Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement.
Although the role and relative prominence of psychotherapy in the treatment of schizophrenia has fluctuated over time, an analysis of the history of psychotherapy for schizophrenia, focusing on findings from the recovery movement, reveals recent trends including the emergence of the development of integrative psychotherapy approaches. The authors suggest that the recovery movement has revealed limitations in traditional approaches to psychotherapy, and has provided opportunities for integrative approaches to emerge as a mechanism for promoting recovery in persons with schizophrenia. Five approaches to integrative psychotherapy for persons with schizophrenia are presented, and a shared conceptual framework that allows these five approaches to be compatible with one another is proposed. The conceptual framework is consistent with theories of recovery and emphasizes interpersonal attachment, personal narrative, and metacognitive processes. Implications for future research on integrative psychotherapy are considered.
Richard L Roudebush VA Medical Center, Department of Psychiatry, Indianapolis, IN, USA.
Jay A
JA
Hamm
Ilanit
I
Hasson-Ohayon
Marina
M
Kukla
Paul H
PH
Lysaker
integrative psychotherapy; metacognition; psychosis; psychotherapy; recovery; schizophrenia