To Jurassic Park via Australia: A case study showing how dramatherapy enabled the creation and maintenance of embodied metaphors to support recovery from early psychosis

This case study shows how Dramatherapy can engage clients with communication difficulties, which exclude them from standard mental health pathways in early intervention in psychosis services. Deliberately prioritising the client’s newfound modes of expression to shape the narrative within, it is evident Dramatherapy processes; embodiment, projection and role enabled this client to create and then inhabit his own playful metaphors. These metaphors continued to facilitate every-day life challenges. During his Dramatherapy relationship, the client within this case study transitioned from supported accommodation to his own property, progressed to residential rehabilitation for alcohol misuse and finally engaged in cognitive behavioural therapy. From feedback interviews we know he continued to create and use his own protective metaphors 10 months after drama therapy ended. He returned to education as part of his plan to seek appropriate employment and was discharged to his GP.

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‘Felt security’ as a means of facilitating imagery rescripting in psychosis: a clinical protocol and illustrative case study

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x20000288 ◽

2020 ◽

Vol 13 ◽

Author(s):

Katherine Newman-Taylor

Keyword(s):

Behavioural Therapy ◽

Illustrative Case ◽

Imagery Task ◽

List Type ◽

Short Term ◽

Cognitive Behavioural ◽

Imagery Rescripting ◽

Illustrative Case Study ◽

The Impact

Abstract People with psychosis do not have routine access to trauma-focused cognitive behavioural therapy (CBT) interventions such as imagery rescripting (IR), partly due to clinical caution. This case study describes the use of a simple imagery task designed to engender ‘felt security’, as a means of facilitating IR with a woman struggling with distressing memory intrusions, linked to her voices and paranoia. We assessed the impact of the felt security task, which was used before IR to enable Kip to engage in reprocessing of her trauma memories, and again after IR so that she would leave sessions feeling safe. The brief imagery task was effective in improving felt security before IR sessions. Felt security then reduced during IR, when distressing material was recalled and reprocessed, and increased again when the task was repeated. It is not yet clear whether trauma-focused interventions such as IR need to be routinely adapted for people with psychosis. In the event that individuals express concerns about IR, if the person’s formulation indicates that high levels of arousal may trigger an exacerbation of voices, paranoia or risk, or where clinicians are otherwise concerned about interventions likely to increase emotional arousal in the short term, the felt security task may facilitate safe and effective reprocessing of trauma memories. This in turn may increase access to trauma-focused CBT for people with psychosis. Key learning aims (1) To understand that people with psychosis need access to trauma-focused CBT. (2) To be familiar with a simple attachment-based imagery task designed to foster ‘felt security’. (3) To learn that this task may facilitate imagery rescripting in people with psychosis.

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Client-led culturally responsive CBT – integrating familism in the treatment of chronic depression: a case study

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x20000471 ◽

2020 ◽

Vol 13 ◽

Author(s):

Lilian Skilbeck ◽

Christopher Spanton ◽

Ian Roylance

Keyword(s):

Cultural Adaptation ◽

Treatment Plan ◽

Behavioural Therapy ◽

Cultural Responsiveness ◽

Chronic Depression ◽

List Type ◽

Her Family ◽

Psychological Therapies ◽

Cognitive Behavioural

Abstract Britain has increasingly become a multi-cultural society. In order to improve access to primary care psychological therapy including cognitive behavioural therapy (CBT), there has been an increase in focus on cultural adaptation and cultural responsiveness. To date, these adaptations have focused on domains such as language, beliefs and values. In this case, familism was the focus for adaptation. The client was a 22-year-old female from a black African-British background. She presented with severe symptoms of chronic depression as measured on routine standard questionnaires and the interview. She had minimal success from previous interventions and was struggling to make progress. Therapy was guided by the client’s views on what issues had a bearing on her difficulties. The client hypothesised that familism factors with themes around ‘my parents’ culture’ and ‘family comes first’ were interacting with her cognitive behavioural factors to maintain her problem. She requested the involvement of her family in her treatment plan. In line with the Improving Access to Psychological Therapies–Black, Asian and Minority Ethnic service user Positive Practice Guide, this was integrated as part of her formulation. Upon involvement of her father in a single session, the client attained reliable improvement. She attributed her improvement to this involvement. By the end of therapy, she reached recovery, which was maintained at 3-month follow-up. This study was responsive to the client’s own perceived cultural needs through the integration of familism into her CBT formulation. It illustrates a client-led cultural adaptation of CBT to treat chronic depression. Key learning aims It is hoped that the reader will increase their understanding of the following from reading this case study: (1) Creating an environment where clients can freely discuss their perceived cultural factors from the outset. (2) Client-led cultural responsiveness to their expressed cultural needs. (3) Familism as a domain for adapting CBT.

