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Schizophrenia: Cognitive Theory, Research, and Therapy (Hardcover)

~ (Author), Neil A. Rector (Author), Neal Stolar (Author), Paul Grant (Author)
Key Phrases: intentionalizing bias, externalizing bias, nondelusional beliefs, Cognitive Conceptualization of Auditory Hallucinations, Cognitive Conceptualization of Delusions, Biological Contributions (more...)
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Editorial Reviews

Review

"Synthesizing research on the psychology and biology of schizophrenia, Beck et al. show how a cognitive approach can be used to understand and treat even the most severely ill patient. This book is a masterpiece that challenges conventional thinking and describes one of the most exciting developments in psychiatry today. It is essential reading for all mental health professionals."--Richard Bentall, PhD, Professor of Clinical Psychology, University of Bangor, UK
 
"This volume offers a window into the world of an individual with schizophrenia by revealing how disturbed neurobiology can cause normal thought processes to evolve into psychosis. The authors describe how both clinicians and patients can better understand schizophrenia symptoms using CBT--and how the process of doing so can be powerfully therapeutic."--Stephen R. Marder, MD, Professor and Director, Section on Psychosis, Semel Institute, UCLA
 
"Beck and his colleagues have done it again! This book is simply outstanding. It begins with a very clear and insightful overview of our scientific understanding of the etiology of schizophrenia, offers detailed analyses of the cognitive underpinnings of psychotic symptoms, and then outlines specific approaches for tailoring cognitive techniques to treat these symptoms. Unlike many authors who address schizophrenia treatment, Beck et al. clearly link science with treatment strategies. I plan to use this book as the primary text in my seminars on clinical treatment."--Elaine F. Walker, PhD, Samuel Candler Dobbs Professor of Psychology and Neuroscience, Emory University
 
"The time has assuredly come for all clinicians working with persons with schizophrenia to become well acquainted with cognitive therapy for psychosis. Beck's decades of experience and wisdom are clearly reflected in this book. The cognitive conceptualizations of delusions, hallucinations, negative symptoms, and formal thought disorder are especially compelling and will provide critical new insights for both trainees and seasoned clinicians. This is an important addition to the library of any clinician committed to supporting recovery in persons with schizophrenia."--Shirley M. Glynn, PhD, Research Psychologist, Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA

"Beck et al. have written the rare book that succeeds in wedding theory, research, and practice into a cohesive conceptual framework. The book provides an integrated theoretical model that accounts for the disparate symptoms of schizophrenia. These theoretical foundations are complemented by excellent, detailed clinical guidelines, vignettes, sample dialogues, and useful tools. An outstanding resource for researchers and clinicians who want to better understand the role of cognitive factors in schizophrenia and its treatment."--Kim T. Mueser, PhD, Professor of Psychiatry and Community and Family Medicine, Dartmouth Medical School

"Many of the puzzling and vexing symptoms of schizophrenia are largely untouched by existing psychosocial and psychopharmacological treatments. Beck and his colleagues present an integrated, empirically based theory of the disorder which provides the foundation for identifying effective therapeutic strategies. Logically presented, scholarly, and generously illustrated with case examples, this book will serve as a practical guide for practitioners seeking to improve their effectiveness, as well as program leaders seeking to augment the continuum of care for this population. I strongly recommend this text for graduate and professional training programs in psychiatry, clinical psychology, social work, psychiatric nursing, and psychiatric rehabilitation."--Gary R. Bond, PhD, Chancellor's Professor of Psychology, Indiana University-Purdue University Indianapolis

"This is the most comprehensive and yet lucidly written book on cognitive theory and therapy of schizophrenia I have ever read. That's no surprise, given that Beck pioneered the development of cognitive-behavioral therapy for schizophrenia. What is remarkable here is the optimal balance between breadth (from biology and pharmacology to psychology and social services) and depth (detailed understanding of cognitive deficits and their treatment). The book is 'must' reading for anyone interested in schizophrenia, from the pre- or postdoctoral student to the teacher, clinician, or researcher. Everyday case examples and direct quotes from actual therapy sessions, combined with relevant rating scales, research findings, and a detailed bibliography, make this volume a one-stop source for all the necessary information in this area."--Dilip V. Jeste, MD, Distinguished Professor of Psychiatry and Neurosciences, University of California, San Diego, and VA San Diego Healthcare System

