Cognitive-Behavioral Therapy for Schizophrenia: Applications to Social Work Practice

Abstract

Schizophrenia is a psychotic disorder that has been considered to be the epitome of a severe mental illness. The negative psychosocial consequences of schizophrenia are well documented. Despite the advent of antipsychotic medication, residual symptoms persist for many persons diagnosed with schizophrenia. Cognitive-behavioral therapy (CBT) has emerged as an adjunctive treatment to pharmacotherapy. Cognitive-behavioral theories of positive and negative symptoms are described, as are interventions. Meta-analyses have supported the use of CBT for schizophrenia. This article describes and synthesizes the literature to articulate precise applications to social work practice and the congruence between CBT for schizophrenia and the social work profession. Limitations of CBT are also discussed.

Suicide Risk, Stress Sensitivity, and Self-Esteem among Young Adults Reporting Auditory Hallucinations

“…Interventions that efficaciously address stress sensitivity and poor social relationships in psychotic disorders may inform the development of evidence-based intervention for individuals reporting subthreshold psychotic symptoms. These include social skills training ( Kurtz & Mueser, 2008), which has previously been included in psychosisrisk treatment protocols ( Bechdolf et al, 2012), and cognitive-behavioral therapy ( Gregory, 2010), which has been supported as a viable intervention for subthreshold psychosis in several randomized clinical trials ( Morrison et al, 2004( Morrison et al, , 2007 and even as a stand-alone treatment for unmedicated schizophrenia ( Morrison et al, 2014). Modified forms of cognitivebehavioral therapy may be particularly appropriate for the co-occurrence of psychosis and suicidality ( Stanley et al, 2009).…”

Relation between Metacognitive Abilities and Motivation among Patients with Schizophrenia

“…Individuals who are able to set goals, plan strategies, and monitor their progress may be more motivated to achieve those goals than those who lack these skills (39) . In the same line, Brüne et al (2011) (40) , Kukla et al (2013) (41) , Luther et al (2016) (37) and Lysaker et al (2010) (10) stated that impaired metacognitive abilities have been associated with negative social outcomes, low levels of intrinsic motivation and impaired subjective recovery. Similarly, study has suggested that, deficit in metacognitive function may also directly influence the path of illness by limiting persons' abilities to identify and respond to the challenges posed by psychiatric disorders.…”

“…30. No.3 August, 2023 being very untrue of me and 6= being very true of me except items 6,10,11,16,17,21,22,36,38,41 are reversed score. The total score of overall items will be summed and ranging from 48 to 288 with higher scores indicating higher level of motivation as follow: ≤ 96 indicating low motivation, 97 -192 indicating moderate motivation and >192 indicating high motivation Tool III: Metacognition Questionnaire-MCQ-30 (short form) MCQ was developed by Wells and Cartwright-Hatton (2004) (19) .…”

The Use of Cognitive Behavioral Therapy to Improve the Self-Esteem of Person with Schizophrenia: A Case Report

“…The method of intervention to be performed is cognitive-behavioral therapy. Cognitive Behavioral Therapy (CBT) is a therapy that emphasizes the process of recognizing the & of changing negative thoughts as well as the maladaptive belief system of the client gradually (Gregory, 2010). According to Beck, through these activities individuals can learn to identify and modify their distorted beliefs: their basic understanding of themselves, their worlds, and others.…”