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Collecting subjective and rating scale data within a single case study design: cognitive behavioural therapy for a person experiencing psychosis

Journal of Psychiatric and Mental Health Nursing ◽

10.1111/j.1365-2850.2009.01484.x ◽

2009 ◽

Vol 16 (9) ◽

pp. 848-856

Author(s):

J. CARDEN ◽

A. JONES

Keyword(s):

Cognitive Behavioural Therapy ◽

Rating Scale ◽

Single Case ◽

Behavioural Therapy ◽

Single Case Study ◽

Case Study Design ◽

Cognitive Behavioural ◽

Rating Scale Data ◽

Scale Data

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Cognitive behavioural therapy in the treatment of social skills deficits and social phobia in a man with an autism spectrum disorder: a single-case study

The Cognitive Behaviour Therapist ◽

10.1017/s1754470x15000768 ◽

2016 ◽

Vol 9 ◽

Cited By ~ 2

Author(s):

Mark A. Turner ◽

Neil Hammond

Keyword(s):

Social Skills ◽

Social Anxiety ◽

Social Phobia ◽

Single Case ◽

Behavioural Therapy ◽

Autism Spectrum ◽

Single Case Study ◽

Cognitive Behavioural

AbstractAutism spectrum disorders (ASD) including high-functioning types such as Asperger's syndrome (AS) are diagnosed when there is evidence of a triad of qualitative impairments in social interaction, communication, and stereotyped/repetitive behaviours. It is not uncommon for these impairments to be accompanied by social anxiety. The present single-case study investigates the use of cognitive behavioural therapy (CBT) to treat a 47-year-old man who was assessed as having difficulties with social skills and social phobia in the context of a late diagnosis of AS. He received 20 h of CBT adapted for his AS in 15 sessions including a 1-month follow-up. Following a highly individualized formulation, treatment included modelling, role-playing, reinforcement, thought challenging, and behavioural experimentation. Results from five self-report measures showed continued improvements from the start of therapy to follow-up in social anxiety, global distress, depression and self-esteem. The client gave positive feedback about his experience of treatment. The case study is discussed with reference to limitations and some reflections for CBT in ASD.

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The Combination of Cognitive-Behavioural Therapy with Virtual Reality for the Treatment of Postnatal Depression in a Brief Intervention Context: A Single-Case Study Trial

Journal of Healthcare Engineering ◽

10.1155/2021/5514770 ◽

2021 ◽

Vol 2021 ◽

pp. 1-20

Author(s):

George Stamou ◽

Azucena Garcia-Palacios ◽

Brendon J. Woodford ◽

Carlos Suso-Ribera ◽

Cristina Botella

Keyword(s):

Virtual Reality ◽

Cognitive Behavioural Therapy ◽

Postnatal Depression ◽

Single Case ◽

Behavioural Therapy ◽

Study Trial ◽

Single Case Study ◽

Cognitive Behavioural ◽

The Individual

Postnatal depression (PND) is a mood disorder with potentially devastating effects to the individual on many levels. It can affect cognitive functioning, motivation, and self-esteem. The person can socially withdraw from their immediate familial or social circle. It can affect bonding and quality time between the mother and baby. There are many effective therapeutic treatments used for the treatment of PND such as cognitive-behavioural therapy (CBT) and interpersonal psychotherapy (IPT). This study using a single-case study trial with 15 participants investigates the clinical usefulness of combining CBT with virtual reality (VR). Results show that the combination of CBT with VR is an effective treatment for PND. In addition, VR can enhance awareness, decision-making, and self-appreciation within the individual and can also have real-life applications. This study also shows that the combination of VR and CBT is feasible, while the use of such a technology is well accepted.

