The Implementation of Cognitive Behavioural Therapy for Psychosis (CBTp) in a forensic setting

Lessons learned and future directions

Authors

  • Kyrsten M Grimes University of Toronto Scarborough
  • Peter Sheridan St. Joseph’s Healthcare Hamilton

DOI:

https://doi.org/10.15173/ijrr.v2i1.3703

Keywords:

CBTp, Cognitive Behavioural Therapy for Psychosis, Psychosis, Forensic, Implementation, Psychotherapy, Offender treatment

Abstract

In this Letter to the Editor, the authors comment on the implementation of a cognitive behavioural therapy for psychosis program for individuals admitted to a forensic psychiatry program. They highlight their experience and how they adapted the sessions to fit the needs of the patient in this context. 

References

Latimer J, Lawrence A. The Review Board Systems in Canada: Overview of Results from the Mentally Disordered Accused Data Collection Study. Ottawa, Canada: Department of Justice Canada; 2006.

Langlois KA, Samokhvalov AV, Rehm J. Health State Descriptions for Canadians: Mental Illnesses. Ottawa, Ontario, Canada: Statistics Canada; 2012.

Monahan J, Steadman HJ, Silver E, Appelbaum PS, Robbins PC, Mulvey EP, et al. Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence. New York, NY: Oxford University Press; 2001.

Falcone MA, Murray RM, Wiffen BDR, O'Connor JA, Russo M, Kolliakou A, et al. Jumping to conclusions, neuropsychological functioning, and delusional beliefs in first episode psychosis. Schizophr Bull 2015;41(2):411-18.

Krug A, Cabanis M, Pyka M, Pauly K, Kellermann T, Walter H, et al. Attenuated prefrontal activation during decision-making under uncertainty in schizophrenia: a multi-center fMRI study. Schizophr Res 2014;152(1):176-83.

Moritz S, Balzan RP, Bohn F, Veckenstedt R, Kolbeck K, Bierbrodt J, et al. Subjective versus objective cognition: evidence for poor metacognitive monitoring in schizophrenia. Schizophr Res 2016;178(1-3):74-9.

Balzan R, Delfabbro P, Galletly C, Woodward T. Confirmation biases across the psychosis continuum: the contribution of hypersalient evidence-hypothesis matches. British J Clin Psychol 2013;52(1):53-69.

Riccaboni R, Fresi F, Bosia M, Buonocore M, Leiba N, Smeraldi E, et al. Patterns of evidence integration in schizophrenia and delusion. Psychiatry Res 2012;200(2-3):108-14.

Moritz S, Veckenstedt R, Hottenrott B, Woodward TS, Randjbar S, Lincoln TM. Different sides of the same coin? Intercorrelations of cognitive biases in schizophrenia. Cogn Neuropsychiatry 2010;15(4):406-21.

Savla GN, Vella L, Armstrong CC, Penn DL, Twamley EW. Deficits in domains of social cognition in schizophrenia: A meta-analysis of the empirical evidence. Schizophr Bull 2013;39(5):979-92.

Mehta UM, Thirthalli J, Naveen Kumar C, Keshav Kumar J, Keshavan MS, Gangadhar BN. Schizophrenia patients experience substantial social cognition deficits across multiple domains in remission. Asian J Psychiatry 2013;6(4):324.

Freeman D, Startup H, Dunn G, Černis E, Wingham G, Pugh K, et al. The interaction of affective with psychotic processes: a test of the effects of worrying on working memory, jumping to conclusions, and anomalies of experience in patients with persecutory delusions. J Psych Res 2013;47(12):1837-42.

Juárez-Ramos V, Rubio JL, Delpero C, Mioni G, Stablum F, Gómez-Milán E. Jumping to conclusions bias, BADE and feedback sensitivity in schizophrenia and schizotypy. Conscious Cogn 2014;26:133-44.

Brookwell ML, Bentall RP, Varese F. Externalizing biases and hallucinations in source-monitoring, self-monitoring and signal detection studies: a meta-analytic review. Psychol Med 2013;43(12):2465.

Catalan A, Simons CJP, Bustamante S, Olazabal N, Ruiz E, Gonzalez de Artaza M, et al. Data gathering bias: trait vulnerability to psychotic symptoms? PloS One 2015;10(7): e0132442.

