Haddock G, Tarrier N, Spaulding W, Yusupoff L, Kinney C, McCarthy E
Department of Clinical Psychology, Tameside General Hospital, Ashton-Under-Lyne, United Kingdom.
Clin Psychol Rev. 1998 Nov;18(7):821-38. doi: 10.1016/s0272-7358(98)00007-5.
The limitations of biochemical treatments in reducing the severity of hallucinations and delusions has led to an increased interest in the investigation of psychological treatments for these symptoms. These investigations have spanned the last 4 decades and have covered a range of psychological approaches from psychoanalytically oriented psychotherapy to behavioral approaches. More recently, findings that some psychotherapies are not effective treatments for psychosis and that cognitive-behavior therapy can be an effective treatment for neurotic disorders have led to increasing interest in the investigation of the effectiveness of cognitive-behavior therapy for psychosis. This review describes and evaluates the research on the cognitive-behavioral treatment of hallucinations and delusions and describes the cognitive models from which the treatments have developed. The conclusion is that, on the whole, the literature provides fairly strong evidence for the efficacy of cognitive-behavioral approaches in the management of chronic psychotic disorders and associated symptoms, although there are a number of areas where further development is necessary.
生物化学治疗在减轻幻觉和妄想严重程度方面的局限性，引发了人们对针对这些症状的心理治疗研究的更多关注。这些研究跨越了过去40年，涵盖了从精神分析取向的心理治疗到行为治疗等一系列心理治疗方法。最近，一些心理治疗对精神病无效而认知行为疗法对神经症性障碍可能有效的研究结果，使得人们对认知行为疗法治疗精神病的有效性研究兴趣日益增加。这篇综述描述并评估了关于幻觉和妄想的认知行为治疗的研究，并介绍了这些治疗方法所基于的认知模型。结论是，总体而言，文献为认知行为疗法在慢性精神障碍及相关症状管理中的疗效提供了相当有力的证据，尽管在一些领域仍有必要进一步发展。
