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Schizophrenia Spectrum and Other Psychotic Disorders: Second Wave Case Conceptualization

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Behavior Therapy

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Abstract

Cognitive-Behavioral Therapy for Psychosis (CBTp) is considered an evidence-based practice for the treatment of schizophrenia and psychosis. Second wave CBTp approaches are still widely used with great benefit to clients. In addition, CBTp has arguably the most research support of any psychological intervention for psychosis. CBTp procedures have come a long way to become more standardized, which no doubt has improved research and clinical utility. Compared to first and third wave approaches, CBTp provides practical skills to not only manage their symptoms, but also presents them with an understanding of how delusions and hallucinations are formed and maintained. More specifically, first wave approaches such as token economies and social skills training, often target a specific behavior and may not lead to overall symptom changes. Third wave approaches have focus less on psychotic symptoms and more on acceptance, normalizing symptoms and experiences, and coping with a lifelong illness. Future research needs to examine low intensity versions of CBTp and involve persons with first episode schizophrenia or those at high risk for developing the disorder. The ultimate goal of CBTp is move individuals with psychosis towards recovery in which they use the skills learned in CBTp to have productive and fulfilling lives.

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Authors and Affiliations

  1. Department of Psychology, The University of Texas at Tyler, Tyler, TX, USA

    Dennis R. Combs & David W. Rose III

  2. Division of Neurocognitive Disorders, Department of Psychiatry and Psychology, The Mayo Clinic, Rochester, MN, USA

    Michael R. Basso

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  1. Dennis R. Combs
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  2. David W. Rose III
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Correspondence to Dennis R. Combs .

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Editors and Affiliations

  1. Department of Psychology, University of Nevada Reno, Reno, NV, USA

    William O'Donohue

  2. Department of Psychology, University of Hawaii at Manoa, Honolulu, HI, USA

    Akihiko Masuda

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Combs, D.R., Rose, D.W., Basso, M.R. (2022). Schizophrenia Spectrum and Other Psychotic Disorders: Second Wave Case Conceptualization. In: O'Donohue, W., Masuda, A. (eds) Behavior Therapy. Springer, Cham. https://doi.org/10.1007/978-3-031-11677-3_21

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