Multimodal versus unimodal auditory hallucinations in clinical practice: Treatment outcomes following cognitive-behavioural therapy

2021 ◽  
Vol 298 ◽  
pp. 113791
Author(s):  
Rachel M. Brand ◽  
Johanna C. Badcock ◽  
Georgie Paulik
Keyword(s):  
Clinical Practice ◽  
Treatment Outcomes ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Auditory Hallucinations ◽  
Cognitive Behavioural

scholarly journals Assessing competence in cognitive-behavioural therapy

2008 ◽  
Vol 193 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Andrew J. A. Keen ◽  
Mark H. Freeston
Keyword(s):  
Clinical Practice ◽  
Case Studies ◽  
Cognitive Behavioural Therapy ◽  
Clinical Work ◽  
Behavioural Therapy ◽  
High Stakes ◽  
Cognitive Behavioural ◽  
Reliable Assessment

BackgroundPostgraduate courses on cognitive-behavioural therapy (CBT) assess various competencies using essays, case studies and audiotapes or videotapes of clinical workAimsTo evaluate how reliably a well-established postgraduate course assesses CBT competenciesMethodData were collected on two cohorts of trainees (n=52). Two examiners marked trainees on: (a) two videotapes of clinical practice; (b) two case studies; and (c) three essaysResultsEssay examinations were more reliable than case studies, which in turn were more reliable than videotaped assessments. The reliability of the latter two assessments was considerably lower than that commonly expected of high-stakes examinations. To assess reliably standard CBT competencies, postgraduate courses would need to examine about 5 essays, 12 case studies and 19 videotapesConclusionsReliable assessment of standard competencies is complex and resource intensive. There would need to be a marked increase in the number of samples of clinical work assessed to be able to make reliable judgements about proficiency

scholarly journals Cognitive Behavioural Therapy for Auditory Hallucinations: Effectiveness and Predictors of Outcome in a Specialist Clinic

2010 ◽  
Vol 39 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Neil Thomas ◽  
Susan Rossell ◽  
John Farhall ◽  
Frances Shawyer ◽  
David Castle
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Negative Symptoms ◽  
Rating Scales ◽  
Behavioural Therapy ◽  
Auditory Hallucinations ◽  
Psychotic Symptoms ◽  
Predictors Of Outcome ◽  
Formal Thought Disorder ◽  
Behavioural Treatment ◽  
Cognitive Behavioural

Background: Cognitive behavioural therapy has been established as an effective treatment for residual psychotic symptoms but a substantial proportion of people do not benefit from this treatment. There has been little direct study of predictors of outcome, particularly in treatment targeting auditory hallucinations. Method: The Psychotic Symptom Rating Scales (PSYRATS) and Positive and Negative Syndrome Scale (PANSS) were administered pre- and post-therapy to 33 people with schizophrenia-related disorders receiving CBT for auditory hallucinations in a specialist clinic. Outcome was compared with pre-therapy measures of insight, beliefs about the origin of hallucinations, negative symptoms and cognitive disorganization. Results: There were significant improvements post-treatment on the PSYRATS and PANSS Positive and General Scales. Improvement on the PSYRATS was associated with lower levels of negative symptoms, but was unrelated to overall insight, delusional conviction regarding the origins of hallucinations, or levels of cognitive disorganization. Conclusions: Lack of insight and presence of formal thought disorder do not preclude effective cognitive-behavioural treatment of auditory hallucinations. There is a need to further understand why negative symptoms may present a barrier to therapy.

Are group size and composition associated with treatment outcomes in group cognitive behavioural therapy for chronic pain?

Pain ◽  
2018 ◽  
Vol 159 (4) ◽  
pp. 783-792 ◽  
Author(s):  
Dianne Wilson ◽  
Shylie Mackintosh ◽  
Michael K. Nicholas ◽  
G. Lorimer Moseley ◽  
Daniel Costa ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Treatment Outcomes ◽  
Cognitive Behavioural Therapy ◽  
Group Size ◽  
Behavioural Therapy ◽  
Group Cognitive Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Group Size And Composition

scholarly journals If formulation is the heart of cognitive behavioural therapy, does this heart rule the head of CBT therapists?

2013 ◽  
Vol 6 ◽  
Author(s):  
Michael Zivor ◽  
Paul M. Salkovskis ◽  
Victoria B. Oldfield
Keyword(s):  
Clinical Practice ◽  
Cognitive Behavioural Therapy ◽  
Reference Group ◽  
Behavioural Therapy ◽  
Routine Clinical Practice ◽  
Training And Supervision ◽  
Cognitive Behavioural ◽  
Empirical Level ◽  
Group A ◽  
Level Of Training

AbstractCognitive behavioural therapy (CBT) is an empirically grounded approach which typically relies on formulation to guide the shape and course of therapy. Cognitive formulation is widely advocated but poorly understood at an empirical level. This study aimed to characterize how clinicians understand the structure and uses of formulation and how they report on using it in their clinical practice relative to an expert reference group. A total of 124 clinicians in routine clinical practice completed a questionnaire, which assessed their clinical use and understanding of formulation. For some aspects of the questionnaire a comparison with a reference group, 15 highly specialist CBT therapists, was used. High levels of self-rated expertise were noted and at levels comparable to that of the highly specialist group. Participants rated themselves as less capable in terms of their formulation skills relative to their self-rating in CBT overall. Formulation is typically rated as important by those with some professional commitment to CBT. There may be some gaps in the way formulation is applied in clinical practice that should be addressed at the level of training and supervision.

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