Cognitive Therapy of Schizophrenia
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Drawing on the authors' decades of influential work in the field, this highly practical volume presents an evidence-based cognitive therapy approach for clients with schizophrenia. Guidelines are provided for collaborative assessment and case formulation that enable the clinician to build a strong therapeutic relationship, establish reasonable goals, and tailor treatment to each client's needs. Described in thorough, step-by-step detail are effective techniques for working with delusional beliefs, voices, visions, thought disorders, and negative symptoms; integrating cognitive therapy with other forms of treatment; reducing relapse risks; and enhancing client motivation. Special features include reproducible client handouts and assessment tools.
Table of Contents
1. What Is Schizophrenia?
2. Evidence for Effective Treatments in Schizophrenia
3. Early Intervention
4. The Therapeutic Relationship
6. Individualized Case Formulation and Treatment Planning
7. Orienting the Client to Treatment
8. Psychoeducation and Normalization
9. Case Formulation and Intervening with Delusions
10. Case Formulation and Intervening with Hallucinations
11. Thought Interference, Passivity Phenomena, and Formal Thought Disorder
12. Negative Symptoms
13. Comorbid Conditions
14. Relapse Prevention and Finishing Therapy
15. Difficulties in Therapy
Appendix 1. Health of the Nation Rating Scales
Appendix 2. Psychotic Symptom Rating Scales
Appendix 3. Theory of Psychosis Rating Scale
Appendix 4. Informational Handouts
Appendix 5. Formulation Sheet and Diaries
David G. Kingdon, MD, is a psychiatrist in the UK National Health Service and a Professor at the University of Southampton. He has published widely on cognitive therapy of severe mental illness, among other topics. He has also served as an advisor with the UK Department of Health and as chair of the Council of Europe's Expert Working Group on Psychiatry and Human Rights.
Douglas Turkington, MD, is a liaison psychiatrist at the Royal Victoria Infirmary in Newcastle-upon-Tyne, UK. He is also Professor of Psychosocial Psychiatry in the School of Neurology, Neuroscience and Psychiatry at Newcastle University. A founding fellow of the Academy of Cognitive and Behavioral Therapies, he presents widely on the topic of cognitive-behavioral therapy of schizophrenia, and is actively involved in treatment development and research.
-For more than a decade, the work of Kingdon and Turkington has influenced my approach to treating schizophrenia--much to the benefit of my patients. Now, with this groundbreaking book, Kingdon and Turkington have outdone themselves. This timely, readable guide fills a real need for frontline clinicians. It provides tools for helping patients and their loved ones learn about their illness and manage it effectively, without having to feel hopeless or dehumanized as part of the process. Sure to be widely read and influential, this book should become a standard text for teaching clinicians how to engage and work with this challenging population.--Peter Weiden, MD, Department of Psychiatry, SUNY Downstate Medical Center, Brooklyn, NY
An outstanding contribution. This book provides a cogent framework for understanding the experience of schizophrenia, engaging and working collaboratively with clients, and developing and implementing effective treatment plans. The book is replete with lively case vignettes, practical tips for clinicians, helpful handouts for clients, and useful scales for measuring outcomes. Kingdon and Turkington are to be congratulated for filling an important need for accessible guidelines for the cognitive-behavioral treatment of schizophrenia. I encourage all clinicians working with people with schizophrenia to buy this book, which will also serve as a graduate text for students learning about rehabilitation of severe mental illness.--Kim T. Mueser, PhD, Department of Psychiatry, Dartmouth Medical School
A revolutionary approach to treatment of schizophrenia is beautifully detailed in this book by Kingdon and Turkington, the world's leading experts in using cognitive therapy for psychosis. Building on their pioneering research, the authors have written a practical and enormously useful guide to implementing the effective methods of cognitive therapy. Rich with clinical wisdom, the book includes step-by-step instructions that will be helpful to experienced clinicians and students alike. Read this book. I predict it will transform your approach to treating patients with schizophrenia.--Jesse H. Wright, MD, PhD, Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine
Kingdon and Turkington show students and mental health practitioners how exciting and hopeful cognitive therapy can be when working with people with schizophrenia. The book provides detailed information about the complex and debilitating symptomatology experienced by persons with schizophrenia, helping readers to increase their understanding and empathy. Unlike any other source, the book teaches how cognitive therapy can be used to work with the beliefs that clients have about distressing symptoms. The authors clearly demonstrate how a collaborative formulation allows individuals to test out the validity of their beliefs and better cope with or recover from schizophrenia. Graduate programs in the core mental health professions should make this book required reading.--Deborah Allness, MSSW, University of Wisconsin-Madison School of Social WorkThere are many wonderful aspects to this book that make it a compelling and absorbing read for any clinician who treats schizophrenia patients....The chapters are rich in the phenomenology of schizophrenia and ring true to the realities of clinical work with this population....Should be required reading for all clinicians who provide psychotherapy to individuals with schizophrenia.--Journal of Nervous and Mental Disease, 2/13/2008ƒƒA cogent, approachable, and flexible model for psychotherapeutic engagement of persons suffering from serious psychotic illness....I urge you to please buy and read this book....You will find yourself able to approach a person with schizophrenia with confidence, and it will change how you think about your work.--Psychiatric Services, 2/13/2008ƒƒProviding useful tools such as handouts to use in therapy as well as concisely described psychological theory, Cognitive Therapy of Schizophrenia is both practical and scientifically rigorous. Highlighting empirical support for their approach, the authors present clinically applicable concepts and provide readers with optimism about connecting with patients suffering from schizophrenia.--Journal of Clinical Psychiatry, 2/13/2008