scholarly journals Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature

2016 ◽  
Vol 44 (6) ◽  
pp. 652-672 ◽  
Author(s):  
Jonathon Slater ◽  
Michael Townend
Keyword(s):  
Psychological Intervention ◽  
Economic Value ◽  
Behavioural Therapy ◽  
Individual Therapy ◽  
Source Analysis ◽  
Behaviour Therapy ◽  
Research Attention ◽  
Cognitive Behaviour ◽  
Proven Efficacy ◽  
The Uk

Background: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. Aims: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research. Method: A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies. Results: Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus. Conclusions: CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.

Individual Cognitive Behavioural Therapy for Psychosis (CBTp): A Systematic Review of Qualitative Literature

2013 ◽  
Vol 43 (3) ◽  
pp. 285-297 ◽  
Author(s):  
Lisa Wood ◽  
Eilish Burke ◽  
Anthony Morrison
Keyword(s):  
Systematic Review ◽  
Psychological Intervention ◽  
Behavioural Therapy ◽  
Service Users ◽  
Subjective Experiences ◽  
Behaviour Therapy ◽  
User Perspective ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Qualitative Literature

Background: Individual Cognitive Behaviour Therapy for psychosis (CBTp) is the first line recommended psychological intervention for adults diagnosed with schizophrenia. However, little is yet known about service users’ subjective experiences of CBTp. Aims: This study aimed to conduct a systematic review of qualitative literature to examine service user perspective of CBTp. Method: A thematic synthesis of qualitative studies examining service users’ experiences of CBTp was conducted. A total of six studies were included in the analysis. Results: Three superordinate themes were identified: therapeutic alliance; facilitating change; and challenges of applying CBTp. Conclusion: Overall, CBTp is a helpful and acceptable therapeutic approach to service users. Developing a collaborative therapeutic relationship is essential. The applications of CBTp can be problematic and the therapist and client need to work together to overcome these difficulties.

scholarly journals Adherence and competence assessment in studies of CBT for psychosis: current status and future directions

2011 ◽  
Vol 20 (2) ◽  
pp. 121-126 ◽  
Author(s):  
D. Fowler ◽  
R. Rollinson ◽  
P. French
Keyword(s):  
Cognitive Therapy ◽  
Large Scale ◽  
Rating Scale ◽  
Current Status ◽  
Behaviour Therapy ◽  
Future Directions ◽  
Making Sense ◽  
Cognitive Behaviour ◽  
The Uk ◽  
Careful Assessment

All good quality trials of psychological interventions need to check formally that therapists have used the techniques prescribed in the published therapy manuals, and that the therapy has been carried out competently. This paper reviews methods of assessing adherence and competence used in recent large-scale trials of Cognitive Behaviour Therapy (CBT) for psychosis in the UK carried out by our research groups. A combination of the Cognitive Therapy Rating Scale and specific versions of the Cognitive Therapy for Psychosis Adherence Scales provides an optimal assessment of adherence and competence. Careful assessment of the competence and adherence can help identify the procedures actually carried out with individuals within trials. The basic use of such assessments is to provide an external check on treatment fidelity on a sample of sessions. Such assessment can also provide the first step towards moving research towards making sense of CBT for psychosis as a complex intervention and identifying which techniques work for which problems of people with psychosis, at which stages of disorder?

scholarly journals Manualised Cognitive Behaviour Therapy for Anorexia Nervosa: Use of Treatment Modules in the ANTOP Study

2018 ◽  
Vol 7 (11) ◽  
pp. 398 ◽  
Author(s):  
Gaby Resmark ◽  
Brigid Kennedy ◽  
Maria Mayer ◽  
Katrin Giel ◽  
Florian Junne ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Secondary Analysis ◽  
Self Esteem ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Duration Of Illness ◽  
Cognitive Behavioural ◽  
Outpatient Intervention ◽  
Cognitive Behaviour ◽  
Pros And Cons

Standardised treatment manuals facilitate therapy planning and enhance comparability for research purposes. Within the Anorexia Nervosa Treatment of Out Patients (ANTOP) study, the largest multisite outpatient intervention trial in anorexia nervosa (AN) to date, manualised enhanced cognitive-behavioural therapy (CBT-E) was offered as one treatment modality. The manual consisted of 9 modules, of which Motivation, Nutrition, Formulation and Relapse Prevention were compulsory. Homework worksheets were provided, to ensure the transfer of therapeutic improvements to daily life. This study investigated the use of modules and worksheets in order to explore practice styles of trained therapists in the treatment of AN. This secondary analysis was based on log-sheets (n = 2604) CBT-E therapists completed after each session. Frequencies of modules and worksheets used across all sessions were calculated. Relationships, such as that between use of module and duration of illness, were examined. The most commonly used module was Motivation. In patients with longer illness duration, the module Self Esteem seemed to be particularly important. The worksheet Scales, balancing the pros and cons of AN, was prioritised by therapists. The results underline the importance of motivational work in the treatment of AN, including validating the ambivalence experienced by most AN patients. With increasing duration of illness, resource-oriented elements, such as self esteem stabilisation, should be of focus.

