A model-Building approach in cognitive therapy with a woman with chronic 'schizophrenic' hallucinations: Why did it work?

Author(s): Turkington, D.

Journal/Book: Clin Psychol Psychother. 1996; 3: Baffins Lane, Chichester, W Sussex, England PO19 1UD. John Wiley & Sons Ltd. 46-61.

Abstract: A single case study is used to explore the therapeutic factors contributing to symptom reduction in a 48-year-old woman with a 29-year diagnosis of 'chronic schizophrenia'. Eight sessions of cognitive therapy were given and progress followed up over two years. The therapy was based on a model accounting for the function, thematic content and psychological maintaining mechanisms of the hallucinatory experience, which was collaboratively constructed and combined with standard cognitive-behavioural techniques. This increased the client's understanding of and control over her functional auditory hallucinations and her secondary delusional interpretation of these as 'telepathic' communication from God. The CPRS, self-report and observed behaviour showed marked symptom reduction, reduced distress and increased self-esteem and self confidence. The therapy is described in detail, as a basis for discussion of the specific and nonspecific factors contributing to this outcome.

Note: Article CH John, Univ Durham, Sci Labs, Dept Psychol, South Rd, Durham DH1 3LE, England

Keyword(s): FAMILIES

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