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Behavioural Psychotherapy and Schizophrenia: The Past, the Present, and the Future

Published online by Cambridge University Press:  16 June 2009

Nicholas Tarrier
Nicholas Tarrier
Affiliation:
University of Sydney, Australia
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Extract

Behavioural therapists have been involved with the management of schizophrenia since the emergence of the discipline in the 1950s. It has been stated recently that behaviour therapists have lost interest in serious mental illness. However, in the last few years great advances have been made in behavioural approaches to the management of schizophrenia. Controlled trials of family management methods have indicated that: relapse rates can be reduced, the patient's social functioning increased and family burden decreased. These approaches also have economic benefits over traditional services. Furthermore, other methods, such as early signs monitoring followed by early intervention and self-management of drug resistant residual symptoms, have also shown promise. The development of these innovative behavioural approaches is especially important in an era of community based mental health services.

Type
Overviews of Significant Recent Developments
Information
Behavioural and Cognitive Psychotherapy , Volume 19 , Issue 1 , January 1991 , pp. 121 - 130
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1991

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References

Ayllon, T., and Azrin, N. H. (1965). The measurement and reinforcement of the behaviour of psychotics. Journal of Experimental Analysis of Behavior 8, 357–383.CrossRefGoogle ScholarPubMed
Barrowclough, C. and Tarrier, N. (1984). Psychosocial interactions with families and their effects on the course of schizophrenia: a review. Psychological Medicine 14, 629–642.CrossRefGoogle Scholar
Barrowclough, C. and Tarrier, N. (1990). Social functioning in schizophrenic patients. 1: The effect of expressed emotion and family intervention. Social Psychiatry and Psychiatric Epidemiology 25, 125–129.CrossRefGoogle Scholar
Bellack, A. S. (1986). Schizophrenia: behaviour therapy's forgotten child. Behaviour Therapy 17, 199–214.Google Scholar
Bellack, A. S. and Hersen, M. (1988). Behavioral Assessment, 3rd Edition. New York, Pergamon.Google Scholar
Birchwood, M., Smith, J., MacMillan, F., Hogg, B., Prasad, R., Harvey, C. and Bering, S. (1989). Predicting relapse in schizophrenia: the development and implementation of an early signs monitoring system using patients and families as observers, a preliminary investigation. Psychological Medicine 19, 649–656.CrossRefGoogle ScholarPubMed
Brett-Jones, J., Garety, P. and Hemsley, D. (1987). Measuring delusional experience: a method and its application. British Journal of Clinical Psychology 26, 257–265.CrossRefGoogle ScholarPubMed
Brown, G. W. (1985). The discovery of expressed emotion: induction or deduction? In Leff, J. and Vaughn, C.. Expressed Emotion in Families. New York: Guilford.Google Scholar
Brown, G. W., Carstairs, G. M. and Topping, G. (1958). Post hospital adjustment of chronic mental patients. Lancet ii, 685–689.Google Scholar
Cardin, V. A., McGill, C. W. and Falloon, I. R. H. (1986). An economic analysis: costs, benefits and effectiveness. In Falloon, I. R. H. (Ed). Family Management of Schizophrenia. Baltimore: Johns Hopkins University Press.Google Scholar
Ciompi, L. (1980). The natural history of schizophrenia in the long term. British Journal of Psychiatry 136, 413–420.CrossRefGoogle ScholarPubMed
Cutmore, T. R. H. and Beninger, R. J. (1990). Do neuroleptics impair learning in schizophrenic patients? Schizophrenia Research 3, 173–186.CrossRefGoogle ScholarPubMed
Falloon, I. R. H. (1988). Expressed emotion: current status. Psychological Medicine 18, 269–274.Google Scholar
