Freedman Sara, Hasson-Ohayon Ilanit, Roe David
Department of Psychiatry, Hadassah University Hospital, Jerusalem, Israel.
Isr J Psychiatry Relat Sci. 2009;46(4):298-303.
Psychotic symptoms appear frequently in schizophrenia and other related disorders, and until relatively recently were not generally considered to be amenable to psychological interventions. Recent studies have changed these conceptualizations. Theoretical models, based on a stress vulnerability perspective, show how misinterpretations of anomalous experiences are factors in both the development and maintenance of psychosis. This review describes CBT treatment for persons with psychosis which focuses on education about symptoms and the cognitive model as well as a collaborative exploration of thoughts and schemas surrounding delusions and hallucinations. Treatment outcome studies show that CBT is an effective and acceptable treatment for psychosis.
精神病性症状在精神分裂症和其他相关障碍中频繁出现，直到最近，人们普遍认为这些症状不适用于心理干预。最近的研究改变了这些观念。基于压力易感性观点的理论模型表明，对异常体验的错误解读是精神病发展和维持的因素。这篇综述描述了针对精神病患者的认知行为疗法（CBT），该疗法侧重于症状教育和认知模型，以及对围绕妄想和幻觉的思维和图式进行协作探索。治疗结果研究表明，CBT是一种有效且可接受的精神病治疗方法。
