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https://www.readbyqxmd.com/read/30459662/the-clinic-of-identifications-in-the-different-processes-of-metamorphosis-into-woman
#1
Laure Westphal, Thierry Lamote
This article examines, from a psychoanalytical perspective, the function of identification in the relationship between the subject of the unconscious and his body, his body image, and the other. To this effect, the article leans on the clinic of the metamorphosis into a woman in psychosis, both in the way that it is presented by patients in the context of treatment, and in the form of testimonies extracted from literature. It demonstrates how specular identification allows the subject to unify himself, so long as there is an avoidance of possible deformations of the psychical body, including for example the delusion of transforming into a woman...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30458850/the-u-i-study-study-protocol-for-a-feasibility-randomised-controlled-trial-of-a-pre-cognitive-behavioural-therapy-digital-informed-choice-intervention-to-improve-attitudes-towards-uptake-and-implementation-of-cbt-for-psychosis
#2
Kathryn Greenwood, Katie Alford, Ian O'Leary, Emmanuelle Peters, Amy Hardy, Kate Cavanagh, Andy P Field, Richard de Visser, David Fowler, Matthew Davies, Alexandra Papamichail, Philippa Garety
BACKGROUND: At least 40% of people with psychosis have persistent distressing symptoms despite optimal medication treatment. Cognitive behaviour therapy for psychosis (CBTp) is the only NICE-recommended individual therapy for psychosis, with effects on symptoms, distress and quality of life. Yet <10% of service-users receive it and 94% of trusts struggle to provide it. Of those offered it, 22-43% refuse or do not attend. We have developed a new pre-CBTp informed choice intervention to address knowledge and attitudes that influence uptake and implementation and now want to test it in a feasibility trial...
November 20, 2018: Trials
https://www.readbyqxmd.com/read/30455657/the-necessity-of-ambiguity-in-self-other-processing-a-psychosocial-perspective-with-implications-for-mental-health
#3
Christophe Emmanuel de Bézenac, Rachel Ann Swindells, Rhiannon Corcoran
While distinguishing between the actions and physical boundaries of self and other (non-self) is usually straightforward there are contexts in which such differentiation is challenging. For example, self-other ambiguity may occur when actions of others are similar or complementary to those of the self. Even in the absence of such situational challenges, individuals experiencing hallucinations have difficulties with this distinction, often experiencing thoughts or actions of self as belonging to other agents...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30443277/cognitive-behavioural-therapy-for-psychosis-a-health-technology-assessment
#4
(no author information available yet)
Background: Cognitive behavioural therapy (CBT) for psychosis is a distinct type of psychotherapy that has been recommended together with antipsychotic drugs and comprehensive usual care in the management of schizophrenia, a complex mental health disorder associated with a high economic and societal burden. The objectives of this report were to assess the effectiveness, harms, cost-effectiveness, and lived experience of CBT for psychosis in improving outcomes for adults with a primary diagnosis of schizophrenia...
2018: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/30427822/emerging-psychotherapies-for-psychosis
#5
Daniel Knauss, Jeremy Ridenour, Jay A Hamm
Recent developments in the research and clinical literatures have highlighted the importance of focusing on higher-order cognitive processes in the treatment of psychotic disorders. A particular emphasis has been placed on how impairments in self-monitoring and the ability to form mental representations of others uniquely manifest in psychosis. At the same time, the recovery movement has influenced clinical innovations by emphasizing the importance of subjective domains of recovery that privilege the individual's phenomenological experience...
September 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/30419038/economic-evaluation-of-brief-cognitive-behavioural-therapy-for-social-activation-in-recent-onset-psychosis
#6
Ben F M Wijnen, Karin Pos, Eva Velthorst, Frederike Schirmbeck, Hoi Yau Chan, Lieuwe de Haan, Mark van der Gaag, Silvia M A A Evers, Filip Smit
BACKGROUND: In schizophrenia spectrum disorders, negative symptoms (e.g. social withdrawal) may persist after initial treatment with antipsychotics, much affecting the quality of life (QOL) of patients. This health-economic study evaluated if a dedicated form of cognitive behaviour therapy for social activation (CBTsa) would reduce negative symptoms and improve QOL in an economically sustainable way. METHODS: A health-economic evaluation was conducted alongside a single-blind randomised controlled trial in two parallel groups: guideline congruent treatment as usual (TAU; n = 50) versus TAU augmented with adjunct CBTsa (n = 49)...
2018: PloS One
https://www.readbyqxmd.com/read/30400765/recovery-in-first-episode-psychosis-a-case-study-of-metacognitive-reflection-and-insight-therapy-merit
#7
Bethany L Leonhardt, Kristen Ratliff, Jenifer L Vohs
Despite historically pessimistic views from both the professional community and lay public, research is emerging that recovery from psychosis is possible. Recovery has evolved to include not only a reduction in symptoms and return to functioning, but a sense of agency and connection to meaningful roles in life. The development of a more comprehensive conceptualization of recovery has particular importance in the treatment of first-episode psychosis, because early intervention may avoid some of the prolonged dysfunction that may make recovery difficult...