"This book represents a major advance in the application of cognitive theory and therapy. It is fitting that the founder of cognitive therapy is now pioneering its use with people with schizophrenia, who were once thought to be virtually untreatable. The authors provide a groundbreaking integration of neurobiological and cognitive-behavioral approaches to understanding the disorder and improving patients' lives. Unique contributions of the book include the descriptions of cognitive distortions and cognitive triads specific to schizophrenia and the development of cognitive models of thought disorder and negative symptoms, which have been neglected until now."--Tony Morrison, ClinPsyD, Professor of Clinical Psychology and Associate Director of Early Intervention, University of Manchester, UK



"Interesting, clearly written, and filled with thought-provoking and useful information, this text is an excellent resource for clinicians wanting to understand cognitive theory and techniques and their use in the treatment of individuals with psychosis. Concepts are presented to provide accessibility to clinicians specializing in psychosis but less familiar with cognitive techniques as well as clinicians well-versed in the use of cognitive techniques but with less experience treating people with psychotic symptoms. Aaron Beck, a pioneer in defining cognitive treatment of depression and anxiety, is in a unique position to elucidate differences and similarities between using cognitive treatment in psychosis and in more traditional diagnoses....A valuable resource that practitioners will find themselves using frequently in their work."--Psychiatric Rehabilitation Journal

"The book offers detailed guidance for formulating individual cases and tailoring cognitive and behavioral interventions to meet each patient's needs....Combining cognitive therapy and pharmacotherapy, the book provides valuable advice on engaging patients who may be fearful or suspicious. It is a comprehensive and convincing reference for practitioners, including clinical psychologists, social workers, psychiatrists, psychiatric nurses, rehabilitation specialists, and graduate students."--Schizophrenia Magazine



Product Description

From Aaron T. Beck and colleagues, this is the definitive work on the cognitive model of schizophrenia and its treatment. The volume integrates cognitive-behavioral and biological knowledge into a state-of-the-science conceptual framework. It comprehensively examines the origins, development, and maintenance of key symptom areas: delusions, hallucinations, negative symptoms, and formal thought disorder. Treatment chapters then offer concrete guidance for addressing each type of symptom, complete with case examples and session outlines. Anyone who treats or studies serious mental illness will find a new level of understanding and the latest theoretically and empirically grounded clinical techniques.

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Product Details

  • Hardcover: 418 pages
  • Publisher: The Guilford Press; 1 edition (October 29, 2008)
  • Language: English
  • ISBN-10: 1606230182
  • ISBN-13: 978-1606230183
  • Product Dimensions: 9 x 6.3 x 1.5 inches
  • Shipping Weight: 1.3 pounds (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon.com Sales Rank: #70,119 in Books (See Bestsellers in Books)

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    #5 in  Books > Professional & Technical > Law > Family & Health Law > Mental Health
    #5 in  Books > Nonfiction > Law > Family & Health Law > Mental Health
    #11 in  Books > Health, Mind & Body > Mental Health > Schizophrenia

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More About the Author

Aaron T. Beck
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Front Cover | Table of Contents | First Pages | Index | Surprise Me!
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
intentionalizing bias, externalizing bias, nondelusional beliefs, thought disorder symptoms, parasitic foci, formal thought disorder, beliefs about the voices, delusional interpretations, cognitive conceptualization, beliefs about voices, patients with delusions, secondary negative symptoms, resource sparing, hallucinating patients, patients with psychosis, prominent negative symptoms, safety behaviors, anomalous symptoms, providing psychoeducation, low expectancies, delusional conviction, paranormal beliefs, voice content, automatic thoughts, nonpsychotic disorders
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Cognitive Conceptualization of Auditory Hallucinations, Cognitive Conceptualization of Delusions, Biological Contributions, Hughlings Jackson, Cognitive Conceptualization of Negative Symptoms, American Psychiatric Association, Cognitive Conceptualization of Thought Disorder, Fostering the Therapeutic Relationship, United States, Hells Angels, Assessment of Symptoms, Van Tol, World Health Organization, Socializing the Patient
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4.5 out of 5 stars (2 customer reviews)
 