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8. Therapeutic and Educational Potential of Combining Cognitive Behavioural Therapy and Art – Qualitative Analysis of a Case Study

Review of Artistic Education ◽

10.1515/rae-2016-0032 ◽

2016 ◽

Vol 12 (2) ◽

pp. 268-276 ◽

Cited By ~ 1

Author(s):

Michal Růžička ◽

Kristýna Krahulcová ◽

Jan Chrastina

Keyword(s):

Qualitative Analysis ◽

Case Studies ◽

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Cognitive Behavioural ◽

Wide Range ◽

Subsequent Application ◽

Research Questions ◽

Educational Potential

Abstract Cognitive behavioural psychotherapy is, just like other psychotherapeutic systems, of an eclectic nature. Should a therapist be successful across a wide range of issues, he/she needs to be adaptable, flexible and eclectic in terms of the techniques applied. Eclectically oriented therapists use a wide range of interventions; however, they adhere to individual theoretical structures. The aim of the paper is to point out the application of a combination of artistic activities within the system of the Cognitive behavioural therapy. For this purpose the paper presents a qualitative analysis of two case studies. We formulated the following research questions. Can the methods of combining the cognitive behavioural therapy and art accelerate the course of therapy? Can the methods of combining the cognitive behavioural therapy and art be perceived by the client as effective? The phenomenon investigated in the case study is a functional analysis of a client’s case and subsequent application of therapeutic and educational techniques of the Cognitive behavioural therapy and art. In both case studies it was demonstrated that the involvement of therapeutic elements accelerated the course of therapy. The clients in the research sample assessed the therapy as beneficial.

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Expanding the cognitive behavioural therapy traditions: An application of Functional Analytic Psychotherapy treatment in a case study of depression.

International Journal of Behavioral Consultation and Therapy ◽

10.1037/h0100942 ◽

2012 ◽

Vol 7 (2-3) ◽

pp. 90-95 ◽

Cited By ~ 7

Author(s):

Catherine McClafferty

Keyword(s):

Cognitive Behavioural Therapy ◽

Behavioural Therapy ◽

Functional Analytic Psychotherapy ◽

Cognitive Behavioural

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Tailoring cognitive behavioural therapy to subtypes of voice-hearing using a novel tabletised manual: a feasibility study

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465820000661 ◽

2020 ◽

pp. 1-15

Author(s):

Guy Dodgson ◽

Ben Alderson-Day ◽

David Smailes ◽

Faye Ryles ◽

Claire Mayer ◽

...

Keyword(s):

Cognitive Behavioural Therapy ◽

Controlled Trial ◽

Behavioural Therapy ◽

Routine Care ◽

Treatment Manual ◽

Psychotic Experiences ◽

Auditory Verbal Hallucinations ◽

Recommended Treatment ◽

Cognitive Behavioural ◽

Early Intervention In Psychosis

Abstract Background: Cognitive behavioural therapy for psychosis (CBTp) is a recommended treatment for psychotic experiences, but its effectiveness has been questioned. One way of addressing this may be to tailor therapy materials to the phenomenology of specific psychotic experiences. Aim: In this study, we investigated the acceptability of a novel treatment manual for subtypes of ‘voice-hearing’ experiences (i.e. auditory verbal hallucinations). An uncontrolled, single-arm design was used to assess feasibility and acceptability of using the manual in routine care for people with frequent voice-hearing experiences. Method: The manual was delivered on a smart tablet and incorporated recent research evidence and theory into its psychoeducation materials. In total, 24 participants completed a baseline assessment; 19 started treatment, 15 completed treatment and 12 participants completed a follow-up assessment (after 10 sessions of using the manual). Results: Satisfaction with therapy scores and acceptability ratings were high, while completion rates suggested that the manual may be more appropriate for help with participants from Early Intervention in Psychosis services rather than Community Mental Health Teams. Conclusion: Within-group changes in symptom scores suggested that overall symptom severity of hallucinations – but not other psychosis features, or beliefs about voices – are likely to be the most appropriate primary outcome for further evaluation in a full randomised controlled trial.

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