Only a minority of studies have found advantages in social adjustment (four of 16) or employment (three of nine, and these jobs represented mostly sheltered rather than competitive employment)."
A psychological aspect of schizophrenia involves the intervention of patients with the use of cognitive behavior therapy or CBT. Such treatment is used for those whose psychotic symptoms constantly occur despite consumption of medication. The objective of CBT is for schizophrenics who do not respond to their medication and to have their episodes of delusions and hallucinations or other distress to be decreased. As well, CBT's goal is to reduce the risk of relapse and social dysfunction. Bustillo (2001) noted such therapy centers on "rationally exploring the subjective nature of the psychotic symptoms, challenging the evidence for these, and subjecting such beliefs and experiences to reality testing."
In a study led by Kuipers, it was discovered that CBT schizophrenics demonstrated a significant decrease in their symptoms compared to standard treatment. In an investigation led by Tarrier, CBT has reduced incidences of patients' delusions and hallucinations compared to the results of supportive counseling and routine care. As a result, eleven out of thirty-three patients who received CBT reduced the aforementioned symptoms by 50%, and were maintained at the twelve-month follow-up. In Drury's study, CBT's effect with antipsychotic medicine on acutely psychotic inpatients recovered from their psychotic...
At their nine-month follow-up, 95% of CBT patients had minor or no incidences of hallucinations and delusions. However, those in the control group, 44% of schizophrenics experienced minimal aforementioned symptoms and episodes. In a study led by Buchkremer, it compared four types of interventions, two of which were CBT, to routine care. Such treatment was given over eight months, assessed after one year, and follow-up of two years. It was shown the group that received CBT with individual and family psychoeducational therapy experienced reduced hospitalizations.
In a study led by Sensky, CBT helped improve the negative and depressive symptoms of schizophrenia. As well, such stance was maintained for at least nine months post treatment. In another investigation led by Kemp, CBT treatment involving motivational interviewing techniques with adherence to the consumption of antipsychotic medication displayed improvements in patients' demeanor toward drug treatment and understanding of their illness compared to those who didn't receive such intervention.
Lewis (2005) described motivational interviewing aimed at psychotic symptom control, substance misuse, and family intervention is that is has, "been used to treat uncomplicated substance dependence. Patients are encouraged to explore the problems of their substance misuse causes and the ways in which it prevents them achieving their goals. They are also encouraged to explore how they could…