Falloon, I. R. H. and Pederson, J. (1985). Family management in the prevention of morbidity of schizophrenia: the adjustment of the family unit. British Journal of Psychiatry 147, 156–163.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Watt, D. C. and Shepherd, M. (1978). A comparative controlled trial of pimozide and fluphenazine decanoate in the continuation therapy of schizophrenia. Psychological Medicine 7, 59–70.CrossRefGoogle Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Razani, J., Moss, H. B. and Gilderman, A. M. (1982). Family management in the prevention of exacerbations of schizophrenia. New England Journal of Medicine 306, 1437–1440.Google Scholar
Falloon, I. R. H., Boyd, J. L. and McGill, C. W. (1984). Family Care of Schizophrenia. New York: Guilford Press.Google Scholar
Falloon, I. R. H., Boyd, J. L., McGill, C. W., Williamson, M., Razani, J., Moss, H. B., Gilderman, A. M. and Simson, G. M. (1985). Family management in the prevention of morbidity of schizophrenia: clinical outcome of a two year longitudinal study. Archives of General Psychiatry 42, 887–896.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Krekorian, H., Shanahan, W. J., LaportaM. and McLees, S. M. and McLees, S. (1990). The Buckingham Project: a comprehensive mental health service based upon behavioural psychotherapy. Behaviour Change 7, 51–57.Google Scholar
Fowler, D. and Morley, S. (1989). The cognitive-behavioural treatment of hallucinations and delusions: a preliminary study. Behavioural Psychotherapy 17, 267–282.CrossRefGoogle Scholar
Harding, C., Brooks, G. W., Ashikaga, T., Strauss, J. S. and Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness: II. Long-term outcome of subjects who retrospectively met DSM III criteria for schizophrenia. American Journal of Psychiatry 144, 727–735.Google ScholarPubMed
Hogarty, G., Schooler, N. R., Ulrich, R. F., Mussare, F., Ferro, P. and Herron, E. (1979). Fluphenazine and social therapy in the aftercare of schizophrenic patients. Archives of General Psychiatry 36, 1283–1294.CrossRefGoogle ScholarPubMed
Hogarty, G., Anderson, C. M., Reiss, D. J., Kornblith, S. J., Greenwald, D. P., Javan, C. D. and Madonia, M. J. (1986). Family psychoeducation, social skills training and maintenance chemotherapy in the aftercare treatment of schizophrenia. 1: One-year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry 43, 633–642.Google Scholar
Hogarty, G., Anderson, C. M. and Reiss, D. J. (1987). Family psychoeducation, social skills training and medication in schizophrenia: the long and the short of it. Psychopharmacological Bulletin 23, 12–13.Google Scholar
Jolley, A. G., Hirsch, S. R., McRink, A. and Manchanda, R. (1989). Trial of brief intermittent neuroleptic prophylaxis for selected schizophrenic outpatients: clinical outcome at one year. British Medical Journal 298, 985–990.Google Scholar
Kottgen, C., Soinnichsen, I., Mollenhauer, K. and Jurth, R. (1984). Results of the Hamburg Camberwell Family Interview study, 1–III. International Journal of Family Psychiatry 5, 61–94.Google Scholar
Kuipers, L. and Bebbington, P. (1988). Expressed emotion research in schizophrenia: theoretical and clinical implications. Psychological Medicine 18, 893–909.CrossRefGoogle ScholarPubMed
Leff, J. and Vaughn, C. (1985). Expressed Emotion in Families. New York: Guilford.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R., Eberlein-Fries, R. and Sturgeon, D. (1982). A controlled trial of intervention in the families of schizophrenic families. British Journal of Psychiatry 141, 121–134.Google Scholar
Leff, J., Kuipers, L., Berkowitz, R. and Sturgeon, D. (1985). A controlled trial of social intervention in the families of schizophrenic patients: two year follow-up. British Journal of Psychiatry 146, 594–600.Google Scholar
Leff, J., Berkowitz, R., Shavit, A., Strachan, A., Glass, I. and Vaughn, C. (1989). A trial of family therapy v. a relatives' group for schizophrenia. British Journal of Psychiatry 154, 58–66.Google Scholar
