3, Issue 1, p46
- ISSN
1063-3995
- Publication type
Article
- DOI
10.1002/(SICI)1099-0879(199603)3:1<46::AID-CPP68>3.0.CO;2-9