Cognitive Behaviour Therapy: Standards for Training and Clinical Practice

2006 ◽  
Vol 23 (4) ◽  
pp. 227-238 ◽  
Author(s):  
◽  
Julie Barrington
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Mental Health Problems ◽  
Psychological Treatment ◽  
Public Funding ◽  
Public Mental Health ◽  
Behavioural Therapy ◽  
Clinical Psychologists ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

AbstractThe purpose of this article is to open discussion on the appropriate standards for training and practice in cognitive behavioural therapy (CBT) for clinical psychologists. CBT has in recent years become increasingly popular as a brief and effective psychological treatment for mental health problems. Public funding has become available for the provision of CBT for a prescribed number of sessions to people diagnosed with specific psychiatric disorders, and there has been an increasing shift in public mental health services toward more short-term and structured episodic care interventions, many of which are CBT-based. There has also been a corresponding increase in health professionals seeking CBT training and offering psychological services described as CBT. However, there is a lack of formal nationally agreed standards for clinical psychologists in relation to training and practice in CBT, and ethical concerns have been raised about the provision of ‘stand-alone’ brief training to professionals who do not have an undergraduate psychology degree and hence may not have an understanding of the theory and research that underlies CBT. Issues raised in this article include training and practice considerations such as levels of competence, diversity and complexity of CBT, treatment length, ethical considerations and barriers to best practice.

scholarly journals Stepped Care Cognitive Behavioural Therapy for Children with Anxiety Disorders: A New Treatment Approach

2010 ◽  
Vol 39 (1) ◽  
pp. 55-75 ◽  
Author(s):  
Adelinde J. M. van der Leeden ◽  
Brigit M. van Widenfelt ◽  
Rien van der Leeden ◽  
Juliette M. Liber ◽  
Elisabeth M. W. J. Utens ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Treatment Approach ◽  
Treatment Phase ◽  
Behavioural Therapy ◽  
Additional Treatment ◽  
Stepped Care ◽  
Depression Symptoms ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

Background: The current nonrandomized clinical trial explored changes over time in children with an anxiety disorder during stepped care, manual-based cognitive behaviour therapy (CBT). Methods: Clinically anxious children (8–12 years, n = 133) and their parents participated in child focused CBT (10 sessions). If assessments indicated additional treatment was necessary, participants could step up to a second and possibly third treatment phase (each 5 sessions) including more parental involvement. Results: After the first treatment phase 45% of the Intention-To-Treat sample was free of any anxiety disorder; after the second and third phase an additional 17% and 11% respectively. In total, 74% of the children no longer met criteria for any anxiety disorder following treatment. Child and parent reported anxiety and depression symptoms of children improved significantly during all treatment phases, as well as child reported anxiety sensitivity and negative affect. Children participating in more treatment showed significant improvements during additional treatment phases, indicating that late change occurred for the subgroup that had not changed during the first phase. Conclusions: Stepped care offers a standardized, assessment based, yet tailored treatment approach for children with anxiety disorders. A more intensive treatment is offered when initial CBT is insufficient, providing children additional opportunities to reach the desired outcome.

A UNITED KINGDOM SURVEY OF ACCRED ITED COGNITIVE BEHAVIOUR THERAPISTS' ATTITUDES TOWARDS AND USE OF STRUCTURED SELF-HELP MATERIALS

2002 ◽  
Vol 30 (2) ◽  
pp. 193-203 ◽  
Author(s):  
Helen Keeley ◽  
Chris Williams ◽  
David A. Shapiro
Keyword(s):  
United Kingdom ◽  
Individual Therapy ◽  
Health Care Practitioner ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The United Kingdom ◽  
Self Help ◽  
Cognitive Behaviour ◽  
Materials Used

