Therapy with psychotic persons in outpatient daily routine
Abstract
The positive effect of cognitive behavioural therapy in reducing symptoms and as a prophylactic against recidivism, with patients suffering from a psychosis has been well supported for least a decade. As a theoretical basis for treatment, learning theory, (the acceptance that behaviour is managed by comprehensive schemata), as well as the Vulnerability- Stress- Coping model that assumes through stress vulnerability (a sensitivity to environmental stimuli) psychotic symptoms develop which can be strengthened. Theoretical assumptions allow therapeutically helpful interventions to modify comprehensive debilitating schemata and establish self-management of stress discharge. In the past these interventions were hardly ever implemented as part of the every day routine provision with psychotic patients. This has been illustrated in many case studies of therapeutic work with these patients in the out patient training unit of the German Society of Behaviour Therapy, Hamburg.
Keywords: Behaviour therapy, psychoses, schemata, Vulnerability – Stress – Coping ModelPublished
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