Liberman, R. P., DeRisi, W. R. and Mueser, K. T. (1989). Social Skills Training for Psychiatric Patients. New York: Pergamon.Google Scholar
MacMillan, F., Birchwood, M. and Smith, J. (1990). In Birchwood, M. and Tarrier, N. (Eds). Innovations in the Psychological Management of Schizophrenia. Chichester: Wiley (in press).Google Scholar
Milton, F., Patwa, V. K. and Hafner, J. (1978). Confrontation vs belief modification in persistently deluded patients. British Journal of Medical Psychology 51, 127–130.CrossRefGoogle ScholarPubMed
Paul, G. and Lentz, R. (1977). Psychological Treatment of Chronic Mental Patients. Milieu versus Social Learning Programmes. Cambridge: Harvard University Press.Google Scholar
Slade, P. D. (1972). The effects of systematic desensitization on auditory hallucinations. Behaviour Research and Therapy 10, 85–91.Google Scholar
Smith, J. and Birchwood, M. (1987). Education for families with schizophrenic relatives. British Journal of Psychiatry 150, 645–652.CrossRefGoogle Scholar
Smith, J. and Birchwood, M. (1990). Relatives and patients as partners in the management of schizophrenia: the development of a service model. British Journal of Psychiatry 156, 654–660.Google Scholar
Subotnik, K. L. and Nuechterlein, K. H. (1988). Prodromal signs and symptoms of schizophrenic relapse. Journal of Abnormal Psychology 97, 405–412.Google Scholar
Tarrier, N. (1990a). Modification and management of residual psychotic symptoms. In Birchwood, M. and Tarrier, N. (Eds). Innovations in the Psychological Management of Schizophrenia. Chichester: Wiley (in press).Google Scholar
Tarrier, N. (1990b). Adherence in family intervention programmes designed to reduce schizophrenic relapse (submitted for publication).Google Scholar
Tarrier, N. and Barrowclough, C. (1986). Providing information to relatives about schizophrenia: some comments. British Journal of Psychiatry 149, 458–463.Google Scholar
Tarrier, N. and Barrowclough, C. (1989). Mental health services and new research in England: implications for the community management of schizophrenia. In Kales, A., Talbot, J. and Stefanis, C. (Eds). Recent Advances in Schizophrenia. New York: Springer-Verlag.Google Scholar
Tarrier, N. and Barrowclough, C. (1990a). Life events and family management in schizophrenia. British Journal of Psychiatry 156, 450.Google Scholar
Tarrier, N. and Barrowclough, C. (1990b). Behavioural Intervention for Families with Schizophrenic Patients: A Practitioner's Guide. London: Chapman-Hall (in preparation).Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C., Bamrah, J. S., Porceddu, K., Watts, S. and Freeman, H. L. (1988). The community management of schizophrenia: a controlled trial of a behavioural intervention with families. British Journal of Psychiatry 153, 532–542.Google Scholar
Tarrier, N., Barrowclough, C., Vaughn, C., Bamrah, J. S., Porceddu, K., Watts, S. and Freeman, H. L. (1989). The community management of schizophrenia: a controlled trial of a behavioural intervention with families: two year follow-up. British Journal of Psychiatry 154, 625–628.Google Scholar
Tarrier, N., Lowson, K. and Barrowclough, C. (1990a). Cost-benefit analysis of a behavioural intervention with families of schizophrenic patients (submitted for publication).Google Scholar
Tarrier, N., Harwood, S., Yusopoff, L., Beckett, R. and Baker, A. (1990b). Coping Strategy Enhancement (CSE): a method of treating residual schizophrenic symptoms. Behavioural Psychotherapy (in press).Google Scholar
Turpin, G., Tarrier, N. and Sturgeon, D. (1988). Social psychophysiology and the study of biopsychosocial models of schizophrenia. In Wagner, H. (Ed). Social Psychophysiology: Perspectives on Theory and Clinical Applications. New York: John Wiley and Sons.Google Scholar
Watts, F. N., Powell, G. E. and Austin, S. V. (1973). The modification of abnormal beliefs. British Journal of Medical Psychology 46, 359–363.Google Scholar
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