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.
Highlights
Cognitive behavioural therapy for psychosis (CBTp) is a widely implemented psychological intervention for the treatment of schizophrenia-spectrum disorders
Schizophrenia is associated with neurocognitive deficits [20], but some research suggests that violent patients with schizophrenia present with greater neurocognitive impairments than do non-violent patients with schizophrenia
Violent patients performed more poorly than did nonviolent patients on various measures of neurocognition, with moderate to large effect sizes. These findings suggest that forensic patients with schizophrenia with a history of violence may have more severe neurocognitive deficits than do those without a history of violence [21]
Summary
LETTER TO THE EDITOR The implementation of cognitive behavioural therapy for psychosis (CBTp) in a forensic setting: lessons learned and future directions. Patients with schizophrenia have a greater tendency to jump to conclusions [4,5,6], be more resistant to changing their beliefs when presented with disconfirmatory evidence [7,8,9], and have difficulty interpreting and understanding other people’s mental states [10,11]. These deficits are thought to contribute to the development of positive symptomatology [12,13,14,15]. Meta-analytic studies have found that CBTp is effective in reducing positive symptomatology, with small to medium effect sizes [17]
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