November 7, 2018: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/30376124/individualized-metacognitive-training-mct-reduces-delusional-symptoms-in-psychosis-a-randomized-clinical-trial
#8
Ryan P Balzan, Julie K Mattiske, Paul Delfabbro, Dennis Liu, Cherrie Galletly
Individualized metacognitive training (MCT+) is a novel psychotherapy that has been designed to specifically target delusional beliefs in people with psychosis. It works by developing an awareness of the implausible content of delusional beliefs, while also targeting the cognitive biases that contribute to their formation and maintenance. It was expected that MCT+ would lead to significantly greater reductions in delusional severity compared to a cognitive remediation (CR) active control condition. A total of 54 patients with a schizophrenia spectrum disorder and active delusions were randomized into four 2-hourly sessions of MCT+ (n = 27) or CR (n = 27)...
October 30, 2018: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/30364516/identifying-and-treating-the-prodromal-phases-of-bipolar-disorder-and-schizophrenia
#9
Susan Conroy, Michael Francis, Leslie A Hulvershorn
Purpose of review: The goal of this paper is to review recent research on the identification and treatment of prodromal periods that precede bipolar and psychotic disorders. We also sought to provide information about current best clinical practices for prodromal youth. Recent findings: Research in the areas of identifying prodromal periods has rapidly advanced. Calculators that can predict risk are now available for use during both bipolar and psychotic disorder prodromes...
March 2018: Current Treatment Options in Psychiatry
https://www.readbyqxmd.com/read/30359995/-psychosis-cognitive-behavioral-treatment-strategies
#10
Klaus Hesse, Stefan Klingberg
Cognitive behavioral therapy (CBT) is an established treatment for the patients with psychosis including schizophrenia. The evidence for the efficacy of CBT is proved by randomized clinical trials and meta-analyses. Evidence-based treatment guidelines recommend CBT for routine treatment. The aim of this paper is to give a short practical guideline for different cognitive behavioral treatment strategies. Cognitive Behavior Therapy for psychosis (CBTp) is an adaptation of general principles of CBT modified for patients with psychotic disorders...
November 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/30233476/psychotherapy-in-psychosis-experiences-of-fully-recovered-service-users
#11
Jone Bjornestad, Marius Veseth, Larry Davidson, Inge Joa, Jan Olav Johannessen, Tor Ketil Larsen, Ingrid Melle, Wenche Ten Velden Hegelstad
Background: Despite the evidence of the importance of including service users' views on psychotherapy after psychosis, there is a paucity of research investigating impact on full recovery. Objectives: To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis. Materials and Methods: The study was designed as a phenomenological investigation with thematic analysis as the practical tool for analysis. Twenty fully recovered service users were interviewed...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30170114/treatment-resistant-schizophrenia-clinical-biological-and-therapeutic-perspectives
#12
REVIEW
Frederick C Nucifora, Edgar Woznica, Brian J Lee, Nicola Cascella, Akira Sawa
Treatment resistant schizophrenia (TRS) refers to the significant proportion of schizophrenia patients who continue to have symptoms and poor outcomes despite treatment. While many definitions of TRS include failure of two different antipsychotics as a minimum criterion, the wide variability in inclusion criteria has challenged the consistency and reproducibility of results from studies of TRS. We begin by reviewing the clinical, neuroimaging, and neurobiological characteristics of TRS. We further review the current treatment strategies available, addressing clozapine, the first-line pharmacological agent for TRS, as well as pharmacological and non-pharmacological augmentation of clozapine including medication combinations, electroconvulsive therapy, repetitive transcranial magnetic stimulation, deep brain stimulation, and psychotherapies...
August 29, 2018: Neurobiology of Disease
https://www.readbyqxmd.com/read/30101974/childhood-maltreatment-and-psychotic-experiences-exploring-the-specificity-of-early-maladaptive-schemas
#13
David Boyda, Danielle McFeeters, Katie Dhingra, Laura Rhoden
OBJECTIVE: One potential mechanism that has received limited attention in psychosis research is early maladaptive schemas (EMS). Our aim was to examine whether EMS acts as a potential mediating pathway between early trauma and psychotic symptomology. METHODS: A quantitative survey was conducted online. N = 302 participants took part. The analysis used a multiple mediation framework. RESULTS: Analysis demonstrated significant specificity effects...
August 13, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/30092241/posttraumatic-stress-disorder-with-secondary-psychotic-features-ptsd-sp-diagnostic-and-treatment-challenges
#14
REVIEW
Ebele Compean, Mark Hamner
Trauma exposure leads to various psychiatric disorders including depression, anxiety, bipolar disorders, personality disorders, psychotic disorders, and trauma related disorders, especially posttraumatic stress disorder (PTSD). There are some overlapping symptoms of both PTSD and psychosis that make diagnosis challenging. Despite this overlap, the evidence of PTSD with comorbid psychosis as a distinct entity lies in the research showing biologic, genetic and treatment management differences between psychotic PTSD, non-psychotic PTSD, psychotic disorders and healthy controls...