Kingdon DG, Turkington D. Cognitive Therapy of Schizophrenia: Guide to Individualized Evidence-Based Treatment. New York, Guilford; 2005.

Jauhar S, McKenna PJ, Radu J, Fung E, Salvador R, Laws KR. Cognitive-behavioral therapy for the symptoms of schizophrenia: a systematic review and meta-analysis with examination of potential bias. Br J Psychiatry 2014;204:20-9.

Chadwick PDJ, Birchwood M, Trower P. Cognitive Therapy for Delusions, Voices and Paranoia. New York: Wiley; 1996.

Fowler D, Garety P, Kuipers E. Cognitive Behavior Therapy for Psychosis: Theory and Practice. New York, Wiley; 1995.

Heinrichs RW, Zakzanis KK. Neurocognitive deficit in schizophrenia: A quantitative review of the evidence. Neuropsychology 1998;12(3):426-45.

O'Reilly K, Donohoe G, Coyle C, O'Sullivan D, Rowe A, Losty M, et al. Prospective cohort study of the relationship between neuro-cognition, social cognition and violence in forensic patients with schizophrenia and schizoaffective disorder. BMC Psychiatry 2015;15(1):155.

Jusyte A, Schönenberg M. Impaired social cognition in violent offenders: Perceptual deficit or cognitive bias? Eur Arch Psy Clin N 2016;267(3):257.

Moritz S, Schilling L, Wingenfeld K, Kother U, Wittekind C, Terfehr K, et al. Psychotic-like cognitive biases in borderline personality disorder. J Behav Ther Exp Psychiatry 2011;42(3):349-54.

Harris ST, Picchioni MM. A review of the role of empathy in violence risk in mental disorders. Aggress Violent Behav 2013;18(2):335-42.

Shamay-Tsoory SG, Harari H, Aharon-Peretz J, Levkovitz Y. The role of the orbitofrontal cortex in affective theory of mind deficits in criminal offenders with psychopathic tendencies. Cortex 2010;46(5):668-77.

Wright NP, Turkington D, Kelly OP, Davies D, Jacobs AM, Hopton J, et al. Treating Psychosis: A Clinician's Guide to Integrating Acceptance and Commitment Therapy, Compassion-Focused Therapy, and Mindfulness Approaches within the Cognitive Behavioral Therapy Tradition. Oakland, CA: New Harbinger Publications; 2014.

Moritz S, Woodward TS, Hauschildt M, Metacognition Study Group. Metacognitive Training for Psychosis (Version 6.2). VanHam Campus Press; 2015.

Aghotor J, Pfueller U, Moritz S, Weisbrod M, Roesch-Ely D. Metacognitive training for patients with schizophrenia (MCT): Feasibility and preliminary evidence for its efficacy. J Behav Ther Exp Psychiatry 2010;41(3):207-11.

Ochoa S, López-Carrilero R, Barrigón ML, Pousa E, Barajas A, Lorente-Rovira E, et al. Randomized control trial to assess the efficacy of metacognitive training compared with a psycho-educational group in people with a recent-onset psychosis. Psychol Med 2017;1-12.

Buonocore M, Bosia M, Riccaboni R, Bechi M, Spangaro M, Piantanida M, et al. Combined neurocognitive and metacognitive rehabilitation in schizophrenia: effects on bias against disconfirmatory evidence. Eur Psychiatry 2015;30(5):615-21.

Moritz S, Kerstan A, Veckenstedt R, Randjbar S, Vitzthum F, Schmidt C, et al. Further evidence for the efficacy of a metacognitive group training in schizophrenia. Behav Res Therapy 2011;49(3):151-7.

Rocha NBF, Queirós C. Metacognitive and social cognition training (MSCT) in schizophrenia: a preliminary efficacy study. Schizophr Res 2013;150(1):64-8.

Downloads

Published

2019-07-10

How to Cite

Grimes, K. M., & Sheridan, P. (2019). The Implementation of Cognitive Behavioural Therapy for Psychosis (CBTp) in a forensic setting: Lessons learned and future directions. International Journal of Risk and Recovery, 2(1), 18–22. https://doi.org/10.15173/ijrr.v2i1.3703

Issue

Section

Letter to the Editor

Most read articles by the same author(s)