The study found support for our cognitive model and therapeutic approach. Factors governing the genesis of these key beliefs remain unknown. A number of hypotheses are discussed, which centre around the possibility that voice beliefs develop as part of an adaptive process to the experience of voices, and are underpinned by core beliefs about the individuals self-worth and interpersonal schemata.
Developments in cognitive therapies and theories for paranoid psychosis have constituted a significant breakthrough in our understanding of this disorder, offering a valid psychological alternative t o biomedical approaches, which have been criticized on scientific, pmgmatic, and ethical grounds. However, we have ncently found evidence for two types of paranoia which, together with other conceptual and empirical work, show these cognitive theodes t o be insufflcknt. Wo propose an interpersonal theory of the self, which places the cognitive, emotional, and behavioral aspects of paranoia within a brorder context of the person. In this article, we (a) suwoy cognitive theorios and tho alternative interventions they imply; (b) describe now findings on two types of paranoia, which imply the need for significant theoretical adjustments; and (c) propose and describe a modltkd theory of paranoid threat and defense of the self, which, we argue, more adequately explains the phenomena.
The study's objective was to assess the impact on clinical functioning of group based mindfulness training alongside standard psychiatric care for people with current, subjectively distressing psychosis. Data are presented from the first 10 people to complete one of four Mindfulness Groups, each lasting six sessions. People were taught mindfulness of the breath, and encouraged to let unpleasant experiences come into awareness, to observe and note them, and let them go without judgment, clinging or struggle. There was a significant pre-post drop in scores on the CORE (z = − 2.655, p = .008). Secondary data indicated improvement in mindfulness skills, and the subjective importance of mindfulness to the group process (N = 11). The results are encouraging and warrant further controlled outcome and process research.
The results provided support for the validity of two of the three course patterns of depression in schizophrenia, including PPD. Post-psychotic depression occurs de novo without concomitant change in positive or negative symptoms.
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