title: An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration.
abstract: This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness.
authors.affiliation: Center for Health Information and Communication, Health Services Research and Development.|Richard L. Roudebush VA Medical Center.|Indiana University-Purdue University Indianapolis, Department of Psychology.
authors.forename: Marina
authors.initials: M
authors.lastname: Kukla
authors.affiliation: Richard L. Roudebush VA Medical Center.
authors.forename: Frankie
authors.initials: F
authors.lastname: Whitesel
authors.affiliation: Richard L. Roudebush VA Medical Center.|Indiana University School of Medicine.
authors.forename: Paul H
authors.initials: PH
authors.lastname: Lysaker
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D000067489:Metacognition / Q000502:physiology*; D008875:Middle Aged; D019964:Mood Disorders / Q000628:therapy*; D000067250:Psychiatric Rehabilitation / Q000379:methods*; D012559:Schizophrenia / Q000628:therapy*
keywords: cognitive behavioral therapy; metacognition; psychiatric rehabilitation; schizophrenia