 
 
 
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2 of 3 people found the following review helpful:
4.0 out of 5 stars Great book, but "chickens out" at key points, September 27, 2009
By Ron Unger (Eugene, OR) - See all my reviews
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This book goes into depth about the psychological aspects of the problems that get diagnosed as "schizophrenia," while integrating that with the latest research, so there's a lot to recommend it. It contains some interesting perspectives and original thinking, and I learned a lot from it, even though I was already pretty well read on the subject. Most of the thinking appears to be top-notch, including both depth and coherence.

But that's not why I'm writing this review. While I was struck by the quality of the thinking in most areas, I found that when it came to discussing the possibility of doing therapy without medications, it suddenly seemed that dogma was taking the place of thinking.

At one point (page 317 to be exact) it is stated categorically that "cognitive therapy alone cannot treat the symptoms of schizophrenia...." On page 305 it is stated that "The use of cognitive and other forms of therapy may lessen the amount of medication needed but not eliminate the need completely." The problem is, this contention flies in the face of actual outcome data in many cases. For example, it's well known that all of the long term outcome studies on schizophrenia show that large percentages of people, 25% or more, manage to get off medication completely and do well. In one of the earlier studies of CBT for psychosis (Kuipers et al. (1997)), at the end of the study 25% of those in the CBT group, but none of those in the control group, were off medication. Many case reports show successful outcomes using CBT with clients who decline to use medication, and having good results. A number of studies using psychosocial only approaches had outcomes at least as good as those achieved by medication treatment (such as the Soteria project.)

To add insult to injury, on page 305 a statement is made implying that the only reason a practitioner might want to treat a person with therapy only, and not medication, is because of a "personal preference." Given that medications cause innumerable negative effects on health, some of which are potentially fatal, and given they often both subjectively and objectively have many negative effects on mental and emotional functioning, it would seem that there really are other reasons a practitioner might want to try therapy without medications in cases where it seems that might work.

So, why do the authors of an otherwise thoughtful book make a claim so at odds with the facts, and then imply that anyone who disagrees with them is somehow morally defective and operating out of simple "personal preference"? I think I detect the heavy hand of politics here - it seems that the authors must have caved in to pressure to not present CBT as a possible alternative to the medical model, but only as a "supplement." Certainly, in many circles, CBT is likely to face easier sailing if it is presented that way. But really, people deserve the truth, even when it makes the establishment uncomfortable, and that's why it is sad that the truth got left out here.

Certainly it is true that we don't have a psychological treatment that in all cases can treat the symptoms that get labeled schizophrenia without the use of medications. But the evidence seems clear, from a huge number of studies (not just the ones I mentioned above) that in many cases, psychological or psychosocial treatment alone can be adequate, and comes without the serious hazards of treatment with medications. These facts argue for a more individualized approach, open to the possibility that some will be able to make it without the medications. It's too bad that the authors of this book did not accept those facts and argue for an individualized approach as well, or discuss the unknowns and conclude that that more research is needed, rather than making a blanket & untrue statement that medications are always necessary.
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5.0 out of 5 stars Mastery!, October 24, 2009
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Beck et al. not only provide an excellent, clinically oriented assessment of CBT, but they also provide an incredible discussion on the pathology, etiology, & neuropsychiatry of schizophrenia that I've never before seen. It is clear, concise, and very easy to understand. Other authors tend to get wrapped up in the minutia of neuropsychiatry, but not these! I was amazed at how much better I understood schizophrenia after reading just the first few opening chapters.
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