January 10, 2019: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/30016999/cognitive-behavioural-therapy-for-schizophrenia-outcomes-for-functioning-distress-and-quality-of-life-a-meta-analysis
#15
Keith R Laws, Nicole Darlington, Tejinder K Kondel, Peter J McKenna, Sameer Jauhar
BACKGROUND: The effect of cognitive behavioural therapy for psychosis (CBTp) on the core symptoms of schizophrenia has proven contentious, with current meta-analyses finding at most only small effects. However, it has been suggested that the effects of CBTp in areas other than psychotic symptoms are at least as important and potentially benefit from the intervention. METHOD: We meta-analysed RCTs investigating the effectiveness of CBTp for functioning, distress and quality of life in individuals diagnosed with schizophrenia and related disorders...
July 17, 2018: BMC Psychology
https://www.readbyqxmd.com/read/29960939/individuals-with-borderline-personality-disorder-manifest-cognitive-biases-implicated-in-psychosis
#16
Priya Puri, Devvarta Kumar, Kesavan Muralidharan, M Thomas Kishore
Individuals with Borderline Personality Disorder (BPD) frequently manifest psychotic symptoms. Certain cognitive biases have been implicated in the genesis and maintenance of psychotic symptoms. The present study aimed at exploring whether individuals with BPD manifest these cognitive biases. Twenty-eight individuals with BPD and 28 healthy participants were assessed on four sub-domains of the Davos Assessment of Cognitive Biases Scale, viz. jumping to conclusions, belief inflexibility, attention for threat and external attribution...
September 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29946270/efficacy-and-acceptability-of-interventions-for-attenuated-positive-psychotic-symptoms-in-individuals-at-clinical-high-risk-of-psychosis-a-network-meta-analysis
#17
Cathy Davies, Joaquim Radua, Andrea Cipriani, Daniel Stahl, Umberto Provenzani, Philip McGuire, Paolo Fusar-Poli
Background: Attenuated positive psychotic symptoms represent the defining features of the clinical high-risk for psychosis (CHR-P) criteria. The effectiveness of each available treatment for reducing attenuated positive psychotic symptoms remains undetermined. This network meta-analysis (NMA) investigates the consistency and magnitude of the effects of treatments on attenuated positive psychotic symptoms in CHR-P individuals, weighting the findings for acceptability. Methods: Web of Science (MEDLINE), PsycInfo, CENTRAL and unpublished/gray literature were searched up to July 18, 2017...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29909760/-epidemiology-etiology-and-treatment-of-patients-with-psychosis-and-co-morbid-substance-use-disorder
#18
REVIEW
Franz Moggi
Epidemiology, etiology and treatment of patients with psychosis and co-morbid substance use disorder Abstract. More than 25 years ago, when the research on the efficacy of treatments for patients with a comorbidity of psychosis and substance use disorder has been systematically started, some authors described the treatment of these patients as a "mission impossible". Approximately half of all individuals with schizophrenia develop substance use disorders in the course of their life; about one third of them a comorbid alcohol use disorder and about one quarter a comorbid substance use disorder with other addictive substances...
June 2018: Therapeutische Umschau. Revue Thérapeutique
https://www.readbyqxmd.com/read/29892215/transcranial-direct-current-stimulation-symptomatology-and-cognition-in-psychosis-a-qualitative-review
#19
REVIEW
Tina Gupta, Nicholas J Kelley, Andrea Pelletier-Baldelli, Vijay A Mittal
Schizophrenia is a chronic, debilitating condition that affects approximately 1% of the population. Individuals diagnosed with schizophrenia typically exhibit positive (e.g., hallucinations) and negative symptoms (e.g., anhedonia) and impairments in cognitive function. Given the limitations of antipsychotic medication and psychotherapy in fully treating psychosis symptomatology, there has been increasing interest in other interventions such as transcranial direct current stimulation (tDCS). tDCS is a non-invasive neuromodulation technique, that is safe, cost-effective, and widely accessible...
2018: Frontiers in Behavioral Neuroscience
https://www.readbyqxmd.com/read/29867685/understanding-the-barriers-to-accessing-symptom-specific-cognitive-behavior-therapy-cbt-for-distressing-voices-reflecting-on-and-extending-the-lessons-learnt-from-the-cbt-for-psychosis-literature
#20
Cassie M Hazell, Kathryn Greenwood, Sarah Fielding-Smith, Aikaterini Rammou, Leanne Bogen-Johnston, Clio Berry, Anna-Marie Jones, Mark Hayward
The experience of hearing voices ('auditory hallucinations') can cause significant distress and disruption to quality of life for people with a psychosis diagnosis. Psychological therapy in the form of cognitive behavior therapy (CBT) for psychosis is recommended for the treatment of positive symptoms, including distressing voices, but is rarely available to patients in the United Kingdom. CBT for psychosis has recently evolved with the development of symptom-specific therapies that focus upon only one symptom of psychosis at a time...
2018: Frontiers in Psychology
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