title: Supportive therapy for schizophrenia: possible mechanisms and implications for adjunctive psychosocial treatments.
abstract: This article posits that the positive findings for supportive therapy (ST) in recent trials may indicate an important but undervalued aspect of psychosocial interventions for schizophrenia. In developing this thesis, we consider the possible mechanisms underlying the beneficial effects of ST observed in recent trials of cognitive behavioral therapy for schizophrenia. We place this evidence in the context of a review of psychological models of mental health, the therapeutic alliance, and research on social cognition and social support in schizophrenia. We conclude this article by describing a new theoretically driven intervention for schizophrenia, functional cognitive-behavioral therapy (FCBT), which improves functional outcomes by integrating evidence-based advances in cognitive behavioral therapy with the strengths of ST approaches.
authors.affiliation: University of North Carolina-Chapel Hill, Department of Psychology, 27599-3270, USA. dpenn@email.unc.edu
authors.forename: David L
authors.initials: DL
authors.lastname: Penn
authors.forename: Kim T
authors.initials: KT
authors.lastname: Mueser
authors.forename: Nick
authors.initials: N
authors.lastname: Tarrier
authors.forename: Andrew
authors.initials: A
authors.lastname: Gloege
authors.forename: Corrine
authors.initials: C
authors.lastname: Cather
authors.forename: Daniel
authors.initials: D
authors.lastname: Serrano
authors.forename: Michael W
authors.initials: MW
authors.lastname: Otto
mesh_terms: D000203:Activities of Daily Living; D003071:Cognition; D015928:Cognitive Behavioral Therapy; D006801:Humans; D008603:Mental Health; D008960:Models, Psychological; D012559:Schizophrenia / Q000628:therapy*; D012944:Social Support; D016896:Treatment Outcome