Self-help materials can be offered to clients/patients either for use alone (unsupported self-help) or to support work with a health care practitioner (supported self-help). Structured self-help materials that use a Cognitive Behaviour Therapy (CBT) treatment approach have been shown to be clinically effective. We report a national survey of all 500 cognitive and behavioural psychotherapists registered with the British Association for Behavioural and Cognitive Psychotherapies, the lead organisation for CBT in the United Kingdom. A total of 265 therapists responded (53%). Self-help materials were used by 88.7% of therapists and were mostly provided as a supplement to individual therapy. Self-help was most frequently used to help patients experiencing depression, anxiety and obsessive compulsive disorder and was largely delivered using paper-based formats. The majority of self-help materials used a CBT approach. Only 36.2% of therapists had been trained in how to use self-help treatments, and those who had received training recommended self-help treatments to more clients/patients per week and rated self-help approaches as being significantly more helpful than those who had not received training.

scholarly journals Cognitive Behavioural Therapy for Japanese Children and Adolescents with Anxiety Disorders: A Pilot Study

2012 ◽  
Vol 40 (3) ◽  
pp. 271-285 ◽  
Author(s):  
Shin-ichi Ishikawa ◽  
Naoyasu Motomura ◽  
Yasuo Kawabata ◽  
Hidetaka Tanaka ◽  
Sakie Shimotsu ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Children And Adolescents ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Japanese Children ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Self Talk ◽  
Future Challenges

Background: Thirty-three Japanese children and adolescents diagnosed with an anxiety disorder participated in individual or group Cognitive Behaviour Therapy (CBT) that was modelled after evidence-based intervention programs developed in Western countries. Method: The treatment consisted of: (a) building rapport and education; (b) identifying emotions and recognizing cognitive self-talk; (c) challenging anxious self-talk; (d) developing an anxiety hierarchy and in vivo exposures; and (e) planning for future challenges. Results: Three months following treatment, 20 of the 33 children and adolescents (60.91%) no longer met criteria for their principal anxiety disorders and 16 (48.48%) were free from all anxiety disorders. Self-reported anxiety, depression, and cognitive errors also decreased significantly from pre- to post-treatment and these gains were maintained at 3-month follow-up. For the most part, similar outcomes were found in both the group and individual formats of CBT. Conclusions: This study provides preliminary support for the transportability of CBT in both an individual and group format to Japan.

scholarly journals Individualised cognitive behaviour therapy in patients of substance use disorders: three case studies

2020 ◽  
pp. 1-10
Author(s):  
Mafia Shahzadi ◽  
Qasir Abbas
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Cognitive Behaviour Therapy ◽  
Treatment Plan ◽  
Behavioural Therapy ◽  
Opioid Withdrawal ◽  
Individual Treatment ◽  
Behaviour Therapy ◽  
Assessment Scores ◽  
Cognitive Behaviour

Abstract The current study aims to investigate the effectiveness of Cognitive Behaviour Therapy (CBT) in the treatment of patients with substance use disorders. Three diagnosed patients with substance use disorders were recruited —i.e. 305.20 (F12.10) cannabis used disorder, 291.81 (FI0.239) alcohol withdrawal disorder and 292.0 (F11.23) opioid withdrawal disorder, respectively. The patients were detoxified and individual treatment plan was formulated on the basis of CBT. The CBT therapeutic outcomes were evaluated on the basis of pre- and post-assessment scores. Results indicate that CBT worked effectively in one-on-one session. CBT effectively worked to manage patients’ anger, craving, stress, sleep hygiene and assertive behaviour. It is concluded that CBT is an effective approach to deal with patients’ anger, stress, craving, sleep and assertive behaviour. Keywords: Cognitive Behavioural Therapy; Canabis Used Disorder; Alcohol Withdrwal Disorder; Opioid Withdrawal Disorder. Continuous....

Cognitive Behaviour Therapy for Obsessive-compulsive Disorder

2017 ◽  
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Family Involvement ◽  
Cognitive Behaviour Therapy ◽  
Behavioural Therapy ◽  
Illustrative Case ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

Obsessive-compulsive disorder (OCD) can be a very disabling and distressing problem. Cognitive behavioural therapy (CBT) has been shown to be very effective in helping people to overcome OCD. OCD is a highly heterogeneous disorder, often complicated by contextual factors, and therapists are often left wondering how to apply their knowledge of treatment to the particular problems as they face them in clinical practice. This book guides the reader through understanding the background to and principles of using CBT for OCD in a clear practical ‘how to’ style. It also elucidates the particular challenges and solutions in applying CBT for OCD using illustrative case material and guidance on formulation-driven intervention. The book also addresses commonly occurring complexities in the treatment of OCD; for example, working with comorbidity, perfectionism, shame, and family involvement in symptoms. Throughout the book, tips are provided on receiving and giving supervision to troubleshoot commonly encountered problems. This book provides a guide to improved practice for clinicians at all levels of experience.

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