Understanding the Outcome Findings of Cognitive-Behavioral Therapy for Psychosis: A Cognitive Model and Its Clinical Implications

摘要

There is now strong evidence that cognitive-behavioral therapy provides an effective new treatment for people with schizophrenia spectrum disorders (which will be referred to throughout this chapter as psychosis). In this chapter, we first briefly review evidence for the effectiveness of cognitive-behavioral therapy (see also Tarrier et al. this volume). Next we describe our findings concerning the association between the outcome of cognitive-behavioral therapy and the presence of cognitive deficits and predictors of outcome. Finally we describe a new integrative cognitive model of the development and maintenance of psychotic episodes and discuss its implications for clinical understanding and the development of hypotheses concerning the mode of action of cognitive-behavioral therapy for psychosis.