Collaborative Empiricism in Cognitive Therapy for Psychosis: A Practice Guide

Paranoia in the Therapeutic Relationship in Cognitive Behavioural Therapy for Psychosis

“…Although paranoia is likely to impact on an individual's ability to engage in cognitive behavioural therapy for psychosis (CBTp), particularly if they become paranoid about their therapist (e.g. Chadwick, Birchwood and Trower, 1996; Chadwick; 2006; Hutton and Morrison, 2012), there is also evidence that the successful resolution of difficulties in the therapeutic relationship may actually improve therapy outcome (e.g. Safran, Muran and Eubanks-Carter, 2011).…”

“…However, important gaps remain in our understanding of the experience and impact of clients’ paranoia about their therapist and how it can be helpfully addressed (e.g. Dilks, Tasker and Wren, 2012; Hutton and Morrison, 2012; Wittorf et al, 2010).…”